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Passport Renewal or Replacement

List any other surnames you have used in the past such as a Birth Surname, Previous Marriage etc.
Enter Unknown if you do not know
Anticipated date of travel(Required)
Date of travel(Required)

Birth details

Date of birth as it appears in the previous passport(Required)
Sex as it appears in the previous passport(Required)
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Current Home Address

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Is your mailing address different from current home address?
Mailing Address
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MOST RECENT CANADIAN PASSPORT

Enter the following information found in your most recent Canadian passport. If you cannot provide your most recent passport information, you cannot use this form. You need to apply for new application instead. Click here to apply. If you have this information available please continue below.
Date of issue(Required)
Date of expiry(Required)
If you cannot provide your most recent passport information, you cannot use this form. You need to apply for new application instead. Click here to apply.
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If you are submitting a passport, would you like it to be cancelled and returned to you?

CANADIAN CITIZENSHIP

Were you born outside Canada between February 15, 1977, and April 16, 1981?
a) Are you a naturalized Canadian, i.e. did you receive Canadian citizenship following immigration to Canada?(Required)
b) Was one of your parents born in Canada?(Required)
c) When was your current certificate of Canadian citizenship issued?(Required)
Submit the certificate with your application (original only)
Complete and submit form PPTC 001, Proof of Canadian Citizenship

PERIOD OF VALIDITY

Choose your preferred passport’s validity period.(Required)
This is how long your passport will be valid for.

ADDITIONAL PERSONAL INFORMATION

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A. Address in the last two years(Required)
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From(Required)
To(Required)

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From
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To
Occupation in the last two years (check all that apply):(Required)
Date (From)(Required)
Date (To)(Required)

REFERENCES

Provide the following information for two persons who are neither your relatives nor your guarantor; are 18 years of age or over; and who have known you for at least two years. They must agree to have their contact information provided as they may be contacted to confirm your identity.

Reference : Person 1

Address

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If you do not know this information, leave blank.

Reference : Person 2

Address

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If you do not know this information, leave blank.

EMERGENCY CONTACT INFORMATION

This information is helpful if you require emergency assistance while outside of Canada.
Would you like to add emergency contact information?(Required)

Emergency Contact Home Address (Optional)

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Agreement

Agreement(Required)
By checking this box, I am electronically signing to authorize pass-apply-ca.com to use the information I provided on this form to generate and submit a passport application for me. I agree to receive sms, email and calls about my order and to the privacy policy and terms and conditions listed on this website. I also affirm the information listed above is accurate and truthful. I understand pass-apply-ca.com cannot guarantee application approval and that the Home Office provides forms and instructions for filings related to passport applications at lower charge. However, I request to use pass-apply-ca.com customized filing instructions to prepare my application based on the information I have provided.

Payment Information

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Passport Type :


Total :

CAD $73.34

Canada Passport Insurance (CAD $12.85)
Click the checkmark box to add passport insurance.
Credit Card(Required)
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date
 

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