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PPTC 153 E : ADULT GENERAL PASSPORT APPLICATION FOR ...

PROTECTED WHEN COMPLETED - BPage 1 of 8(DISPONIBLE EN FRAN AIS - PPTC 154 F) ADULT GENERAL PASSPORT APPLICATION for Canadians 16 years of age or over applying in Canada or the USA 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 , and/or the imposition of a period of refusal of PASSPORT services, and may be grounds for criminal prosecution as per subsection 57 (2) of the Criminal Code ( 1985, C-46).PPTC 153 (10-2020) Type or print in CAPITAL LETTERS using black or dark blue INFORMATION (SEE INSTRUCTIONS, SECTION I)Surname (last name) requested to appear in the passportGiven name(s) requested to appear in the passportAll former surnames (including surname at birth if different from above.)

Canadian provincial or territorial birth certificate. Certificate of Canadian citizenship Registration number Date of issue Certificate number Date of issue or Effective date of citizenship B. To be completed if you were born outside of Canada. 1) Provide one …

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