9/21/22, 7:58 PM eService - Immigration, Refugees and Citizenship Canada

Application for an Electronic Travel Authorization

(eTA)

Complete the application form

Before you submit an application, review it carefully. Make sure it is complete and accurate.

Entering incorrect information could lead to a delay or even a refusal of an eTA application
and/or prevent the applicant from boarding their flight.

This form is available in English and French only. To help you better understand this form,
descriptions of each of the form fields are available in the following languages: Arabic,
Bulgarian, Chinese (simplified), Chinese (traditional), Dutch, English, French, German, Greek,
Hungarian, Italian, Japanese, Korean, Polish, Portuguese, Portuguese (Brazilian), Romanian,
Spanish.

* What travel document do you plan to use to travel to Canada? (required) 

Passport - ordinary/regular

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

MEX (Mexico)

* What is the nationality noted on this passport? (required) 

See "Nationality" on your passport information page

Mexico

Passport details of applicant

* Passport number (required) 
Enter the passport number exactly as it appears on the passport information page.

N04792030

* Passport number (re-enter) (required)

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You cannot copy and paste into this field.

N04792030

* Surname(s) / last name(s) (required) 

Please enter exactly as shown on your passport or identity document.

Garcia Sanchez

Given name(s) / first name(s)

Please enter exactly as shown on your passport or identity document.

XavierAlessandro

* Date of birth (required)

2004

October

07

* Gender (required)

Male

* Country/territory of birth (required)

Mexico

* City/town of birth (required)

If there is no city/town/village on your passport, enter the name of the city/town/village where
you were born.

Naucalpan

* Date of issue of passport (required) 

2022

September

14

* Date of expiry of passport (required) 

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2028

September

14

Personal details of applicant

Additional nationalities

Indicate which countries/territories you are a citizen of.

Country/territory Action

Please select  Insert Row

Mexico

* Have you ever applied for or obtained a visa, an eTA or a permit to visit, live, work or
study in Canada? (required)

No

Contact information
* Preferred language to contact you (required)

English

* Email address (required)

Please enter a valid email address. It will be used to contact you about your application.

[email protected]

* Email address (re-enter) (required)

You cannot copy and paste into this field.

[email protected]

Residential address
Enter your permanent home address. Do not enter an address where you live temporarily.

Apartment/unit number (if applicable)

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* Street/civic number or house name (required)

* Street address/name (required)

Puerta de Astorga

Street address/name line 2 (if applicable)

* City/town (required)

Atizapan de Zargoza

* Country/territory (required)

Mexico

District/region

Travel information
* Do you know when you will travel to Canada? (required)
This information may help us to process your application. If you do not know when you will
travel to Canada, please select "no".

Yes

* When do you plan to travel to Canada? (required)

If you don't know, you may enter an approximate date.

2022

November

19

* Please enter the time your flight to Canada will depart (required)
If you don't know, you may enter an approximate time.

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13

35

Greenwich Mean Time

Consent and declaration

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

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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 (required)

I Agree

* Signature of applicant (required)

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

Garcia Sanchez Xavier Alessandro

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Date modified:
2022-08-30

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