5 DECLARATION OF APPLICANT
, Surname (last name) of applicant Given name(s) of applicant
Relationship to the child 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 O) I consent to the
collection, use and disclosure of my personal information and that of the child 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
Signed at
Signature of applicant
City Prov/Terr/State
Date (YYYY-MM-DD)
6 DECLARATION OF GUARANTOR (SEE INSTRUCTIONS, SECTION N)
The guarantor must know the applicant identified in section 5
Note: The guarantor or the applicant can complete this section, with the exception of the four fields in bold which must be completed by your guarantor
Surname (last name) in passport Given name(s)
Date of birth (YYYY-MM-DD) Canadian passport number Date of issue (YYYY-MM-DD) Date of expiry (YYYY-MM-DD),
For Canadians submitting an application from the USA:
, If the child requires a passport in exceptional circumstances, contact the nearest Government of Canada office You can find a list of Government
of Canada offices in the USA online at travelgcca or in your local telephone directory
G APPLYING BY MAIL
Mailed-in applications are processed in Canada based on your current 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 If you applied by mail, we'll return any original
documentation and your previous passport if it was requested These documents may arrive in a separate package than your new passport
By mail from British Columbia,
Yukon, Northwest Territories or
Nunavut
Passport Program,
, TTY (for people who are Deaf or hard of hearing)
Toll-free: 1-866-255-7655
Travel reports, warnings and requirements
For travel advice and warnings or foreign entry and exit requirements (how long the passport has to be valid for travel to a foreign country), visit travelgcca
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Complete FormPage 5 of 9, L PREVIOUS CANADIAN TRAVEL DOCUMENT
Enclose any Canadian travel document (passport, certificate of identity or refugee travel document) that is not expired and was issued to the child in their
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 the child's passport may be refused
M PROOF OF CANADIAN CITIZENSHIP
Important: A Canadian provincial or territorial birth certificate does not constitute an acceptable proof of Canadian citizenship if, at the time of your child's birth
in Canada, one or both of the parents was or were employed in Canada by a foreign government or international agency and neither parent was a Canadian
citizen or permanent resident See subsection 3(2) of the Citizenship Act for more information You may also request a formal assessment by submitting an
application for a citizenship certificate to Immigration, Refugee and Citizenship Canada (IRCC) For more details, visit the IRCC website at
Canadaca/citizenship
The original proof of Canadian citizenship you submit with the child's application will be returned to you Additional information may be requested to confirm
your citizenship
Canadian provincial or territorial certificate of birth
Only official birth documents issued by the vital statistics office in your province or territory of birth in Canada are accepted Certain exceptions may apply
Certain Canadian provinces and territories have other documents that may also be accepted as proof of Canadian citizenship Visit Canadaca/passport for
more information
Certificate of Canadian citizenship
Commemorative certificates of citizenship are not accepted as proof of citizenship If you require a certificate of Canadian citizenship for the child visit
the IRCC website at Canadaca/citizenship
Immigration, Refugees and Citizenship Canada
Website: Canadaca/citizenship Toll-free in Canada: 1-888-242-2100
TTY in Canada (for people who are Deaf or hard of hearing)
1-888-576-8502, 8:00 am to 4:00 pm (Eastern Time)
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Complete FormPage 7 of 9
PPTC 155 (04-2023) E
N DECLARATION OF GUARANTOR