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ADULT SIMPLIFIED RENEWAL PASSPORT APPLICATION

for eligible Canadians 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 (R.C.S. 1985, C-46).
Type or print in CAPITAL LETTERS using black or dark blue ink. Read Instructions
1 PERSONAL INFORMATION (SEE INSTRUCTIONS, SECTION I)
Surname (last name) as it appears in the most recent passport

Given name(s) as it appears in the most recent passport

Anticipated date of travel

All former surnames (including surname at birth if different from above. These will not appear in the passport.) It is recommended that you do not
finalize travel plans until you receive
the requested passport.
Mother's surname at birth Month Day
Unknown

Place of birth

City Country Prov./Terr./State (if applicable)

Date of birth as it (YYYY-MM-DD) Sex as it appears in the previous passport Natural eye colour Height (cm or in)
appears in the previous
passport F Female M Male X Another gender
Current home address

Number Street Apt. City Prov./Terr./State Postal/ZIP code

Mailing address (if different from current home address)

Number Street Apt. City Prov./Terr./State Postal/ZIP code

Email address Telephone (daytime) Telephone (other)

Declaration—I solemnly declare that I am a Canadian citizen, that all of the information Sign within border
provided and all statements made on this application, as well as all documents and photos
submitted to support this application are unaltered and true. I declare that I have read and
understood the Warning at the top of this page and the Privacy Notice Statement in
Instructions, section K. I consent to the collection, use and disclosure of my personal
information as outlined in the Privacy Notice Statement.

Signature (see Instructions, section I)

Date (YYYY-MM-DD) Signed at

City Prov./Terr./State

2 MOST RECENT CANADIAN PASSPORT (SEE INSTRUCTIONS, SECTION J)

• Enclose any Canadian passport issued to you that is not expired.
Passport number Date of issue (YYYY-MM-DD) Date of expiry (YYYY-MM-DD)

If you cannot provide your most recent passport information, you cannot use this form.
Any passport that is damaged, or was ever reported lost or stolen will not be returned. Unreturned passports will be securely destroyed to protect your personal
information.
• If you are submitting a passport, would you like it to be cancelled and returned to you?
Yes, please return it to me. If this box is not checked, the passport will not be returned and will be securely destroyed.

3 CANADIAN CITIZENSHIP
To be completed if you were born outside of Canada between February 15, 1977 and April 16, 1981 inclusive.
a) Are you a naturalized Canadian, i.e. did you receive Canadian citizenship following immigration to Canada?
Yes, go to page 2 No, continue to question b)
b) Was one of your parents born in Canada?
Yes, go to page 2 No, continue to question c)
c) When was your current certificate of Canadian citizenship issued?
After January 1, 2007, submit the certificate with your application (original only).
Before January 1, 2007, complete and submit form PPTC 001, Proof of Canadian Citizenship—Additional Information, available online
at Canada.ca/passport.

PPTC 054 (10-2022) E (DISPONIBLE EN FRANÇAIS - PPTC 055)

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Read Instructions
4 PERIOD OF VALIDITY (SEE INSTRUCTIONS, SECTION C)
Choose one (1) of the following periods of validity: 5-year or 10-year

5 ADDITIONAL PERSONAL INFORMATION

Note: If insufficient space, include form PPTC 056, Additional Information – Address and Occupation, available on Canada.ca/passport.
A Addresses in the last two (2) years
Same as current home address
Different from current home address (complete below)
1. From (YYYY-MM) To (YYYY-MM)

Number Street Apt. City Prov./Terr./State Country Postal/ZIP code

2. From (YYYY-MM) To (YYYY-MM)

Number Street Apt. City Prov./Terr./State Country Postal/ZIP code

B Occupation in the last two (2) years (check all that apply): Ongoing occupation?
I was employed (full- or part-time)
I was in school (full- or part-time) Other, e.g. homemaker, unemployed or retired

Enter full details below for the last two (2) years:
Employer, school or other Address Telephone (daytime) Field of employment or studies Date (from) Date (to)

6 REFERENCES
Provide the following information for two (2) persons who are not your relatives; are 18 years of age or over; and who have known you for at least two (2)
years. They must agree to have their contact information provided as they may be contacted to confirm your identity. Visit Canada.ca/passport for more
information on the Passport Program's definition of a relative.
1. Surname (last name) Given name(s) Relationship to the applicant

Address

Number Street Apt. City Prov./Terr./State Country Postal/ZIP code

Telephone (daytime) Telephone (other) Email address Has known
me for Number of years
2. Surname (last name) Given name(s) Relationship to the applicant

Address

Number Street Apt. City Prov./Terr./State Country Postal/ZIP code

Telephone (daytime) Telephone (other) Email address Has known
me for Number of years

7 EMERGENCY CONTACT INFORMATION (OPTIONAL)

This information is helpful if you require emergency assistance while outside of Canada.
Surname (last name) Given name(s)

Relationship to the applicant Telephone (daytime) Telephone (other) Email address

Current home address

Number Street Apt. City Prov./Terr./State Postal/ZIP code

Signature of applicant Date (YYYY-MM-DD)

PPTC 054 (10-2022) E

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ADULT SIMPLIFIED RENEWAL PASSPORT APPLICATION
for eligible Canadians applying in Canada or the USA
INSTRUCTIONS
A WHO MAY USE THIS FORM?
Important notice: We recommend that you not finalize your travel plans until you receive the requested passport.
Note: If this is your first application for a Canadian passport, you must apply for a new passport and
complete form PPC 153, Adult General Passport Application.
To renew your Canadian passport, you need the following from your most recent passport:
• passport number;
• date of issue;
• date of expiry.
The passport must have:
• been issued in the last 15 years;
• been valid 5 or 10 years; 2
• been issued using an adult passport application;
• the same name, date of birth and place of birth you want on your new passport (matches the current
information on your most recent passport); 1
• the same gender identifier you want on your new passport. It can be the gender printed on your current
passport or the gender on the observation sticker.
Additional documents or information may be requested in support of this application. If you can’t meet the above requirements, you must apply for a new passport and
complete form PPTC 153, Adult General Passport Application.

B REQUIREMENTS CHECKLIST
Both pages of the application form completed and signed within the last twelve (12) months
Two (2) identical and unaltered passport photos taken within the last six (6) months. No signature is required on the photos
Enclose any Canadian passport issued to you that is still valid. Complete form PPTC 203 - Declaration concerning a lost, stolen, inaccessible, damaged
or found Canadian travel document if the most recent passport is still valid and has been lost, stolen, damaged or found.
The fee
Additional documents or information may be requested in support of this application. If you are contacted by the Passport Program to provide information or documentation, you must
communicate with us as soon as possible. If the required information or documentation is not received within 30 calendar days, your file may be closed. The Passport and Other
Travel Document Services Fees Regulations do not allow for the refund of passport service fees whether or not you received the service requested.

C FEE AND PERIOD OF VALIDITY

Where the application is made in Canada and the passport Where the application is made from the USA**
is to be delivered in Canada: 5-year validity – CAN$120* or the passport is to be delivered to the USA**: 5-year validity – CAN$190*
10-year validity – CAN$160* 10-year validity – CAN$260*

*A CAN$25 consular services fee is included in the above-mentioned fee.

**Includes Bermuda, American Samoa, the Midway Islands, Puerto Rico and the US Virgin Islands.
Methods of payment (Canadian funds only):
For in-person applications: Credit card (Visa, Mastercard, American Express), prepaid card (embossed only), Debit card (Interac), Visa Debit, Mastercard Debit,
Virtual Visa Debit and other prepaid cards (Visa, MasterCard, American Express) only submitted by the cardholder and certified cheque or money order (postal or bank)
in the exact amount, payable to the Receiver General for Canada.
For mail-in applications: Credit card (Visa, Mastercard, American Express) prepaid card (embossed only), Visa Debit, Mastercard Debit and Certified cheque
or money order (postal or bank) in the exact amount, payable to the Receiver General for Canada. Complete section D with payment information.
Important
• Every person who requests passport services must pay the applicable fee in the exact amount.
• Applicants who cancel their application or are refused a passport are not eligible for a refund of the passport service fee. Only the consular services fee of CAN$25,
applied only to adult applications, is refundable.
• The Passport Program, Immigration, Refugees and Citizenship Canada does not accept personal cheques or payment in cash for applications submitted in Canada.
• Administrative fees and applicable interest will be applied to all dishonoured payments.
• Fees are subject to change.
In cases where services do not meet established service standards, applicants may be eligible for partial compensation of service fees.
For information on Service Standards please visit Canada.ca/immigration-refugees-citizenship.

D CREDIT CARD INFORMATION

If you are applying in person, do not complete this section. If you are applying by mail and paying by credit card, complete and submit this section with your application.
Card type: Visa MasterCard American Express
Name as it appears on card Card number Date of expiry
Month Year

Name of applicant
For official use only

Authorization—I authorize the Passport Program Signature of cardholder Date (YYYY-MM-DD)

to charge CAN$ to my credit card.

PPTC 054 (10-2022) E

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E APPLYING IN PERSON
If you cannot submit your passport application in person, an acceptable third party may submit the application on your behalf. For an urgent or express service
request you must apply in person yourself. For information on third party eligibility, visit Canada.ca/passport.
Canadians can submit an application in Canada at:
• a Passport Program regional office; or
• a participating Service Canada Centre.
For information on service locations, service standards and requirements for expedited services, visit Canada.ca/passport.
For Canadians submitting an application from the USA:
If you require a passport in exceptional circumstances, contact the nearest Government of Canada office. You can find a list of Government of Canada
offices in the USA online at travel.gc.ca or in your local telephone directory.

F APPLYING BY MAIL
Mailed-in applications are processed in Canada based on your current location.
The original documents that you enclose with your application are valuable. We recommend that you use a courier or mail service that allows you
to track your package.
By mail from British Columbia, By mail from New Brunswick, By mail from all other provinces and By courier
Yukon, Northwest Territories or Newfoundland and Labrador, Nova the United States Passport Program
Nunavut Scotia and Prince Edward Island Passport Program 22 de Varennes Street
Passport Program Passport Program Gatineau QC K1A 0G3 Gatineau QC J8T 8R1
PO Box 4000 STN LCD 3 PO Box 9325 RPO CSC Canada Canada
Mississauga ON L5K 0A9 Halifax NS B3K 0J1
Canada Canada
G CONTACT INFORMATION
General information is available 24 hours a day, 7 days a week. Agents are available Monday to Friday from 7:30 a.m. to 8:00 p.m. (Eastern Time)
in Canada.

Information on passports, fees and processing times

Toll-free: 1-800-567-6868 TTY (for people who are Deaf or hard of hearing)
Canada.ca/passport
Outside the continental USA: 1-819-997-8338 Toll-free: 1-866-255-7655
Travel reports, warnings and requirements
For travel advice and warnings or foreign entry and exit requirements (how long the passport has to be valid for travel to a foreign country), visit travel.gc.ca

H ANTICIPATED DATE OF TRAVEL

Regardless of the date of travel you indicate on the application form, processing times and requirements for expedited services are still applicable.
Processing times begin once a completed application form, payment and all required supporting documentation are received (see section B). Processing
times do not include mailing time. Visit Canada.ca/passport for more details.
It is recommended that you do not finalize travel plans until you receive the requested passport.
The Government of Canada, or any representative of the Government of Canada will not be liable for any loss incurred as a result of or arising
out of the passport not being delivered in time for you to travel on the date you have specified on the application form.

I PERSONAL INFORMATION
Surname and given name(s) to appear in passport
Your name must be written exactly as it appears on page 2 of your most recent passport. Your surname (last name) and given name(s) must be spelled the
same and be placed in the same order. If your name has changed, you cannot use this form. You must complete form PPTC 153, Adult General Passport
Application.
All former surnames
All former surname(s) that differ from the surname requested to appear in the passport, including your surname at birth, must be declared. Please separate
your former surnames by a comma. These former surnames will not appear in the passport.
Mother’s surname at birth
Indicate your mother's surname (last name) at birth.
Place of birth
Your place of birth must be provided on the application form. If you do not wish the place of birth to appear in the passport, complete and submit form
PPTC 077, Request for a Canadian passport without place of birth, available online at Canada.ca/passport.
Date of birth
The specific year, month and day of your birth will be entered as shown on your most recent passport.
Sex
The sex will be entered as shown on your most recent passport. If you request a different sex identifier, you cannot use this form. Visit Canada.ca/passport
for more details.
Current home address and Mailing address (if different from current home address)
Your passport will be delivered to the mailing address provided. If your mailing address changes within 30 days of submitting your application, you must notify
the Passport Program (see section G).
Signature
You must sign your usual signature
on both pages.

PPTC 054 (10-2022) E

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J MOST RECENT CANADIAN PASSPORT
Enclose any Canadian passport issued to you in your current name or any other name that is not expired.
If you cannot submit the most recent valid passport, or if it is damaged, or was ever reported lost, stolen or found, you must also complete
the form PPTC 203 - Declaration concerning a lost, stolen, inaccessible, damaged or found Canadian travel document.
If the passport’s expiry date is more than twelve (12) months from the date the application is submitted, provide a written explanation as to why you are
applying at this time. Should the Passport Program not be satisfied that you have an acceptable reason for applying early, your application for a new passport
may be refused.

K PRIVACY NOTICE STATEMENT

Personal information provided on this form is collected by Service Canada and disclosed to Immigration, Refugees, and Citizenship Canada (IRCC) under
the authority of the Canadian Passport Order. The personal information provided will be used for the purpose of processing applications, determining
entitlement to passport services and administering passport services. The Passport Program may process applications using automation to support
processing and decision-making. The personal information provided may be disclosed to other federal government institutions, provincial/territorial
governments, foreign governments, investigative bodies and/or law enforcement for the purpose of validating identity, determining current and ongoing
entitlement to passport services and administering or enforcing any law or carrying out a lawful investigation.
Personal information may also be used for purposes including research, statistics, quality assurance, program and policy evaluation, internal audit,
compliance, risk management, strategy development and reporting. Failure to complete the form in full may result in a delay or the application not being
processed. The Privacy Act gives individuals the right of access to, protection, and correction of their personal information. If you are not satisfied with the
manner in which IRCC manages your personal information, you may exercise your right to file a complaint to the Privacy Commissioner of Canada. The
collection, use, disclosure and retention of your personal information is further described in IRCC’s Personal Information Bank – IRCC PPU 081 and IRCC
PPU 082.

L CANADIAN PASSPORT PHOTO INSTRUCTIONS

You must submit two (2) identical and unaltered photo prints with each passport application. Electronic photos are not acceptable.
More information is available at Canada.ca/passport.
The photos must: No signature is required on the photos.
• be taken in person by a commercial photographer;
• be professionally printed on plain, high quality photographic paper
• (photos printed at home are not acceptable);

Maximum Face Height

• be clear, sharp and in focus; in colour or black and white;
Frame Height 70 mm (2 3/4 in.)

36 mm (1 7/16 in.)
Minimum Face Height
• show a neutral facial expression (no smiling, mouth closed) and looking 31 mm (1 1/4 in.)

• straight at the camera, with eyes open and clearly visible; Photo Co. Ltd.
111 Any Street
• have uniform lighting—no shadows, glare or flash reflections; Any Town, COUNTRY

• show a full front view of the face and top of the shoulders squared to the Photo taken
• camera (face and shoulders centered in the photo, head not tilted or turned); Date
• reflect natural skin tone and be taken against a plain white or light coloured
• background with enough contrast between the background, facial features
• and clothing, so that your features appear clearly against the background;
• be originals that have not been altered in any way and not taken from an
• existing photo;
• be taken within the last six (6) months from the date the application is
Frame Width 50 mm (2 in.)
• submitted and reflect your current appearance.
Not actual size (refer to measurements above)
The following must appear on the back of one photo
• The name and complete address of the photo studio (not a P.O. Box) and the date the photo was taken. The photographer may use a stamp or
• handwrite this information (stick-on labels are not acceptable).
• No signature is required on the photos.

Additional information
• Prescription glasses may be worn in photos as long as there is no glare and the eyes are clearly visible.
• The red-eye effect, tinted glasses and sunglasses make the photos unacceptable.
• Hats and head coverings must not be worn, except for religious beliefs or medical reasons. The head covering and hair must not cast shadows on
the face and the full face must be clearly visible.

PPTC 054 (10-2022) E