Applicant Information

First Name

Family Name

Place of birth

Gender

Female

Male

Other

Passport information

Passport number

Repeat Passport number

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Other data

Are you now, a citizen or national of any other country?

Yes

No

Have you previously applied to enter or remain in Canada?

Yes

No

Unique client identifier (UCI), previous Canadian visa or license number (optional)

E-mail Address

Confirm E-mail Address

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Telephone Number

Address Line

Street number

Apartment Number

City

Employer or School Name

City

Background Questions

Have you ever been refused a visa or permit, denied entry to, or ordered to leave Canada?

Yes

No

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

Yes

No

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

Yes

No

If you have committed or been convicted of a crime, you may be denied entry to Canada. This applies to both minor and serious offenses, including theft, assault, manslaughter, reckless driving, driving under the influence of drugs or alcohol, and possession or trafficking of drugs or controlled substances.

The information provided to CIC is collected under the authority of the Immigration and Refugee Protection Act (IRPA) to assess admissibility to Canada. This information may be shared with other Canadian government agencies, including but not limited to the Canada Border Services Agency (CBSA), the Royal Canadian Mounted Police (RCMP), the Canadian Security Intelligence Service (CSIS), the Department of Foreign Affairs, Trade and Development (DFATD), Employment and Social Development Canada (ESDC), the Canada Revenue Agency (CRA), as well as provincial, territorial, and foreign governments, in accordance with subsection 8(2) of the Privacy Act.

Declaration of Applicant

I confirm that the above information is true and correct

I have understood and accept the Terms and Conditions

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Canada eTa Online Processing Service

STEP

Applicant information

STEP

Application confirmation

STEP

Payment

Applicant Information

Passport information

Other data

Background Questions

Declaration of Applicant

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