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Personal Details


If you are a lawful permanent resident of the United States with a valid USCIS (Green Card) number, you must add it (required)

Passport Details

Provide details of the passport that you will use to enter Canada. Enter these details exactly as they appear in your passport.

Employment Information

Contact information

Residential Address ( This address must be outside Canada )

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

Consent and Declaration

Information provided to CIC (Citizenship and Immigration Canada) is collected under the authority of the Immigration and Refugee Protection Act (IRPA) to determine admissibility to Canada. Information provided may be shared with other Canadian government institutions such as, but not limited to, the Canadian Border Services Agency (ASFC), the Royal Canadian Mounted Police (RPMC), the Canadian Security and Intelligence Service (CSIS) , the Ministry of Foreign Affairs, Trade and Development (DFATD), the Department of Employment and Social Development of Canada (ESDC), the Tax Agency of Canada (CRA), provincial and regional governments and foreign governments in accordance with subsection 8 ( 2) of the Privacy Law.

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