eTA Canada Apply

Details of the parent / guardian or representative

Surname(s) / last name(s)

Given name(s) / first name(s)

Mailing address

Telephone number

Email address

Confirmation Email address

Cellphone number

Personal Details

Surname(s)

Given Name(s)

Date of Birth

City of Birth

Gender

Male

Feminine

USCIS

Passport Details

Provide details of the passport that you will use to enter Canada. Enter these details exactly as they appear in your passport.

Passport Number

Passport Date of Issue

Passport Expiry Date

Previous Canadian permit or visa number (optional)

Residential Address

Enter the address where you live. Do not enter a post office box.

Street Name

Street Name line 2

Street Number

Apartment Number/Unit

City/Town

Zip Code

Consent and Declaration

Information provided to CIC (Citizenship and Immigration Canada) is collected under the authority of the Immigration and Refugee Protection Act (IRPA) to determine admissibility to Canada. Information provided may be shared with other Canadian government institutions such as, but not limited to, the Canadian Border Services Agency (ASFC), the Royal Canadian Mounted Police (RPMC), the Canadian Security and Intelligence Service (CSIS) , the Ministry of Foreign Affairs, Trade and Development (DFATD), the Department of Employment and Social Development of Canada (ESDC), the Tax Agency of Canada (CRA), provincial and regional governments and foreign governments in accordance with subsection 8 ( 2) of the Privacy Law.

I declare that the information I have given in this application is truthful, complete and correct.

I accept the terms and conditions