Visa exemption program established by the Government of Canada

FORM TO FILL IN

Personal information

? Enter your Family (last) name as it appears in your passport in the Last name field. Last name is required to complete the application.
? Enter your first name here as it appears in your passport in the First Name field. The first name is required to complete the application.
? Please indicate your gender. Required to complete the application.
? Please indicate your marital status
? Enter the email address at which you can be contacted. The email address is required to complete the request. If you don't have an e-mail address, you may provide the e-mail address of a third party (for example, a family member, friend or colleague).
? Confirm here the email address you entered in the first Email field
? Indicate your date of birth. Date of birth is required to complete the request.
? Indicate here the town, chief town, village or hamlet where you were born. The city, town, village or hamlet where you were born is required to complete the request. If you don't know the city where you were born, type UNKNOWN.
? Choose the country where you were born. Country of birth is required to complete the request.

Address

Passport information

Additional information

Eligibility Questions

Summary