eTA Canada Application Form

Applicant Information

Personal information
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Passport Type(Required)
Please confirm that you will be travelling on a regular/ordinary passport.
Country of Citizenship(Required)
Select your country of citizenship. If you are a dual citizen, you must choose the country which issued the passport you will be traveling on.
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Will you use an electronic passport for this trip?(Required)
- Yes
- No
Passport issued by the MFA?(Required)
For this trip, will you use a passport issued by the Ministry of Foreign Affairs in Taiwan that includes your personal identification number?
Taiwan personal identification number(Required)
For this trip, will you use a national Israeli passport?(Required)
Nationality(Required)
Select the nationality which is noted on your passport.
Passport Number(Required)

Please enter your passport number exactly as it is noted on your passport.
Confirm Passport Number(Required)

Confirm Passport Number your passport number. If you enter an incorrect passport number, then you wont be able to board your plane.
First Name(Required)

Please enter your first name exactly as it is noted on your passport.
Last Name(Required)

Please enter your last name exactly as it is noted on your passport.
Date of Birth
Year(Required)
Month(Required)
Day(Required)
Country of Birth(Required)
City of Birth(Required)

Please enter your city of birth exactly as it is noted on your passport.
Gender(Required)
Date of Issue of Passport
Please select the date on which your passport was issued.
Year(Required)
Month(Required)
Day(Required)
Date of Expiry of Passport
Please select the date on which your passport expires.
Year(Required)
Month(Required)
Day(Required)
Marital Status(Required)
Have you ever applied for or obtained a visa, an eTA or a permit to visit, live, work or study in Canada?(Required)
- Yes
- No
Unique client identifier (UCI) / Previous Canadian visa, eTA or permit number(Required)

If you do not know or remember this number, you can simply enter NA

Employment Information
Occupation(Required)
Job Title(Required)
Job Title(Required)
Job Title(Required)
Job Title(Required)
Job Title(Required)
Job Title(Required)
Job Title(Required)
Job Title(Required)
Job Title(Required)
Job Title(Required)
Job Title(Required)
Name of Employer/School(Required)

Enter the name of your employer or school (depending on whether you are currently employed or studying).
Country(Required)
Province/State(Required)
State(Required)
City(Required)
Since What Year?(Required)
Contact Information
Email Address(Required)
Enter Email Confirm Email
Country Code(Required)
Phone(Required)
Residential Address
Please enter your address without , or . or any special characters.
Street Name(Required)
Street Number(Required)
City(Required)
Country(Required)
State(Required)
Zip Code(Required)
Have you ever been refused a visa or permit, denied entry to, or ordered to leave Canada or any other country/territory?(Required)
- Yes
- No
Have you ever committed, been arrested for, been charged with or convicted of any criminal offence in any country/territory?(Required)
- Yes
- No
In the past two years, were you diagnosed with tuberculosis or have you been in close contact with a person with tuberculosis?(Required)
- Yes
- No
Do you have any of these conditions?(Required)
Untreated syphilis, untreated alcohol or drug addiction, and/or untreated mental health condition with psychosis.
- Yes
- No
Please briefly indicate if there are additional details pertinent to your application. For Example, an urgent need to travel to Canada. Provide relevant details to avoid delays in the processing of your application.
This field is not mandatory.
Signature of Applicant(Required)

To sign, enter your name as it appears on your passport.
Consent and Declaration(Required)
Information provided to IRCC 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 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), provincial and territorial governments and foreign governments in accordance with subsection 8(2) of the Privacy Act. Information may be disclosed to or validated with foreign governments, law enforcement bodies and detaining authorities with respect to the administration and enforcement of immigration legislation where such sharing of information may not put the individual and or his/her family at risk. Information may also be systematically validated by other Canadian government institutions for the purposes of validating status and identity to administer their programs.

Where biometrics are provided as part of an application, the fingerprints collected will be stored and shared with the RCMP. The fingerprint record may also be disclosed to law enforcement agencies in Canada in accordance with subsection 13.11(1) of the Immigration and Refugee Protection Regulations. The information may be used to establish or verify the identity of a person in order to prevent, investigate or prosecute an offence under any law of Canada or a province. This information may also be used to establish or verify the identity of an individual whose identity cannot reasonably be otherwise established or verified because of physical or mental condition. Canada may also share immigration information related to biometric records with foreign governments with whom Canada has an agreement or arrangement.

Depending on the type of application made, the information you provided will be stored in one or more Personal Information Banks (PIB) pursuant to section 10(1) of Canada's Privacy Act. Individuals also have a right to protection and access to their personal information stored in each corresponding PIB under the Access to Information Act. Further details on the PIBs pertaining to IRCC's line of business and services and the Government of Canada's access to information and privacy programs are available at the Infosource website and through the IRCC Call Centre. Info Source is also available at public libraries across Canada.

Declaration of Applicant

I have read and understand the above declaration.

I declare that the information I have given in this application is truthful, complete and correct.

I understand that misrepresentation is an offence under section 127 of the Immigration and Refugee Protection Act and may result in a finding of inadmissibility to Canada or removal from Canada.

I agree that by typing my name and clicking sign, I am electronically signing my application.
I Agree

eTA Canada Application Form

Applicant Information

Personal information

Date of Birth

Date of Issue of Passport

Date of Expiry of Passport

Employment Information

Contact Information

Residential Address

Payment

Pay & Receive your eTA