Fillable Form 1: ADULT TRAVEL DOCUMENT APPLICATION (Government of Canada)

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Form 1: ADULT TRAVEL DOCUMENT APPLICATION (Government of Canada)

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PROTECTED WHEN COMPLETED - B
Page 1 of 7
ADULT TRAVEL DOCUMENT APPLICATION
for stateless and protected persons in Canada (16 years of age or over)
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 travel document, the revocation of a currently valid travel document, and/or the imposition of a period of refusal of travel document services.
(DISPONIBLE EN FRANÇAIS - PPTC 191)PPTC 190 (11-2020)
Type or print in CAPITAL LETTERS using black or dark blue ink.
1
PERSONAL INFORMATION (SEE INSTRUCTIONS, SECTION G)
Surname (last name) requested to appear in the travel document
Given name(s) requested to appear in the travel document
UCI
Anticipated date of travel
Unknown
Month
Day
It is recommended that you do not
finalize travel plans until you receive
the requested travel document.
All former surnames (including surname at birth if different from above. These will not appear in the travel document.)
Mother's surname at birth
Place of birth
City Country
Prov./Terr./State (if applicable)
Date of birth
(YYYY-MM-DD)
Sex
F Female M Male X Another gender
Natural eye colour Height (cm/in)
Current home address
Number
Street
Apt.
City
Prov./Terr./State Postal/ZIP code
Mailing address (if different from current home address)
Number Street Apt. City
Prov/Terr./State Postal/ZIP code
Email address Telephone (daytime) Telephone (other)
Declaration—I understand that if I am issued a Canadian travel document and later obtain a
passport issued by my country of citizenship, I am obliged to return the Canadian travel
document to the Passport Program, Immigration, Refugees and Citizenship Canada. I
solemnly declare that the photos enclosed are unaltered and a true likeness of me, that all of
the statements made and the information provided in this application, as well as any
supporting documents, are true. I declare that I have read and understood the Warning at the
top of this page and the Privacy Notice Statement (see section N). I consent to the
collection, use and disclosure of my personal information by the Passport Program,
Immigration, Refugees and Citizenship Canada, other federal government institutions,
Government of Canada offices abroad and third party entities as outlined in the Privacy Notice
Statement in the Instructions.
Sign within border
Signature (see Instructions, section G)
Date (YYYY-MM-DD) Signed at
City Prov./Terr.
2
DECLARATION OF GUARANTOR (SEE INSTRUCTIONS, SECTION I)
Note: You must complete and sign all three (3) pages of this application form before requesting that your guarantor validate and sign this section.
Surname (last name) Given name(s)
Occupation Name of firm or organization
Telephone (daytime) Telephone (other) Email address
Business address
Number Street Apt. City
Prov./Terr./State
Postal/ZIP code
Declaration—I solemnly declare that I have known the applicant identified above
personally for at least six (6) months. I have signed the back of one (1) photo to
certify that the image is a true likeness of the applicant. If applicable, I have signed
and dated a copy of each document to support the applicant's identity to confirm that
I have seen the original(s). I declare that I have read and understood the Warning at
the top of this page and the Privacy Notice Statement (see section N). I consent to
the collection, use and disclosure of my personal information by the Passport
Program, Immigration, Refugees and Citizenship Canada, other federal government
institutions, Government of Canada offices abroad and third party entities as outlined
in the Privacy Notice Statement in the Instructions.
Signature of guarantor
I have known the
applicant for
Number of months
Date (YYYY-MM-DD) Signed at
City Prov./Terr.
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Page 2 of 7
PPTC 190 (11-2020)
3
PROOF OF IMMIGRATION STATUS IN CANADA (SEE INSTRUCTIONS, SECTION J)
To establish your immigration status in Canada, provide a photocopy of one (1) of the following valid documents and write the requested information:
Permanent resident card Temporary resident permit Verification of status
Notice of decision issued by the Immigration and
Refugee Board of Canada
Positive pre-removal risk assessment
results letter
Immigration status document number
Date of issue (YYYY-MM-DD) Date of expiry (YYYY-MM-DD if applicable)
4
PREVIOUS CANADIAN TRAVEL DOCUMENT (SEE INSTRUCTIONS, SECTION K)
• Has a Canadian travel document (certificate of identity or refugee travel document) been issued to you in your current name or any other name?
No Yes (specify)
Number Date of issue (YYYY-MM-DD)
Your previous Certificate of Identity or Refugee Travel Document will be securely destroyed unless it contains a valid visa and you have made a request
to have it returned to you.
Note: If a Canadian travel document has been reported lost, stolen, damaged or is inaccessible, and has not yet expired, complete form PPTC 203,
Declaration concerning lost, stolen, inaccessible, damaged or found Canadian travel document, available online at Canada.ca/passport. A Canadian travel
document is no longer valid if damaged or reported as lost, stolen, or inaccessible. There is an administrative fee for the replacement of a lost or stolen
Canadian travel document that has not yet expired.
5
CITIZENSHIP AND TRAVEL DOCUMENTATION (SEE INSTRUCTIONS, SECTION L)
Note: If insufficient space, attach a separate signed and dated sheet.
What is your original citizenship?
Have you acquired any other citizenship?
No Yes, Indicate country
Indicate country
Do you have any valid travel document or passport from any country other than Canada?
No
Yes, enclose the document (original only). If no longer in your
possession, explain why.
Have you visited another country since your entry to Canada?
No Yes, specify
Date left (YYYY-MM-DD) Date returned (YYYY-MM-DD)
Country
Reason
Date left (YYYY-MM-DD) Date returned (YYYY-MM-DD)
Country
Reason
Have you, since your date of entry to Canada, applied for a passport or travel document (or renewal of such a document) from your country of origin or
citizenship?
No, provide a detailed explanation of your reasons for not applying.
Yes, if the request was refused, enclose the letter of refusal. If unable to provide this letter, explain why. If no reply was received, write all the steps you
have taken
6
DOCUMENTS TO SUPPORT IDENTITY (SEE INSTRUCTIONS, SECTION M)
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 immigration status provided in section 3.
Type of document
Document number
Date of expiry (If applicable) (YYYY-MM-DD)
Your name as it appears on the document
Type of document Document number
Date of expiry (If applicable) (YYYY-MM-DD)
Your name as it appears on the document
Signature of applicant Date (YYYY-MM-DD)
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Page 3 of 7
PPTC 190 (11-2020)
7
ADDITIONAL PERSONAL INFORMATION
Note: If insufficient space, attach a separate signed and dated sheet.
A
Addresses in the last two (2) years
Same as current home address
Different from current home address (complete below)
1.
Number Street Apt.
City
Prov./Terr./State Country Postal/ZIP code
From (YYYY-MM) To (YYYY-MM)
Number
2.
Street Apt. City Prov./Terr./State Country Postal/ZIP code
From (YYYY-MM) To (YYYY-MM)
B
Occupation in the last two (2) years (check all that apply):
I was employed (full- or part-time)
Other, e.g. homemaker, unemployed or retiredI was in school (full- or part-time)
Enter full details below for the last two (2) years:
Employer, school or other Address Telephone (daytime) Field of employment or studies Date (from) Date (to)
8
REFERENCES
Provide the following information for two (2) persons who are neither your relatives nor your guarantor; are 18 years of age or over; and who have known
you for at least six (6) months. They must agree to have their contact information provided as they may be contacted to confirm your identity.
Visit Canada.ca/passport for more information on the Passport Program's definition of a relative.
1. Surname (last name) Given name(s) Relationship to the applicant
Address
Number Street Apt. City
Prov./Terr./State Country
Postal/ZIP code
Telephone (daytime) Telephone (other) Email address
Has known
me for
Number of months
2. Surname (last name) Given name(s) Relationship to the applicant
Address
Number Street Apt. City
Prov./Terr./State Country
Postal/ZIP code
Telephone (daytime) Telephone (other) Email address
Has known
me for
Number of months
9
EMERGENCY CONTACT INFORMATION (OPTIONAL)
This information is helpful if you require emergency assistance while outside of Canada.
Surname (last name) Given name(s)
Relationship to the applicant Telephone (daytime) Telephone (other) Email address
Current home address
Number Street Apt. City Prov./Terr./State Postal/ZIP code
Signature of applicant Date (YYYY-MM-DD)
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Ongoing occupation?
Page 4 of 7
PPTC 190 (11-2020)
ADULT TRAVEL DOCUMENT APPLICATION
for stateless and protected persons in Canada (16 years of age or over)
INSTRUCTIONS
A
ENTITLEMENT TO A CANADIAN TRAVEL DOCUMENT
Important notice: We recommend that you not finalize your travel plans until you receive the requested travel document.
A Canadian travel document reflects the identity of the applicant as determined by proof of immigration status in Canada, issued by Immigration, Refugees and
Citizenship Canada and documents to support identity.
• Refugee travel document: issued to persons in Canada with protected person status, including Convention refugees and persons in need of protection.
• Certificate of identity: issued to permanent residents of Canada who are not protected persons and who are stateless or are unable to obtain a national
passport.
Warnings:
• Some countries may not accept the certificate of identity as a valid travel document. You should check with the consulate or embassy of the country you will
be visiting before applying for a certificate of identity.
• Canadian refugee travel documents and Canadian certificates of identity are not valid for travel to the bearer's country of citizenship.
• For stateless and protected persons in Canada under 16 years of age, use form PPTC 192, Child Travel Document Application.
• Eligibility for either a travel document or a certificate of identity can be determined only after all required information has been submitted and reviewed. These
documents are issued only in Gatineau, Quebec.
• If you are issued a Canadian travel document and you later obtain a travel document or a passport issued by your country of citizenship, you must return the
Canadian travel document to the Passport Program.
B
REQUIREMENTS CHECKLIST
All three (3) pages of the application form completed and signed
within the last twelve (12) months and certified by the guarantor
Two (2) identical and unaltered passport photos taken within the last
six (6) months, one (1) certified by the guarantor
A photocopy of a valid proof of immigration status to Canada;
Document(s) to support identity (original or copies); copies must be
signed and dated by your guarantor
Any non-expired Canadian refugee travel document or Canadian
certificate of identity issued to you in the last five (5) years
Any valid foreign travel document or national passport issued to you
or in which your name appears
The fee
Note: All documents submitted throughout the travel document application
process that are in a language other than English or French must be
translated by a certified translator.
Additional documents or information may be requested in support of this
application.
C
FEE
Refugee Travel Document - CAN$120* Certificate of Identity - CAN$260*
*A CAN$25 consular services fee is included in the above-mentioned fee.
All applicants must pay the required fees for a Certificate of Identity or a Refugee Travel Document. Applicants must pay the fees for the document they wish
to apply for. Please refer to the definitions in Section A. If the Passport Program, part of Immigration, Refugees and Citizenship Canada, determines that you
are not eligible for the document for which you paid, you will be required to pay the remaining balance or you will receive a refund.
There is a separate, non-refundable CAN$45 administrative fee for the replacement of a lost or stolen Canadian travel document that has not yet expired.
Methods of payment (Canadian funds only):
If you are applying by mail (3 options):
• Pay your fees online and include a copy of the receipt with your application; or
• Complete Section D by providing your credit card information; or
• Issue a certified cheque or money order (postal or bank) in the exact amount,
payable to the Receiver General for Canada.
In-person payment not available because of COVID-19
!
• Debit card (Interac), Visa Debit, Virtual Visa Debit or other prepaid cards
(Visa, MasterCard, American Express) only for in-person applications
submitted by the cardholder. Prepaid debit cards are not accepted;
If you are applying in-person, you can pay by:
• Credit card and prepaid card (embossed only);
• Certified cheque or money order (postal or bank) in the exact amount,
payable to the Receiver General for Canada;
• Cash and personal cheques are not accepted.
Important
• Every person who requests travel document services must pay the
applicable fee in the exact amount.
• Applicants who cancel their application or are refused a Canadian refugee
travel document or certificate of identity are not eligible for a refund of the
service fee. Only the consular services fee of CAN$25, applied only to
adult applications, is refundable.
• Administrative fees and applicable interest will be applied to all
dishonoured payments.
• Fees are subject to change.
D
CREDIT CARD INFORMATION
If you are applying in person, do not complete this section. If you are applying by mail and paying by credit card, complete and submit this section with your
application.
Card type:
Visa MasterCard American Express
Name as it appears on card Card number
Date of expiry
Month
Year
Name of applicant
For official use only
Authorization—I authorize the Passport Program
to charge
to my credit card.
CAN$
Signature of cardholder
Date (YYYY-MM-DD)
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Page 5 of 7
PPTC 190 (11-2020)
E
WHERE TO APPLY
Mailed-in applications are processed in Canada.
By mail
OSC PPT-COI
PO BOX 8783 STN T CSC
OTTAWA ON K1G 5G8
By courier
Centralized Network – Certificate
of Identity Section Place du Centre,
Commercial Level 2
200 Promenade du Portage
Gatineau QC J8X 4B7
Do not mail or bring your application form to any other Passport Program
service location.
The original documents that you enclose with your application are valuable.
We recommend that you use a courier or mail service that allows you to track
your package.
F
CONTACT INFORMATION
• Automated telephone service is available 24 hours a day, 7 days a week. Agents are available Monday to Friday from 8:00 a.m. to 4:00 p.m. (Eastern time) in
Canada.
• The travel document application instruction booklet in Braille is available upon request only. For more information or to order that format, contact the Passport
Program.
Information on travel documents, fees and processing times
Canada.ca/passport Toll-free: 1-800-567-6868
TTY (for people who are Deaf or hard of hearing)
Toll-free: 1-888-576-8502
Information on immigration status
Canada.ca/immigration
Travel reports, warnings and requirements
For travel advice and warnings or foreign entry and exit requirements (how long the travel document has to be valid for travel to a foreign country),
visit travel.gc.ca
G
PERSONAL INFORMATION
Surname (last name) and given name(s) requested to appear in travel document
Write the name to appear in the travel document. This name is normally the same as the surname (last name) and given name(s) shown on your proof of
immigration status. If you are requesting a travel document in a name that is different from the name that appears on the immigration status document, please
note the following:
• For a married surname change, we recommend that you provide a marriage certificate (original or copy) to avoid possible delays.
• For any other legal name change, include one (1) of the following:
• A legal change of name order;
• An adoption order; or
• Proof that the record of entry at Immigration, Refugees and Citizenship Canada has been amended, i.e. the approved form IMM 1436, Request to
Amend the Record of Landing, Confirmation of Permanent Residence or Valid Temporary Resident Documents.
All former surnames
All former surnames that differ from the surname requested to appear in the travel document, including your surname at birth, must be declared. These former
surnames will not appear in the travel document.
UCI
Indicate your Unique Client Identifier number (UCI) or Client Identification number (Client ID). It is a 8 or 10 digit number as it appears on your immigration
document.
Mother's maiden name
Indicate your mother's surname (last name) at birth.
Date of birth
The date of birth will be inscribed in the travel document exactly as it appears on the proof of immigration status unless Immigration, Refugees and Citizenship
Canada records have been amended subsequent to your admission to Canada. In this case, the original approved form IMM 1436, Request to Amend the
Record of Landing, Confirmation of Permanent Residence or Valid Temporary Resident Documents, is required. If your proof of immigration status does not
show a complete date of birth, the specific year, month and day of your birth will be entered as shown on your supporting identification. Provide original
supporting identification showing that date of birth or copies signed and dated by your guarantor.
Sex
If the sex requested to appear in the travel document does not match the Immigration Status Document, additional requirements must be met.
Visit Canada.ca/passport for more details.
Signature
You must sign your usual signature on all three (3) pages.
H
ANTICIPATED DATE OF TRAVEL
Regardless of the date of travel you indicate on the application form, processing times and requirements for expedited services are still applicable. Processing
times begin once a completed application form and all required supporting documentation are received (see Section B). Processing times do not include
mailing time. Visit Canada.ca/passport for more details. It is recommended that you do not finalize travel plans until you receive the requested travel
document. The Government of Canada, or any representative of the Government of Canada will not be liable for any loss incurred as a result of or arising
out of the travel document not being delivered in time for you to travel on the date you have specified on the application form.
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PPTC 190 (11-2020)
I
DECLARATION OF GUARANTOR
A guarantor is a person other than yourself who confirms your identity. A family member or a person who resides at the same address as the applicant may be
the guarantor provided that this individual meets the specified requirements.
The guarantor must:
• be a Canadian citizen or a permanent resident living in Canada;
• have known you (the applicant) personally for at least six (6) months. To know you personally means to be able to confirm aspects of your personal
attributes;
• know you well enough to be confident that the statements you have made on the application form are true;
• be accessible to the Passport Program for verification;
• Currently be a member of one of the following professions or guarantor occupations:
• Dentist, medical doctor or chiropractor • Postmaster
• Judge, magistrate or police officer (municipal, provincial or RCMP) • Principal of a primary or secondary school
• Lawyer (member of a provincial bar association), or notary in Quebec • Professional accountant (member of APA, CA, CGA, CMA, PA or RPA)
• Mayor • Professional engineer (P. Eng., Eng. in Quebec)
• Minister of religion authorized under provincial or territorial law to
perform marriages
• Senior administrator in a community college (including CEGEP)
• Notary public • Senior administrator or teacher in a university
• Optometrist • Veterinarian
• Pharmacist
The above list is not a recognition or endorsement by the Passport Program, Immigration, Refugees and Citizenship Canada of professional status or
superior qualifications
The guarantor must perform the following three (3) tasks free of charge:
1. Validate the information and sign the section Declaration of Guarantor (section 2). Ensure you have completed and signed all three (3) pages
of the application before submitting it to your guarantor.
2. Write "I certify this to be a true likeness of (your name)" on the back of one (1) of your photos and sign it.
3. If applicable, sign and date a copy of each document to support your identity (see section M).
The Passport Program reserves the right to request a new guarantor.
The applicant must not assist the guarantor in performing their duties. If your guarantor requires assistance, contact the Passport Program.
If you have not known an eligible guarantor for at least six (6) months, complete form PPTC 326, Statutory Declaration in Lieu of Guarantor for a Travel
Document, available at any Passport Program regional office or contact the Passport Program (see section F). The form must be completed at your expense
before a person who is authorized by law to administer an oath or solemn affirmation. This may delay the processing time of the Canadian travel
document.
J
PROOF OF IMMIGRATION STATUS IN CANADA
Provide a photocopy of one (1) of the valid immigration status documents listed in section 3 on the application form. Additional information may be requested
to confirm your immigration status in Canada. An original Immigration Status Document may be required to support your travel document application. If you
need an immigration status document, contact Immigration, Refugees and Citizenship Canada (see section F).
K
PREVIOUS CANADIAN TRAVEL DOCUMENT
• Enclose any Canadian travel document (certificate of identity or refugee travel document) that is not expired and that is issued to you in your current name
or any other name. If the travel document's expiry date is more than twelve (12) months from the date the application is submitted, provide a written
explanation as to why you are applying at this time. Should the Passport Program not be satisfied that you have an acceptable reason for applying early,
your application for a new travel document may be refused.
• A person's name may appear in only one (1) valid Canadian refugee travel document or Canadian certificate of identity.
Note: If a valid Canadian certificate of identity or Canadian refugee travel document has been lost, stolen, damaged or is inaccessible, complete form PPTC
203, Declaration concerning lost, stolen, inaccessible, damaged or found Canadian travel document, available online at Canada.ca/passport. A Canadian
certificate of identity or Canadian refugee travel document, once reported lost or stolen, is no longer valid. If found, it must not be used for travel and
must be returned immediately to the Passport Program or, if abroad, to the nearest Government of Canada office. There is an administrative fee for the
replacement of a valid lost or stolen Canadian travel document (see section C).
L
CITIZENSHIP AND TRAVEL DOCUMENTATION
• Enclose any valid foreign travel document or national passport issued to you or in which your name appears. If you are no longer in possession of this travel
document or passport, complete section 5 on the application form, describing the document and the date and place of issue, and explain its present
whereabouts. If the document has been seized by Immigration, Refugees and Citizenship Canada, provide the Notice of Seizure (IMM 5265).
• If you have visited another country since your entry to Canada, provide the exit and entry dates for each departure from Canada, and explain the reason for
each visit to another country since your arrival to Canada (if insufficient space, attach a separate signed and dated sheet).
• If you have been refused a national passport, enclose the letter of refusal. If the letter is not in either English or French, you must submit a translation of the
document done by a certified translator.
• If you have been refused a national passport and have not received a letter of refusal from the authorities to whom you have applied, enclose copies of any
relevant letters you may have kept regarding your request for a passport (or a passport renewal). Write on the application form (see section 5) the results of
your application, including the date you were refused (if insufficient space, attach a separate signed and dated sheet).
• If you have applied for a national passport and have not received a written response, write in detail on the application form (see section 5) all the steps you
have taken (by order of date) to obtain the passport and the results achieved. Enclose copies of any relevant letters you may have retained (if insufficient
space, attach a separate signed and dated sheet).
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PPTC 190 (11-2020)
M
DOCUMENTS TO SUPPORT IDENTITY
• You need to provide at least one (1) document to support your identity. The identification document (ID) must be valid and be issued by a federal, provincial/
territorial government authority (or local equivalent abroad). The ID must include your name, date of birth, signature and photo. One or more document(s),
when combined, may be used to fulfill these criteria.
• All documents submitted to support your identity must be valid and must be issued by a federal, provincial or territorial authority.
• Copies are acceptable provided your guarantor has signed and dated a copy of each document (both sides) confirming that the original document has been
seen. If you are submitting original documents, they will be returned to you.
• If you are submitting copies and are using form PPTC 326, Statutory Declaration in Lieu of Guarantor for a Travel Document, the same official who signs the
Declaration must also sign and date the copies of the original document (both sides) to indicate that the original document has been seen. If you have no
documents to support your identity, contact the Passport Program, Immigration, Refugees and Citizenship Canada (see section F).
N
PRIVACY STATEMENT
Personal information provided on this application form is collected by Immigration, Refugees, and Citizenship Canada (IRCC) under the Minister's authority to
exercise the Royal Prerogative over Canadian travel documents. The personal information provided will be used for the purpose of processing applications,
determining entitlement to certificate of identity or refugee travel document services and administering related services. In the same context, the guarantor's
personal information is subject to verification and security queries to determine whether the individual meets the guarantor requirements. The personal
information provided may be disclosed to other federal government institutions, provincial/territorial governments, foreign governments, investigative bodies
and/or law enforcement for the purpose of validating identity, determining current and ongoing entitlement to related services, and administering or enforcing
any law or carrying out a lawful investigation. Information about the applicant may be shared with the Canada Border Services Agency (CBSA) for the purpose
of cessation proceedings or to determine a travel document holder's admissibility to Canada.
Personal information may also be used for purposes including research, statistics, quality assurance, program and policy evaluation, internal audit,
compliance, risk management, strategy development and reporting.
Failure to complete the form in full may result in a delay or the application not being processed. The Privacy Act gives individuals the right of access to,
protection, and correction of their personal information. If you are not satisfied with the manner in which IRCC handles your personal information, you may
exercise your right to file a complaint to the Office of the Privacy Commissioner of Canada. The collection, use, disclosure and retention of your personal
information is further described in IRCC's Personal Information Bank - IRCC PPU 080 and IRCC PPU 082.
O
CANADIAN PASSPORT PHOTO INSTRUCTIONS
Note: Photo specifications for the travel document are different from those for a permanent resident card. You must submit two (2) identical and unaltered
photo prints with each Canadian travel document application. Electronic photos are not acceptable.
More information is available at Canada.ca/passport.
The photos must:
• be taken in person by a commercial photographer;
• be professionally printed on plain, high quality photographic paper (photos printed
at home are not acceptable);
• be clear, sharp and in focus; in colour or black and white;
• show a neutral facial expression (no smiling, mouth closed) and looking straight
at the camera, with eyes open and clearly visible;
• have uniform lighting—no shadows, glare or flash reflections;
• show a full front view of the face and top of the shoulders squared to the camera
(face and shoulders centered in the photo, head not tilted or turned);
• reflect natural skin tone and be taken against a plain white or light coloured
background with enough contrast between the background, facial features and
clothing, so that your features appear clearly against the background;
• be originals that have not been altered in any way and not taken from an
• existing photo;
• be taken within the last six (6) months from the date the application is submitted
and reflect your current appearance.
Frame Height 70 mm (2
3/4
in.)
Minimum Face Height
31 mm (1
1/4
in.)
Maximum Face Height
36 mm (1
7/16
in.)
Frame Width 50 mm (2 in.)
Photo Co. Ltd.
111 Any Street
Any Town, COUNTRY
Photo taken
Date
I certify this to be a
true likeness of
(applicant's name)
Guarantor's Signature
Not actual size (refer to measurements above)
The following must appear on the back of one photo
• The name and complete address of the photo studio (not a P.O. Box) and the date the photo was taken. The photographer may use a stamp or handwrite
this information (stick-on labels are not acceptable).
• The statement "I certify this to be a true likeness of (name of applicant, written by guarantor)".
• The guarantor's signature.
Additional information
• Prescription glasses may be worn in photos as long as there is no glare and the eyes are clearly visible.
• The red-eye effect, tinted glasses and sunglasses make the photos unacceptable.
• Hats and head coverings must not be worn, except for religious beliefs or medical reasons. The head covering and hair must not cast shadows on the face
and the full face must be clearly visible.
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Form 1: ADULT TRAVEL DOCUMENT APPLICATION (Government of Canada)

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Completed 11 March 2021

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