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INFORMATION PROTECTED

CHILD ABROAD16 years of age applying outside of Canada GENERAL PASSPORT APPLICATION for Canadians under
TYPE OR PRINT IN CAPITAL LETTERS using black or dark blue ink.

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.

1
Given name(s)

Child's Personal Information (see Instructions, section H)

Date of travel
Month Day

Surname (last name) Unknown

Surname (last name) at birth Date of birth
Year Month Day
City

Former surname (former last name)

Place of birth
Country Prov./Terr./State (if applicable)

Sex

Female Male

Eye colour

Current hair colour

Height (cm/in)

Weight (kg/lbs)

Current home address
Number Street Apartment City Country Postal code

Mailing address (if different from above)
Number Street Apartment City Country Postal code

Children 11 years of age or over must sign in the signature box. Note: At no time should a person other than the child sign in the signature box. Date
Year Month Day City Country

Void if signature touches border

Signed at
Signature of child (see Instructions, section H)

2

Information on Applicant (see Instructions, section J)
No No Yes If yes, include all documents Yes

Is the child currently the subject of an adoption process or partially or fully in the care of a family services organization? Are there any separation agreements, court orders or legal proceedings pertaining to custody of, mobility of, or access to the child? Applicant (parent or legal guardian)
Surname (last name) at your birth Given name(s) Date of birth
Year Month Day

Other parent or legal guardian

Surname (last name) at your birth Given name(s)

Country of birth

Date of birth
Year Month Day

Country of birth

Relationship with other parent

Date of marriage (if applicable)
Year Month Day

Relationship with parent applying

Date of marriage (if applicable)
Year Month Day

Address (Number, Street, Apartment, City, Country, Postal code)
Daytime telephone number Alternate telephone number Email address (optional)
Declaration—I declare that the child named above is a Canadian citizen, that I am the parent or legal guardian of this child and that the statements made in this application 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 Privacy Notice Statement). I consent to the collection, use and disclosure of my personal information and the child by the Passport Canada Program—Citizenship and Immigration Canada, other federal government institutions, Government of Canada offices abroad and third party entities as outlined in the Privacy Notice Statement in the Instructions.

Address (Number, Street, Apartment, City, Country, Postal code)
Daytime telephone number Alternate telephone number Email address (optional)
Declaration—I declare that the child named above is a Canadian citizen, that I am the parent or legal guardian of this child and that the statements made in this application 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 Privacy Notice Statement). I consent to the collection, use and disclosure of my personal information and the child by the Passport Canada Program—Citizenship and Immigration 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 applicant (also sign section 5)

Date

Signature of other parent or legal guardian Signed at Aussi disponible en français PPTC 042 (2013-07) R3 - Page 1 of 8

Date

Signed at

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3
No Yes (specify)

Previous Canadian Travel Document (see Instructions, section K)
Number Date of issue Year Month Day Place of issue

Has a Canadian travel document (passport, certificate of identity or refugee travel document) been issued to the child and is it still valid?

If yes, include it with your application. Would you like the previous passport returned to you? If not, it will be securely destroyed by the Passport Canada Program to protect the child's personal information. Yes, please return the previous passport to me. Note: If a valid Canadian travel document has been lost, stolen, damaged or is inaccessible, complete form PPTC 203, Declaration, available online at passportcanada.gc.ca. A Canadian travel document, once reported lost or stolen, is no longer valid.

4

Proof of Canadian Citizenship (see Instructions, sections J and L)
Birth certificate in Canada
(to be completed if the child was born in Canada) Registration number Certificate number Date of issue Date of issue/Effective date of citizenship

Provide one (1) of the documents listed below (original only):

Certificate of Canadian citizenship

5
Surname (last name) of applicant Relationship to child

Declaration of Applicant
Given name(s) of applicant Surname (last name) of child Given name(s) of child

Declaration—I solemnly declare that the child named above is a Canadian citizen, that the photos enclosed are unaltered and a true likeness of the child, 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 on page 1 and the Privacy Notice Statement (see section Privacy Notice Statement). I consent to the collection, use and disclosure of my personal information and the child by the Passport Canada Program—Citizenship and Immigration 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 applicant

Date
Year Month Day

Signed at
City Country

6
Surname (last name) Occupation

Declaration of Guarantor (see Instructions, section M)
The guarantor must know the applicant identified in section 5.

Given name(s) Name of firm/organization

Daytime telephone number Business address
Number Street

Evening telephone number

Cell number (optional)

City

Country

Full name of applicant
I have known the applicant parent or guardian for
Number of years

Full name of child

Declaration—I solemnly declare that I have known the applicant identified above personally for at least two (2) years and have knowledge of the child. I have signed the back of one (1) photo to certify that the image is a true likeness of the child. I declare that I have read and understood the Warning on page 1 and the Privacy Notice Statement (see section Privacy Notice Statement). I consent to the collection, use and disclosure of my personal information by the Passport Canada Program—Citizenship and Immigration 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

Date
Year Month Day

Signed at
City Country

7
Surname (last name)

Emergency Contact Information (optional) (see Instructions, section N)
Given name(s)

Relationship to the child

Daytime telephone number

Evening telephone number

Cell number

Current home address
Number Street Apartment City Country

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CHILD ABROAD GENERAL PASSPORT APPLICATION for Canadians under 16 years of age applying outside of Canada INSTRUCTIONS
Forms are regularly updated. Applicants are encouraged to use the interactive form available online at passportcanada.gc.ca.
Aussi disponible en français

A

Entitlement to a Canadian Passport

Important Notice—We recommend that you not make any travel plans until you receive the requested passport. A Canadian passport is the only reliable and universally accepted travel and identification document for Canadians who travel abroad. Canadian passports are issued to Canadian citizens only. Canadians 16 years of age or over must use form PPTC 040, Adult Abroad General Passport Application.

B

Translation

All documents submitted throughout the passport application process that are in a language other than English or French must be translated by a certified translator.

C

Requirements Checklist

Both pages of the application form completed and signed within the last 12 months. Two (2) identical unaltered passport photos of the child. Application form and one of the photos certified by your guarantor. Proof of Canadian citizenship (original only). Any valid Canadian travel document (passport, certificate of identity or refugee travel document) issued to the child. Acceptable proof of parentage. All documents that refer to custody of, mobility of, or access to the child, including the divorce judgment (if applicable). The fee. Additional documents or information may be required in support of this application.

D
For a child aged – 0 to 15 years:

Period of Validity and Fee
5-year passport – C$100

The fee is in Canadian funds and should be converted to local funds. Please confirm fee and accepted methods of payment with the nearest Government of Canada office abroad. Method of payment Cash (where accepted) Debit card (Interac) or prepaid cards (Visa, MasterCard, American Express) only for in-person applications submitted by the cardholder (where accepted) Prepaid debit cards are not accepted. Credit card (where accepted) Certified cheque or international money order (postal or bank), payable to the Canadian Embassy, High Commission or Consulate as the case may be (where accepted) All Canadian passports contain 36 pages. Important Every person who requests a passport service must pay the exact applicable fee. Applicants who cancel their application or are refused a passport are not eligible for a refund of the passport service fee. Administrative fees and applicable interest will be applied to all dishonoured payments. An applicant's debit card (Interac, Visa Debit or Virtual Debit) is not accepted for applications submitted by mail or by a third party. Fees are subject to change.

E

Credit Card Authorization Form (where accepted)

Payment by credit card for passport services at a Government of Canada office abroad requires the completion of a separate credit card authorization form. By completing and signing this form, you are providing formal authorization to charge your credit card for payment of services requested. The form must be included with your passport application. Important Notice: There is a fee to use the credit card payment service, a payment solution developed by Foreign Affairs, Trade and Development Canada. This fee is separate and independent from the amount payable to the Government of Canada for any passport service. For more information and to access the credit card authorization form online, visit the Foreign Affairs, Trade and Development Canada website at international.gc.ca/department-ministere/cca-acc.aspx?lang=eng.

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F

Where to Apply

Submit the child's application at the nearest Government of Canada office that provides passport services in the country where you reside or are visiting. A list of Government of Canada offices abroad is available online at travel.gc.ca or consult your local telephone directory. Offices authorized to issue passports include: Canadian embassies Canadian high commissions Canadian consulates (except those headed by honorary consuls).

G

Contact Information

General information is available 24 hours a day, 7 days a week. Specific information is available during office hours (Monday to Friday from 7:30 a.m. to 8 p.m. ET in Canada).

INFORMATION ON PASSPORTS, FEES AND PROCESSING TIMES
Website: The nearest Government of Canada office that provides passport services: Passport Canada Program: TTY (for persons who are Deaf or hard of hearing) Montréal, Canada: 514-283-5197 passportcanada.gc.ca (consult your local telephone directory) 819-997-8338

INFORMATION ON TRAVEL REPORTS, WARNINGS AND REQUIREMENTS
Website: Application forms are available in large print. A passport application instruction booklet is available in Braille. travel.gc.ca

H

Child's Personal Information

SURNAME AND GIVEN NAME(S) TO APPEAR IN PASSPORT
Write the child's name as you want it to appear in the passport. If you are requesting a passport in a name that is different from the name that appears on the child's documentary evidence of citizenship, one (1) of the following documents will be required to confirm the child's change of name: Legal change of name order, Adoption order, or Birth certificate or citizenship certificate issued in the new name.

SURNAME (LAST NAME) AT BIRTH/FORMER SURNAME (FORMER LAST NAME)
Complete only if different from the surname (last name) to appear in the passport (for the Passport Canada Program—Citizenship and Immigration Canada information only—will not appear in the passport).

PLACE OF BIRTH
The child's place of birth must be provided on the application form. If you do not wish the child's place of birth to appear in the passport, submit form PPTC 077, Request for a Canadian Passport Without a Place of Birth, available online at passportcanada.gc.ca.

SIGNATURE
Children 11 years of age or over must sign their usual signature. The child's signature in section 1 will appear in the passport. Therefore, the signature must not exceed the inner limits of the signature box. Note: At no time should a person other than the child sign in the signature box, section 1.

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I

Who May Apply for a Passport on Behalf of a Child?

One of the parents The custodial parent in cases of separation or divorce The legal guardian

J

Information on Applicant and Proof of Parentage

Both parents are requested to participate in obtaining passport services for their child and to sign the application form. The other parent may be contacted. Where a legal guardian is the applicant, the other legal guardian(s), as the case may be, is (are) also required to participate. Proof of legal guardianship is required.

PARENTAGE LINK BETWEEN THE CHILD AND THE PARENT(S)
You must provide one of the following acceptable proofs of parentage documents demonstrating the relationship between the child and the parent(s): a detailed birth certificate from Canada or a foreign country where the child was born, indicating the name of the parent(s); or an order of adoption indicating the name of the adopting parent(s). Exception: An application submitted on behalf of a child will be accepted without proof of parentage only if: a Canadian travel document was previously issued to the child in his or her name; and the parent(s)/legal guardian(s) who participated in the previous application is (are) the same one(s) who is (are) participating in this application.

CUSTODY, SEPARATION AND DIVORCE
Where a court order or agreement exists referring to custody of the child, only the person with custodial rights may apply. All documents that refer to custody of, mobility of, or access to the child must be provided. If a divorce has been granted, a copy of the divorce judgment or order must also be provided. Where joint custody provisions exist, either parent may apply.

RELATIONSHIP WITH OTHER PARENT
Indicate your current relationship with the other parent: single (no relationship), common law, married, separated, divorced, widowed. Indicate date of marriage to the other parent, if applicable. Additional information or documentation may be required. Where a legal guardian is the applicant, proof of legal guardianship must be provided.

K

Previous Canadian Travel Document

Enclose any valid Canadian travel document (passport, certificate of identity or refugee travel document) issued to the child. If the child's current passport is valid for more than 12 months from the date the application is submitted, provide a written explanation as to why you are applying at this time. Should Passport Canada Program—Citizenship and Immigration Canada (PCPCIC) not be satisfied that you have a valid reason for applying early, your application for a new passport may be refused. A person's name may appear in only one (1) valid Canadian travel document. Note: If a valid Canadian travel document has been lost, stolen, damaged or is inaccessible, complete form PPTC 203, Declaration, available online at passportcanada.gc.ca. A Canadian travel document, once reported lost or stolen, is no longer valid. If found, it is not to be used for travel and must be returned immediately to PCPCIC or if abroad to the nearest Government of Canada office.

L
CERTIFICATE OF BIRTH IN CANADA

Proof of Canadian Citizenship

Provide one (1) of the documents indicated in section 4 of the application form (original only). It will be returned to you. Additional information may be required to confirm the child's citizenship. Only official birth documents issued by the vital statistics authority of the child's province or territory of birth in Canada are accepted. This includes detailed birth certificates indicating the name of the parent(s). Certain exceptions may apply. More information is available online at passportcanada.gc.ca.

CERTIFICATE OF CANADIAN CITIZENSHIP
Commemorative documents of citizenship are not accepted. If the child requires a certificate of Canadian citizenship, contact the nearest Government of Canada office. You may also visit the Citizenship and Immigration Canada website at cic.gc.ca.

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M

Declaration of Guarantor

A guarantor is a person other than the applicant who confirms the applicant's identity and has knowledge of the child. The guarantor must: have known you (the applicant) personally for at least two (2) years*; *To know an applicant personally means that the guarantor is able to confirm aspects of the applicant's personal attributes such as name, approximate age, place of birth, physical description and some personal history such as occupation and place of residence. A family member or person residing at the same address as you (the applicant) may be the guarantor provided that the individual meets the specified requirements. have known you well enough to be confident that the statements you have made in the application form are true; be included in one (1) of the following groups: dentist, medical doctor notary public judge, magistrate, police officer practising lawyer, notary mayor signing officer of a bank The list above is not a recognition or endorsement by Passport Canada Program—Citizenship and Immigration Canada (PCPCIC) of professional status or superior qualifications. live within the jurisdiction of the Government of Canada office that provides passport services; be accessible to the PCPCIC for verification; The parent or legal guardian applying for a passport for the child, cannot sign as guarantor. However, if applicable, the other parent or legal guardian of the child may sign as guarantor. The guarantor must perform free of charge the following two (2) tasks: 1. Complete and sign the Declaration of Guarantor section (ensure you have completed and signed both pages of the application before submitting it to your guarantor). 2. Write "I certify this to be a true likeness of (child's name)" on the back of one (1) of the child's photos, and sign it. The guarantor is not required to be Canadian. PCPCIC reserves the right to request an alternate guarantor. The applicant must not assist the guarantor in performing his or her duties. If your guarantor requires assistance, contact PCPCIC. If you have not known an eligible guarantor for at least two (2) years, complete form PPTC 132, Statutory Declaration in Lieu of Guarantor, available at any Government of Canada office that provides passport services. This form must be completed at your expense before a person authorized by law to administer an oath or solemn affirmation. This may delay the processing time of the passport.

N

Emergency Contact Information
We recommend that you provide the name of someone who would not normally travel with the child. This information is helpful if the child has an accident or becomes ill while travelling outside of Canada.

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O
THE PHOTOS MUST

Rules for Canadian Passport Photos

You must submit two (2) identical photos with each passport application. be taken by a commercial photographer; be clear, sharp and in focus. Photos may be in colour or in black and white; have a neutral facial expression (eyes open and clearly visible, mouth closed, no smiling); have uniform lighting—no shadows, glare or flash reflections; be taken straight on with the face and shoulders centered and squared to the camera; be taken in front of a plain white or light-coloured background to clearly distinguish the person from the background. Photos must reflect/represent natural skin tones; be originals that have not been altered in any way or taken from an existing photo; reflect the current appearance of the child (taken within the last 12 months); and be professionally printed on plain, high quality photographic paper (photos printed at home and photos printed on heavy weight paper are not acceptable).

Photo Co. Ltd. 111 Any Street Any Town, COUNTRY
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.)

Photo taken Date

I certify this to be a true likeness of (child's name)

Guarantor's Signature

Frame Width 50 mm (2 in.)

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 and the date the photo was taken. The photographer may use a stamp or handwrite this information (stick-on labels are not acceptable). The guarantor's signature.

ADDITIONAL INFORMATION
Glasses, including tinted prescription glasses, may be worn in photos as long as the eyes are clearly visible and there is no glare in the glasses. Sunglasses and the red-eye effect are unacceptable. Hats and head coverings must not be worn, unless worn 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.

CHILD PHOTOS
The above rules apply equally to photos of children; The photo must show the child's head and shoulders only. The hands of the parent or child must not appear in the photo. The Passport Canada Program—Citizenship and Immigration Canada recognizes that it is difficult to obtain a neutral expression from a newborn and will be tolerant in this respect. If applying for a one-time replacement passport for a child, you must include a photo that was taken within one month of the date the application is submitted.

P

Privacy Notice Statement

All personal information provided on this application form is collected by the Passport Canada Program—Citizenship and Immigration Canada (PCPCIC) for the purpose of determining entitlement of the child 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, the 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 personal information, as described in Personal Information Bank PPTC PPD 102 (Regular and Official Travel Passports). In the context of the delivery of passport services, the PCPCIC and other federal government institutions or Government of Canada offices abroad assisting in the delivery of passport services may exchange personal information. In addition, in determining current and ongoing entitlement and to 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. Personal information may be disclosed to third party entities, such as law enforcement authorities and identity document issuing institutions, for verification and security queries required in the delivery of passport services. Personal information may also be disclosed by third-party entities to PCPCIC or other federal government institutions or Government of Canada offices abroad for those same purposes. To strengthen the security of the Canadian passport, PCPCIC uses facial recognition technology. Also, an electronic chip is inserted into the booklet. The chip contains, in electronic format, the photo of the bearer and the personal information (excluding the signature) found on page 2 of the booklet.

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IMPORTANT INFORMATION CONCERNING CHILDREN TRAVELLING ABROAD
For more information, visit international.gc.ca and travel.gc.ca/child.

Q

Travelling with Children or Children Travelling Alone
Immigration authorities in most countries are becoming increasingly vigilant when children cross international borders. Whether travelling alone or accompanied by an adult, each child travelling abroad must have an individual valid passport and may also require supporting documentation. Prior to any travel, you should contact the embassy or consulate of all countries the child will be visiting to inquire about entry requirements.

R

Documentation to Facilitate Travel Abroad
The following documents may be required to support the entry of a child to another country: Birth certificate showing the names of both parents. Documents pertaining to custody. If the child is travelling with one parent, a letter signed and dated from the other parent authorizing travel (letter may have to be notarized). If the child is travelling with someone other than the parent, a letter signed and dated from both parents authorizing travel with that person (letter may have to be notarized). If the child is travelling alone, a letter signed and dated from both parents authorizing travel (letter may have to be notarized). If one of the parents is deceased, the death certificate.

S

Documentation and Tips to Facilitate the Return to Canada
The following tips may help to avoid delays when a child is returning to Canada: Make sure you carry proper identification for yourself and any children travelling with you to assist in confirming your legal right or authorization to enter Canada upon your return. If you have custody of the child, carry copies of documents specifying custody rights to the child. If you are not the legal guardian of the child, carry a letter of permission or authorization for you to have custody when entering Canada. When a parent is travelling alone with a child, a letter from the other parent can also facilitate the return of both the parent and the child. The letter should also contain telephone numbers where the parent or legal guardian can be contacted. If you are travelling with a group, ensure you are in the same vehicle as the child you are accompanying when arriving at a border crossing. Have the child memorize a telephone number to call in an emergency.

T

Custody Information

Custody arrangements in Canada may not be recognized in another country. In extreme cases, the child may not be able to leave the country visited. It is recommended that, before leaving on a trip, you check with the embassy or consulate of the country or countries the child will be visiting to determine the documentation that may be required relating to custody of the child. For further information, contact: Foreign Affairs, Trade and Development Canada: Outside Canada: 613-944-6788

If a custody dispute could possibly arise while travelling with the child, you should talk to a lawyer prior to your departure. We suggest you also read the publication International Child Abductions: A Manual for Parents. You may order a copy online or access an online version: Website: travel.gc.ca

For a free copy, call: Outside Canada: 613-944-4000

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