Adult Abroad General Passport Application For Canadians 16 Years Of Age Or Over Applying Outside Of Canada And From The Usa Page 2

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Read Instructions
3
Previous Canadian Travel Document (see Instructions, section K)
Has a Canadian travel document (passport, certificate of identity or refugee travel document) been issued to you?
Date of issue
Number
No
Yes (specify)
Year
Month
Day
If the Canadian travel document is still valid, you must include it with your application.
Would you like the previous passport returned to you? If not, it will be securely destroyed by the Passport Program to protect your
personal information.
Yes, please return it to me.
Note: If a valid Canadian travel document has been lost, stolen, damaged or is inaccessible, complete form PPTC 203, Declaration
concerning a lost, stolen, inaccessible, damaged or found Canadian travel document, available online at Canada.ca/passport. A
Canadian travel document, once reported lost or stolen, is no longer valid. There is an administrative fee for the replacement
of a valid lost or stolen Canadian travel document (see section D).
4
Proof of Canadian Citizenship (see Instructions, section I)
A To be completed if you were born in Canada. Provide one (1) of the documents listed below (original only):
Date of issue
Registration number
Birth certificate in Canada
Certificate number
Date of issue or Effective date of citizenship
Certificate of Canadian citizenship
B To be completed if you were born outside of Canada.
1) Provide one (1) of the documents listed below (original only):
Certificate of registration of birth abroad
Certificate of Canadian citizenship
(issued by the Registrar of Canadian Citizenship)
Certificate of retention of Canadian citizenship
Certificate of naturalization
(issued before February 15, 1977)
Certificate number
Date of issue or Effective date of citizenship
2) To be completed if you were born outside of Canada between February 15, 1977 and April 16, 1981 inclusive
(you do not need to complete this section if you are presenting a certificate of Canadian citizenship issued after January 1, 2007).
a) Are you a naturalized Canadian, i.e. did you receive Canadian citizenship following immigration to Canada?
Yes – Go to section 5
No – Continue to question b)
b) Was one of your parents born in Canada?
Complete and submit form PPTC 001, Proof of Canadian Citizenship–Additional
Yes – Go to section 5
No
Information, available online at Canada.ca/passport.
5
Documents to Support Identity (see Instructions, section L)
Provide the following information. Include signed and dated copies (both sides), or original documents.
Note: The documents provided in this section must not be the proof of Canadian citizenship provided in section 4.
Date of expiry (if applicable)
Your name as it appears on the document
Type of document
Document number
Year
Month
Day
Date of expiry (if applicable)
Type of document
Document number
Your name as it appears on the document
Year
Month
Day
Signature of applicant
Date
Year
Month
Day
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