Fillable Printable Child General Passport Application
Fillable Printable Child General Passport Application
Child General Passport Application
Where to Apply
PPTC 042A (09-04) M02
Page 1 of 4
CHILD PASSPORT APPLICATION
for Canadians under 16 years of age (Abroad)
GENERAL INFORMATION AND INSTRUCTIONS
Entitlement to a Canadian Passport
Fees
Requirements Checklist
• 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.
•
If applying for an individual passport for a child under 16 years
of age, use this application form (PPTC 042) to apply.
Our goal is to have the passport ready in 15 working days
upon receipt of a complete application. Visit our website at
www.passportcanada.gc.ca for any changes to processing times.
If you require a passport in exceptional circumstances, contact
the nearest Canadian government office that provides passport
services.
•
One of the parents
•
The custodial parent in cases of separation or divorce
•
The legal guardian
The application should be submitted to the nearest Canadian
government office that provides passport services in the
country in which you are residing or visiting.
For a list of
Canadian government offices abroad, visit our website at
www.passportcanada.gc.ca or consult your local telephone
directory.
The following are Canadian government offices:
•
Canadian Embassies
•
Canadian High Commissions
•
Canadian Consulates (except those headed by Honorary
Consuls).
For a child aged – 3 to 15 years – C$35
– under 3 years – C$20
Note: These fees are subject to change.
The fee is in Canadian funds and should be converted into
local funds.
Important – Every person who requests a passport service
must pay the applicable fee. This fee is non-refundable.
Methods of payment
•
Cash
•
Certified cheque or money order (postal or bank) payable to
the Canadian Embassy, High Commission or Consulate as
the case may be
Administrative fees and any applicable interest will be applied
to all dishonoured payments.
For a child aged:
•
3 to 15 years, the maximum period of validity is 5 years.
•
Under 3 years, the maximum period of validity is 3 years.
Note: Children who have been issued a passport in their first
12 months may be issued a one-time replacement passport,
free of charge, valid for the balance of the three-year validity
period of the original passport. Full application requirements
must be met. To ensure the photo is a current and true likeness
of the child, it must be taken within one month of the date the
application is submitted.
BOTH pages of the application form completed and signed
within the last 12 months
TWO (2) identical passport photos of the child (See "Photo
Specifications")
Application form and one of the photos certified by
your guarantor
Proof of Canadian citizenship (no copies or certified
copies)
Any valid Canadian passport or travel document issued to
the child
All documents that refer to custody or mobility of, or
access to, the child
The fee
Additional documents or information may be requested in
support of this application.
Aussi disponible en français
Failure to complete all the required sections of this form will result in your application being rejected.
Processing Times
Who May Apply for a Passport on Behalf of a Child?
Periods of Validity for Passports Issued to Children
Contact Us
General information is available 24 hours a day, 365 days a year. Specific information is available during regular office hours.
INFORMATION ON PASSPORTS AND FEES
For the location of the nearest Canadian government office providing passport services, we suggest you visit our website or
consult your local telephone directory.
INFORMATION ON TRAVEL CONDITIONS AND REQUIREMENTS
PPTC 042A (09-04) M02
Page 2 of 4
Canadian Government Office Locations
Website:................................................................................www.passportcanada.gc.ca
The nearest Canadian government office
providing passport services:.............................................................
(Consult your local telephone directory.)
Passport Canada:.............................................................................................................819-997-8338
TTY (For persons who are deaf or hard of hearing)
Montréal, Canada:......................................................................................................514-283-5197
• To obtain the most recent version of this form, visit our website.
• Application forms are also available in Braille, on diskette or in large print for persons with a visual impairment.
Website:............................................................................................www.voyage.gc.ca
INSTRUCTIONS
Signature
Unacceptable
Signature
Inner Limits
Acceptable
Information on Applicant
2
Proof of Canadian Citizenship
Previous Canadian Passport
3
4
PPTC 042A (09-04) M02
Page 3 of 4
NAME TO APPEAR IN PASSPORT
Write the child's name as you want it to appear in the passport. If this name is different from the name on the child's documentary
evidence of citizenship, the child's legal change of name document (original document from issuing authority) may be required.
Additional documents may be requested to verify the child's identity.
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 Passport Canada information only; will not
appear in the passport).
PLACE OF BIRTH
The place of birth must be provided on the application form. If you do not wish the place of birth to appear in the passport, submit a
written request. Be sure to contact the consulate or embassy of every country you plan to visit to ensure that the child will be
admitted if the passport does not include the place of birth.
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.
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. To avoid possible delays, we strongly recommend that you provide a long-form birth certificate showing
information on both parents. Where a legal guardian is the applicant, the other legal guardian as the case may be is also requested
to participate.
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 or mobility of, or access to, the child must be provided. If a divorce has been granted, a copy of the divorce
judgement 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, common law, married, separated, divorced, widowed. Indicate date of
marriage to the other parent, if applicable. Additional information or documentation may be requested.
For further information, contact any Canadian government office providing passport services.
• Enclose any valid Canadian passport or travel document issued to the child. If the child’s current passport expires more than 12
months from the date of submission of the application, provide a written explanation for why you are applying at this time. Should
Passport Canada not be satisfied that you have a valid reason for applying early, your application for a new passport may be
refused.
• If the valid passport has been lost, stolen, damaged, destroyed or is inaccessible, complete a "Statutory Declaration" form
PPTC 203, available from any Canadian government office providing passport services or at www.passportcanada.gc.ca A
Canadian passport, once reported lost or stolen, is no longer valid and is not to be used for any travel.
Provide ONE (1) of the documents listed in section 4 of the application form (copies or certified copies are not accepted). It will be
returned to you. Additional information may be requested to confirm the child's citizenship.
CERTIFICATE OF BIRTH IN CANADA
A birth certificate may be obtained from the Vital Statistics authorities of the child's province or territory of birth. To avoid possible
delays, we strongly recommend that you provide a long-form birth certificate showing information on both parents.
If the child was born in Quebec
Only birth certificates issued on or after January 1, 1994, by the Directeur de l'état civil in the province of Quebec are accepted.
CERTIFICATE OF CANADIAN CITIZENSHIP
Large commemorative documents of citizenship issued after February 14, 1977, are not accepted. If the child requires a certificate
of Canadian citizenship, contact the nearest Canadian government office. You may also visit the Citizenship and Immigration
Canada website at www.cic.gc.ca
1
Child's Personal Information
PPTC 042A (09-04) M02
Page 4 of 4
A guarantor is a person other than the applicant who confirms the applicant’s identity and has knowledge of the child. Your
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 the form 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.
Your guarantor:
• must have known you (the applicant) personally for at least TWO (2) years*;
• must have known you and the child well enough to be confident that the statements you have made in the application form are true;
• must 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 of professional status or superior qualifications.
• must live within the jurisdiction of the Canadian government office providing passport services;
• must sign the "Declaration of Guarantor" section on your application form;
• must sign the statement on the back of ONE (1) of the child’s photos; and
• must be accessible to Passport Canada for verification.
If you have not known an eligible guarantor for at least TWO (2) years, complete a "Statutory Declaration in Lieu of Guarantor"
form PPTC 132, available from any Canadian government office providing 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.
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.
*
Your passport application will be rejected if the photos of the child
do not meet the following specifications:
IMAGE INFORMATION
• Only the head and shoulders of young children must appear on
the photo (e.g. no hands holding the child).
• Photos must be taken with uniform lighting and not show
shadows or flash reflection on the face and head. Photos with
shadows on the face or background are unacceptable.
• Photos must show a full front view of the face with both edges
of the face showing clearly. The face and shoulders must be
centred in the photo and squared to the camera.
• Eyes must be open and clearly visible. Glasses, including tinted
ones with prescription, may be worn as long as the eyes are
clearly visible. Sunglasses are unacceptable.
• Facial expression must be neutral (not frowning or smiling)
with the mouth closed.
• The image must be clear, sharp and in focus.
• Photos must be taken against a plain, uniform, white or
light-coloured background.
• Photos must reflect/represent natural skin tones.
• The length from chin to crown of head (natural top of head)
must be between 31 mm and 36 mm.
• Hats or head coverings are not permitted except when worn for
religious reasons and only if the full facial features are clearly visible.
• Black and white or colour photos are acceptable.
• Photos must be originals, not taken from any existing photo, and
have been taken within the last 12 months or if applying for
a one-time replacement passport, taken within the last month.
QUANTITY AND FORMAT
• TWO (2) identical unaltered photos produced from the same film or
from the same electronic file capturing the digital image.
SIZE AND PAPER
• The photos must measure 50 mm x 70 mm in size.
• Heavy weight paper is unacceptable.
• Photos must be printed on plain, high quality photographic paper.
PHOTOGRAPHER AND GUARANTOR
• Photos must be taken by a commercial photographer.
• The name of the photographer or studio, the address and the date
the photo was taken (not the date the photo was printed) must be
provided directly on the back of one photo (see illustration).
• The guarantor must clearly write on the back of ONE (1) photo:
“I certify this to be a true likeness of (child’s name)”.
Photo Specifications
(child’s name)
5
Declaration of Guarantor
Complete and sign BOTH pages of the application form.
CHILD PASSPORT APPLICATION
for Canadians under 16 years of age
(Abroad)
Aussi disponible en français
PPTC 042 (09-04) M02
To obtain the most recent version of this form, visit our website at www.passportcanada.gc.ca
Protection of Information
Personal information provided on this application form is protected and used in accordance with the provisions of the Privacy
Act (Personal Information Bank No. FAI PPU 030). This information is collected under the Canadian Passport Order to determine the
current and ongoing entitlement of the child to a Canadian passport, to administer passport services and to provide information to the
Consular Affairs Bureau of Foreign Affairs and International Trade Canada in the event that the child requires assistance while travelling
abroad. The information provided, including the child’s photo, is subject to routine verifications and security queries. To further strengthen
Canadian passport security, the photo is stored on an alphanumeric template and incorporated into the passport as a digital image.
Passport Canada may use the services of third parties to receive passport applications submitted in person and to process the return of
incomplete passport applications. In the performance of these services, personal information will be protected and used in accordance
with the provisions of the Privacy Act.
Passport Canada may contact the applicant to solicit feedback about passport services.
INFORMATION
PROTECTED
CHILD PASSPORT APPLICATION
for Canadians under 16 years of age (Abroad)
Given name(s) (see instruction No. 1)
Address of permanent residence
Surname (last name) at birth/former surname (former last name) (see instruction No. 1)
PRINT OR TYPE IN CAPITAL LETTERS using black or dark blue ink.
Children 11 years of age or over must sign in the signature block.
Is the child the subject of an adoption process?
Are there any separation agreements, court orders or legal proceedings
pertaining to custody or mobility of, or access to the child?
If yes, include all
documents
(see instruction No. 2)
Signed at
City
Country
Eye colour
Surname (last name)
Surname (last name) at birth
Surname (last name) at birth
Applicant (parent or legal guardian)
Other parent or legal guardian
Sex
Female
Male
Mailing address
(if different from above)
Given name(s)
Given name(s)
Number
Street Apartment City Country
Postal code
Hair colour
Height
Weight
Number Street Apartment
Number Street Apartment City Country Postal code
City
Country Postal code
Date of birth
Place of birth
City
Province/Territory (if applicable)
Country
No
No
Yes
Yes
Date of birth
Relationship with other parent
Address
Number Street Apartment City Country Postal code
Address
Country of birth Country of birth
Year Month Day
Date of marriage (if applicable)
Year Month Day
Date of marriage (if applicable)
Year Month Day
Date of birth
Relationship with parent applying
Year Month Day
Year Month Day
Date
Year
Month Day
Daytime phone
()
Evening phone
()
Cell. number (optional)
()
Daytime phone
()
Evening phone
()
Cell. number (optional)
()
Signature of applicant (also sign section 4)
Date Signed at
Signature of other parent or legal guardian
Date
Signed at
Signature of child (see instruction No. 1)
Date of travel
Month Day
Unknown
Aussi disponible en français
PPTC 042 (09-04) M02
Page 1 of 2
COMPLETE NEXT PAGE
Void if signature touches border
WARNING to all applicants and guarantors – Any false or misleading statement on this form or relating to any document in support
of this application, including concealment of any material fact, may lead to refusal or revocation of a passport and be grounds for
criminal prosecution.
Failure to complete all the required sections of this form will result in your application being rejected.
DECLARATION – I solemnly declare that the child named above is a Canadian citizen,
that I am the parent or legal guardian of the child named above and that the statements
made in this application are true. I declare that I have read and understood the
WARNING to all applicants and guarantors above.
DECLARATION – I solemnly declare that the child named above is a Canadian citizen,
that I am the parent or legal guardian of the child named above and that the statements
made in this application are true. I declare that I have read and understood the
WARNING to all applicants and guarantors above.
Child's Personal Information
1
Information on Applicant
2
PPTC 042 (09-04) M02
Surname (last name) of applicant (see General Information and Instructions,
page 1 "Who May Apply for a Passport on Behalf of a Child?")
Given name(s) of applicant
Relationship to child Surname (last name) of child
Given name(s) of child
Signed at
City Country
Date
Year Month Day
Signature of applicant (see instruction no. 1)
Void if signature touches border
•
Does the child's name appear in any valid Canadian passport, Certificate of Identity or Travel Document?
3
Previous Canadian Passport
If yes, include it
with your application.
Number
If the passport has been lost, stolen, damaged, destroyed or is inaccessible, you must include with this application form a completed "Statutory
Declaration" form PPTC 203, available from any Canadian government office providing passport services or at www.passportcanada.gc.ca.
Date of issue
Signature of guarantor
Date
Year Month Day
Surname (last name) Given name(s)
Occupation
(see instruction No. 5) Name of firm/organization
Business address
Name of applicant Signed at Name of child
Number Street City Country
City Country
Postal code
Daytime telephone number
()
Evening telephone number
()
Cell. number
()
Number of years
For additional information on passports, we suggest you visit our website at
www.passportcanada.gc.ca
Page 2 of 2
ENSURE BOTH PAGES
ARE COMPLETED
4
Proof of Canadian Citizenship
Registration number
Date of issue
Certificate number
Date of issue
Certificate number
Date of issue
A To be completed if the child was born in Canada. Provide ONE (1) of the two documents listed below (no copies):
B To be completed if the child was born outside of Canada. Provide the following document (no copies):
DECLARATION – I solemnly declare that the child named herein is a
Canadian citizen, that the photos enclosed are a true likeness of the child and
that the statements made in this application are true. I declare that I have read
and understood the WARNING to all applicants and guarantors on page 1.
DECLARATION – I solemnly declare that I have known
the applicant identified above personally for at least
TWO (2) years. I have certified on the back of ONE (1)
photo that the image is a true likeness of the child. I
declare that I have read and understood the WARNING
to all applicants and guarantors on page 1.
I have known
the applicant for
No
Yes (specify)
Birth certificate in Canada
Certificate of Canadian citizenship
Certificate of Canadian citizenship
Declaration of Guarantor (to be completed by the guarantor only if the applicant has completed and signed this application form)
5
Declaration of Applicant
Travelling with Children or Children Travelling Alone
PPTC 042 (09-04) M02
IMPORTANT INFORMATION CONCERNING CHILDREN TRAVELLING ABROAD
Immigration authorities in most countries are becoming increasingly vigilant when children are crossing international
borders. Whether travelling alone or accompanied by an adult, each child travelling abroad must have a valid passport
and may also require supporting documentation. Prior to any travel that includes a child, you should contact the embassy
or consulate of all countries the child will be visiting to inquire about entry requirements.
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
The following tips may help to avoid delays when a child is returning to Canada:
• Always carry proper identification for yourself and the child – passport, birth certificate, citizenship card, Record of
Landing (IMM 1000), permanent resident card or Indian Status Card.
• If you have custody of the child, carry copies of documents specifying custody rights with you.
• 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 as part of a caravan, ensure you are in the same vehicle as the child you are accompanying
when arriving at a border crossing.
• Have the child memorize your home and/or office telephone number and teach him or her to call you in an emergency.
1. 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 what documentation may be required relating to the custody of the child.
For further information, contact:
Foreign Affairs and International Trade Canada:
Outside Canada:...................................613-943-1055
2. If a custody dispute could possibly arise while travelling with the child, you should talk to a Canadian lawyer prior to your
departure. We suggest you also read the publication International Child Abductions: A Manual for Parents.
For a free copy, call:
Outside Canada:...................................613-944-4000
You may also order a copy online or access an online version:
Website:................................www.international.gc.ca
Documentation and Tips to Facilitate the Return to Canada
Documentation to Facilitate Travel Abroad
Custody Information
INFORMATION
PROTECTED
CHILD PASSPORT APPLICATION
for Canadians under 16 years of age (Abroad)
Given name(s) (see instruction No. 1)
Address of permanent residence
Surname (last name) at birth/former surname (former last name) (see instruction No. 1)
PRINT OR TYPE IN CAPITAL LETTERS using black or dark blue ink.
Children 11 years of age or over must sign in the signature block.
Is the child the subject of an adoption process?
Are there any separation agreements, court orders or legal proceedings
pertaining to custody or mobility of, or access to the child?
If yes, include all
documents
(see instruction No. 2)
Signed at
City
Country
Eye colour
Surname (last name)
Surname (last name) at birth
Surname (last name) at birth
Applicant (parent or legal guardian)
Other parent or legal guardian
Sex
Female
Male
Mailing address
(if different from above)
Given name(s)
Given name(s)
Number
Street Apartment City Country
Postal code
Hair colour
Height
Weight
Number Street Apartment
Number Street Apartment City Country Postal code
City
Country Postal code
Date of birth
Place of birth
City
Province/Territory (if applicable)
Country
No
No
Yes
Yes
Date of birth
Relationship with other parent
Address
Number Street Apartment City Country Postal code
Address
Country of birth Country of birth
Year Month Day
Date of marriage (if applicable)
Year Month Day
Date of marriage (if applicable)
Year Month Day
Date of birth
Relationship with parent applying
Year Month Day
Year Month Day
Date
Year
Month Day
Daytime phone
()
Evening phone
()
Cell. number (optional)
()
Daytime phone
()
Evening phone
()
Cell. number (optional)
()
Signature of applicant (also sign section 4)
Date Signed at
Signature of other parent or legal guardian
Date
Signed at
Signature of child (see instruction No. 1)
Date of travel
Month Day
Unknown
Aussi disponible en français
PPTC 042 (09-04) M02
Page 1 of 2
COMPLETE NEXT PAGE
Void if signature touches border
WARNING to all applicants and guarantors – Any false or misleading statement on this form or relating to any document in support
of this application, including concealment of any material fact, may lead to refusal or revocation of a passport and be grounds for
criminal prosecution.
Failure to complete all the required sections of this form will result in your application being rejected.
DECLARATION – I solemnly declare that the child named above is a Canadian citizen,
that I am the parent or legal guardian of the child named above and that the statements
made in this application are true. I declare that I have read and understood the
WARNING to all applicants and guarantors above.
DECLARATION – I solemnly declare that the child named above is a Canadian citizen,
that I am the parent or legal guardian of the child named above and that the statements
made in this application are true. I declare that I have read and understood the
WARNING to all applicants and guarantors above.
Child's Personal Information
1
Information on Applicant
2
PPTC 042 (09-04) M02
Surname (last name) of applicant (see General Information and Instructions,
page 1 "Who May Apply for a Passport on Behalf of a Child?")
Given name(s) of applicant
Relationship to child Surname (last name) of child
Given name(s) of child
Signed at
City Country
Date
Year Month Day
Signature of applicant (see instruction no. 1)
Void if signature touches border
• Does the child's name appear in any valid Canadian passport, Certificate of Identity or Travel Document?
3
Previous Canadian Passport
If yes, include it
with your application.
Number
If the passport has been lost, stolen, damaged, destroyed or is inaccessible, you must include with this application form a completed "Statutory
Declaration" form PPTC 203, available from any Canadian government office providing passport services or at www.passportcanada.gc.ca
Date of issue
Signature of guarantor
Date
Year Month Day
Surname (last name) Given name(s)
Occupation
(see instruction No. 5) Name of firm/organization
Business address
Name of applicant Signed at Name of child
Number Street City Country
City Country
Postal code
Daytime telephone number
()
Evening telephone number
()
Cell. number
()
Number of years
For additional information on passports, we suggest you visit our website at
www.passportcanada.gc.ca
Page 2 of 2
ENSURE BOTH PAGES
ARE COMPLETED
4
Proof of Canadian Citizenship
Registration number
Date of issue
Certificate number
Date of issue
Certificate number
Date of issue
A To be completed if the child was born in Canada. Provide ONE (1) of the two documents listed below (no copies):
B To be completed if the child was born outside of Canada. Provide the following document (no copies):
DECLARATION – I solemnly declare that the child named herein is a
Canadian citizen, that the photos enclosed are a true likeness of the child and
that the statements made in this application are true. I declare that I have read
and understood the WARNING to all applicants and guarantors on page 1.
DECLARATION – I solemnly declare that I have known
the applicant identified above personally for at least
TWO (2) years. I have certified on the back of ONE (1)
photo that the image is a true likeness of the child. I
declare that I have read and understood the WARNING
to all applicants and guarantors on page 1.
I have known
the applicant for
No
Yes (specify)
Birth certificate in Canada
Certificate of Canadian citizenship
Certificate of Canadian citizenship
Declaration of Guarantor (to be completed by the guarantor only if the applicant has completed and signed this application form)
5
Declaration of Applicant
