ETA Application - ETA Canada Visa

Your Address Details

Street Number ^*

Address Line 1 ^*

Address Line 2

City ^*

Country ^*

Postcode ^*

Your Contact Details

Email Address ^*

Confirm Email Address ^*

Mobile Number ^*

Passport Information

Select the code that matches the one on your passport.
Find this code on your passport information page - see the field named "Code", "Issuing country", "Authority" or "Country code". ^*

What is the nationality noted on this passport? ^*

Passport Number ^*

Confirm Passport Number ^*

Passport Issuance Date ^*

Passport Expiration Date ^*

Eligibility Questions

Have you ever been refused a visa or permit, banned from entering Canada or any other country or territory, or asked to leave Canada or any other country or territory? ^*

Have you ever committed a criminal offense in any country or territory, or have you ever been arrested for, found guilty of, or convicted of such an offense? ^*

In the past two years, have you been diagnosed with tuberculosis or have you been in contact with someone with tuberculosis? ^*

Do you have any of these medical conditions? ^*

Waiver of rights

I declare that the information which I supplied in this request is sincere, complete and exact.
I acknowledge that by clicking on "Next", I sign this application electronically
I know that a false statement constitutes an offense under section 127 of the Act respecting the immigration and refugee protection and may lead to inadmissibility to Canada or removal from Canada.

I accept the terms and conditions.

Follow these steps to complete your ETA request

Application Information

Your Address Details

Your Contact Details

Passport Information

Eligibility Questions

Waiver of rights