Transcription of PPTC 192 E - Canada
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PROTECTED WHEN COMPLETED - BPage 1 of 9 CHILD TRAVEL DOCUMENT APPLICATION for stateless and protected persons in Canada (under 16 years of age) 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).(DISPONIBLE EN FRAN AIS - PPTC 193)PPTC 192 (04-2022) Type or print in CAPITAL LETTERS using black or dark blue 'S PERSONAL INFORMATION (SEE INSTRUCTIONS, SECTION G)Surname (last name) requested to appear in the travel documentGiven name(s) requested to appear in the travel documentUCIA nticipated date of travelUnknownMonthDayIt is recommended that you do not finalize travel plans until you receive the requested travel former surnames (including surname at birth if different from above.)
Declaration concerning lost, stolen, inaccessible, damaged or found Canadian travel document, available online at Canada.ca/passport. A Canadian travel document is no longer valid if damaged or reported as lost, stolen, or inaccessible. There is …
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