eTA Canada Application Form

Applicant Information

Personal information
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.
For this trip, will you use a passport issued by the Ministry of Foreign Affairs in Taiwan that includes your personal identification number?(Required)
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.
Last Name(Required)

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

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

Please enter your city of birth exactly as it is noted on your passport.
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

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)
City(Required)
Since What Year?(Required)
Contact Information
Email Address(Required)
Enter Email Confirm Email
Residential Address
Street Number(Required)
Street Name(Required)
City(Required)
Country(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)
- Yes
- No
Untreated syphilis, untreated alcohol or drug addiction, and/or untreated mental health condition with psychosis.
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.
Consent and Declaration(Required)
I Agree
Signature of Applicant(Required)

To sign, enter your name as it appears on your passport.

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