Travel Details

Before you submit an application, review it carefully. Make sure it is complete and accurate.

Entering incorrect information could lead to a delay or even a refusal of an eTA application and/or prevent the applicant from boarding their flight.

* What travel document do you plan to use to travel to Canada? (required)

Passport Details

Passport details of applicant

* Passport number (required)

Enter the passport number exactly as it appears on the passport information page.

* Passport number (re-enter) (required)

You cannot copy and paste into this field.

* Surname(s) / last name(s) (required)

Please enter exactly as shown on your passport or identity document.

* Given name(s) / first name(s) (required)

Please enter exactly as shown on your passport or identity document.

* Date of Birth (required)

* Gender (required)

* Country/territory of birth (required)

* City/town of birth (required)

If there is no city/town/village on your passport, enter the name of the city/town/village where you were born.

* Passport Issue Date (required)

* Passport Expiry Date (required)

Representative Details

You indicated that you want to apply on behalf of someone. Please enter information about yourself first.

Parent/guardian or representative details

I am

Are you being paid to represent the applicant and complete the form on their behalf?

Surname(s) / last name(s)

Given name(s) / first name(s)

Mailing address

Fax number

Email address

Personal Details

Additional nationalities

Indicate which countries/territories you are a citizen of.

Country/territory	Action

* Marital status (required)

* Have you ever applied for or obtained a visa, an eTA or a permit to visit, live, work or study in Canada? (required)

* Occupation (required)

Contact information

* Preferred language to contact you (required)

* Email address (required)

Please enter a valid email address. It will be used to contact you about your application.

* Email address (re-enter) (required)

You cannot copy and paste into this field.

Country Code (required)

Phone (required)

Residential address

Enter your permanent home address. Do not enter an address where you live temporarily.

Apartment/unit number (if applicable)

* Street/civic number or house name (required)

* Street address/name (required)

Street address/name line 2 (if applicable)

* City/town (required)

* Country/territory (required)

District/region

* ZIP Code / Postal Code (required)

* Do you know when you will travel to Canada? (required)

This information may help us to process your application. If you do not know when you will travel to Canada, please select "no".

Background Information

Background Questions

* Have you ever been refused a visa or permit, denied entry to, or ordered to leave Canada or any other country/territory? (required)

* Have you ever committed, been arrested for, been charged with or convicted of any criminal offence in any country/territory? (required)

* In the past two years, were you diagnosed with tuberculosis or have you been in close contact with a person with tuberculosis? (required)

* Do you have one of these conditions? (required)

* Please briefly indicate if there are additional details pertinent to your application. For example, an urgent need to travel to Canada. Provide relevant details to avoid delays in the processing of your application. (required)

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