Passport Renewal Form Canada 2015

Read Instructions Protected B when completed Renewal Passport Application Adult Simplified for eligible Canadians applying in Canada or from the USA Warning Any false or misleading statement with respect to this application and any supporting document including the concealment of any material fact may result in the refusal to issue a passport the revocation of a currently valid passport or the refusal of passport services and may be grounds for criminal prosecution. Your application will not be processed if you fail to complete all of the required sections of this form and/or refuse to consent to the exchange or disclosure of any personal information required for the delivery of passport services. I previous passport is damaged you cannot use this form. You must complete form PPTC 153 Adult General Passport Application A person s name may appear in only one 1 valid Canadian travel document passport certificate of identity or refugee travel document. However the head covering must not cast shadows on the face and the full face must be clearly visible. More information is available at passportcanada.gc.ca. K Privacy Notice Statement All personal information provided on this application form is collected by Passport Program Citizenship and Immigration Canada CIC for the purpose of determining entitlement of the applicant to a Canadian passport and to provide information to the Consular Operations Bureau of Foreign Affairs Trade and Development Canada in the event that the passport holder requires assistance while travelling abroad. In the performance of those services personal information is collected used and disclosed under the authority of the Canadian Passport Order and in accordance with the Privacy Act and any other federal laws regulations and policies applicable to the protection of of the delivery of passport services CIC and other federal government institutions or Government of Canada offices abroad assisting in maintain the integrity of the Passport Program all personal information collected is subject to verification and security queries to authenticate identity and citizenship as well as to identify the existence of grounds for refusal to issue a passport the revocation of a currently valid passport or the refusal of passport services. In the same context the guarantor s personal information is also subject to verification and security queries to determine whether the individual meets the guarantor requirements. The red-eye effect tinted glasses and sunglasses make the photo unacceptable. Hats and head coverings must not be worn except for religious beliefs or medical reasons. However the head covering must not cast shadows on the face and the full face must be clearly visible. More information is available at passportcanada.gc.ca. K Privacy Notice Statement All personal information provided on this application form is collected by Passport Program Citizenship and Immigration Canada CIC for the purpose of determining entitlement of the applicant to a Canadian passport and to provide information to the Consular Operations Bureau of Foreign Affairs Trade and Development Canada in the event that the passport holder requires assistance while travelling abroad. In the performance of those services personal information is collected used and disclosed under the authority of the Canadian Passport Order and in accordance with the Privacy Act and any other federal laws regulations and policies applicable to the protection of of the delivery of passport services CIC and other federal government institutions or Government of Canada offices abroad assisting in maintain the integrity of the Passport Program all personal information collected is subject to verification and security queries to authenticate identity and citizenship as well as to identify the existence of grounds for refusal to issue a passport the revocation of a currently valid passport or the refusal of passport services. Your surname last name and given name s must be spelled the same and be placed in the same order. If your name has changed you cannot use this form. You must complete form PPTC 153 Adult General Passport Application. Note If you are anticipating a change of name in the near future a new complete general passport application with fees will need to be submitted. Complete if different from the surname last name to appear in the passport for Passport Program Citizenship and Immigration Canada information only it will not appear in the passport. Indicate your mother s surname last name when she was born. The specific year month and day of your birth will be entered as shown on your previous passport. Your place of birth must be provided on the application form. If you do not wish the place of birth to appear in the passport complete and submit form PPTC 077 Request for a Canadian passport without place of birth available online at passportcanada.gc.ca. Signature You must sign your usual signature on both pages. Note If you cannot answer yes to all of the conditions outlined here or if this is your first application for a Canadian passport you must complete form PPTC 153 Adult General Passport Application. Additional documents or information may be requested in support of this application. You may use this form to renew a passport only if all of the following conditions are met you were at least 16 years of age at the time of your previous application the information name date of birth sex and place of birth on this application form is exactly as it appears on page 2 of the submitted passport 1 you submit a previous Canadian passport that is valid or expired for no more than one 1 year 2 was/is valid for five 5 years or ten 10 years 3 is not damaged and was never reported lost or stolen. B Requirements Checklist Both pages of the application form completed and signed within the last twelve 12 months Two 2 identical unaltered passport photos taken within the last six 6 months. No signature is required on the photos The fee If you were born outside of Canada between February 15 1977 and April 16 1981 inclusive you may be requested to submit further documentation see section 3. C Fee and Period of Validity Where the application is made in Canada and the passport is to be delivered in Canada 5-year validity Can 120 to be delivered to the USA A Can 25 consular services fee is included in the above-mentioned fee. This information is helpful if you have an accident or become ill while travelling. Cell number Signature of applicant Complete Form A Who May Use This Form Important notice We recommend that you not finalize your travel plans until you receive the requested passport. Note If you cannot answer yes to all of the conditions outlined here or if this is your first application for a Canadian passport you must complete form PPTC 153 Adult General Passport Application. Additional documents or information may be requested in support of this application. You may use this form to renew a passport only if all of the following conditions are met you were at least 16 years of age at the time of your previous application the information name date of birth sex and place of birth on this application form is exactly as it appears on page 2 of the submitted passport 1 you submit a previous Canadian passport that is valid or expired for no more than one 1 year 2 was/is valid for five 5 years or ten 10 years 3 is not damaged and was never reported lost or stolen. B Requirements Checklist Both pages of the application form completed and signed within the last twelve 12 months Two 2 identical unaltered passport photos taken within the last six 6 months. No signature is required on the photos The fee If you were born outside of Canada between February 15 1977 and April 16 1981 inclusive you may be requested to submit further documentation see section 3. They may be contacted to confirm your identity. Relationship Address Number Street Apartment City Province/Territory/State Country Has known me for Number of years Emergency Contact Information optional We recommend that you provide the name of someone who would not normally travel with you. This information is helpful if you have an accident or become ill while travelling. Cell number Signature of applicant Complete Form A Who May Use This Form Important notice We recommend that you not finalize your travel plans until you receive the requested passport. Note If you cannot answer yes to all of the conditions outlined here or if this is your first application for a Canadian passport you must complete form PPTC 153 Adult General Passport Application. Additional documents or information may be requested in support of this application. You may use this form to renew a passport only if all of the following conditions are met you were at least 16 years of age at the time of your previous application the information name date of birth sex and place of birth on this application form is exactly as it appears on page 2 of the submitted passport 1 you submit a previous Canadian passport that is valid or expired for no more than one 1 year 2 was/is valid for five 5 years or ten 10 years 3 is not damaged and was never reported lost or stolen. B Requirements Checklist Both pages of the application form completed and signed within the last twelve 12 months Two 2 identical unaltered passport photos taken within the last six 6 months.