VISA SERVICES CANADA

WWW.VISASERVICESCANADA.CA

VISA APPLICATION FEES FOR CHINA

*** Visa fees and times are subject to change by embassies without notice ***

CHINESE VISA FEES 13 July 2018

Fees for Canadian citizens only.
- Multiple Entry Visa - up to 10 years $145.20 Regular 5-7 day processing
- Multiple Entry Visa - up to 10 years $203.93 Express 3-4 day processing
- Multiple Entry Visa - up to 10 years $247.18 Fast 1-2 day processing
Fees for foreigners are different. Please call for details.

CHINESE SERVICE FEES

For residents of Ottawa region, National Capital Region NCR, NFLD, NS, PEI, NU.
- REGULAR SERVICE CHARGE $75. (5 working days)
- EXPRESS SERVICE CHARGE $150. (2-3 days)
- URGENT ONE-DAY SERVICE CHARGE $250. (24 hours, if available)

CHINESE SERVICE FEES

For residents of ON, MB, SK, AB, BC, QC, NB, NT, YT.
- REGULAR SERVICE CHARGE $140. (5-7 working days)
- URGENT ONE-DAY SERVICE CHARGE $275. (2 days, if available)

CAUTION - do NOT apply until within 90 days of entry to China.

SIGNATURES for Minors

1) BOTH parents must sign in both signature boxes (box 4 and box 5) on the Chinese form.
2) BOTH parents must provide copies of their passports or other government ID cards.
We strongly recommend passport copies for this.

DUAL NATIONALS, and THOSE BORN OUTSIDE CANADA (including military bases)
1) Dual nationals and those born outside Canada (including on military bases) MUST provide the
original of their second passport, or a signed letter attesting that they do not hold a second passport.
AND...
2) Dual nationals and those born outside Canada (including on military bases) MUST provide a signed
letter detailing the circumstances of the original and also the most recent arrival in Canada, and which
passport they used for each of those entries. The letter must detail when you became a Canadian citizen.

ADDITIONAL DOCUMENTS
The Embassy of China reserves the right to demand extra supporting documents at any time and
without prior warning. If this happens you will be informed immediately and can supply these by email.

SHIPPING
Once you have typed and printed out and signed all the forms, ship everything, including your passport
and photos, by trackable courier (Purolator or FedEx) or Canada Post trackable courier, to:
Visa Services Canada, Inc.
275 Slater Street, Suite 900
Ottawa ON K1P 5H9
ph. (613) 231-7054
TYPE ON SCREEN

Depart Canada on:

CHINA Tourism M select

Visit M select
select select select
select select select
Optional Embassy Registration $20 select select select

Tourists/Visitors pay by e-Transfer

TYPE ON SCREEN
 VISA SERVICES CANADA
WWW.VISASERVICESCANADA.CA

SECURE PAYMENT FOR

TOURIST & VISIT VISAS
Visa Services Canada, Inc. is pleased to offer the most secure means of payment available in
Canada for the processing of your tourist or your visit visa. This is the mandatory payment form.
As of January 2017 tourist/visit clients must pay by e-transfer. Credit card is no longer accepted.

INTERAC e-Transfer ®

Interac e-Transfer is a funds transfer service between personal and business

accounts at Canadian banks and other financial institutions. You do not have to
provide any account details or even a credit card number to our company.
Our staff never see any of your account details when you use an e-transfer method
of payment. You deal only with your bank or financial institutions to make
payment in a totally secure environment right from your home or office.

HOW IT WORKS

1. Fill in the entire visa application form, including the VSC cover page above, and send it
to our office by courier or e-mail as applicable.

2. Our professional staff review your application and determine the total payment (including
taxes and shipping) to be made by you.

3. Our staff send you an e-mail detailing the full and final charges. This email will
contain all the instructions for making the e-transfer. It will include the e-mail and
security codes, and step-by-step instructions for you.

4. You, or a friend or relative acting on your behalf, make the e-transfer to VSC for all the
visa processing charges and fees.

5. It takes about 30 minutes for the bank to send the e-transfer notification to our office.
We then receive the funds and can then pay the embassy on your behalf. Payment must be
received before the embassy can be approached with your application.

YOUR E-MAIL ADDRESS

Applicants MUST provide at least one (1) working and monitored e-mail address on the VSC
cover page so that our staff can contact you with details of the payment. Please provide two.

An application form without a typed correct and monitored e-mail address cannot be processed.

Applicants who respond immediately are assisted first. Applicants who do not respond within
three days (72 hours) will have their applications cancelled and their passports prepared for
return. Failure to respond promptly may result in you missing your journey.
 WWW.VISASERVICESCANADA.CA

TOURIST VISA REQUIREMENTS FOR CHINA

TOURIST “L” VISA

- original passport, valid for at least 6 months after return to Canada, with at least two blank pages,
- plus one copy of the data page of the passport,
- if your passport was issued on or later than 1 January 2016, you must contact us prior to shipping.
- one (1) fully completed TYPED and signed visa application. Empty space must say “N/A”.
- one (1) recent professional passport colour ID photograph, white background, no head cover.
- return air e-tickets must be provided. Cruise ship booking forms/ itineraries are required if by sea.

- (a) hotel bookings, or, (b) an Invitation Letter for Tourists listing all hotels.
(a) HOTEL Proof of hotel booking(s) of the Chinese hotel(s) in your name must be provided for all
days you are staying in China. Hotel bookings must show the name of each person applying for a visa
(b) INVITATION LETTER FOR TOURISTS Invitation Letter for Tourist issued by an office or
individual in China.

- dual nationals and those born outside Canada (including on military bases) MUST provide the
original of their second passport, or a signed letter attesting that they do not hold another passport.
- dual nationals and those born outside Canada (including on military bases) MUST provide a signed
letter detailing the circumstances of the original and also the most recent arrival in Canada, and which
passport they used for each of those entries. It must detail when you became a Canadian citizen.

- The name and full legal contact information of your Chinese invitor & hotel must be provided.
Hotel data goes in box 2.6. Complete hotel name and full address required.
Do not use the word “China” as this is a given part of the address in China.
- You must list two (2) family members in box 1.23.
- You must list one (1) family member (as above) as an emergency contact in box 1.24.

PROFESSORS and ACADEMICS ATTENDING CONFERENCES; and PRIESTS

- Persons in this category must include a statement in box 3.7: “I, (your full legal name), am a
(teacher or student). I am visiting China for a conference and while in China I will obey all the Chinese
laws.”
- Persons in this category must include a statement in box 3.7: “I, (your full legal name), am
attending a conference in China and will not be paid for this conference.”
- Religious personages must include a statement in box 3.7. ““I, (your full legal name), am a (priest,
etc). I am visiting China and I will not engage in any activities relating to religion during my stay in
China, and I will obey all the Chinese laws.”

- CHINESE PERSONS: First-time application by children of Chinese descent born outside China
require the birth certificate with parents' names, valid foreign passport or permanent resident card of
one of the parents (both in the original and photocopies). People born in China must provide their
Chinese passport for cancelling by the embassy.

MINORS (persons under the age of 18 years) Only parents can sign an application for a minor. Both
parents sign in both signature blocks (boxes 4 and 5). This is a total of four signatures.

NON-CANADIAN APPLICANTS: must provide these additional documents:

- copy of both sides of Permanent Resident Card
- current bank statement in your name.
 WWW.VISASERVICESCANADA.CA

FOREIGN FAMILY or FRIEND VISIT VISA REQUIREMENTS - CHINA

VISIT “S” VISA

- original passport, valid for at least 6 months after return to Canada, with at least two blank pages,
- plus one copy of the data page of the passport,
- if your passport was issued on or later than 1 January 2016, you must contact us immediately prior
to shipping your application package. This is mandatory.
- one (1) fully completed TYPED and signed visa application. All empty space must say “N/A”.
- one (1) recent professional passport colour ID photograph, white background, no head cover.
- dual nationals and those born outside Canada (including on military bases) MUST provide the
original of their second passport, or a signed letter attesting that they do not hold another passport..
- dual nationals and those born outside Canada (including on military bases) MUST provide a signed
letter detailing the circumstances of the original and also the most recent arrival in Canada, and which
passport they used for each of those entries. It must detail when you became a Canadian citizen.

INVITATION LETTER
- For visiting family members for up to 180 days, the following documents are required:
(1) A photocopy of the inviting party’s non-Chinese passport and visa and residence permit. (3 items)
(2) An typed and signed invitation formal business letter from the invitor. It must contain:
a) Information of the applicant (incl. full name, gender, date of birth, all passport details, etc.);
b) Information regarding the visit (incl. purpose of visit, arrival and departure dates, place(s) to be visited, relationship
between the applicant and the inviting party, and details of any financial support to be provided during the stay in China);
c) Information of the inviting parties (incl. name, contact telephone number, address, signature ).
(3) Original and photocopy of certification (marriage certificate, birth certificate or notarized
certification of kinship) showing the relationship of family members between applicants and invitor.
"Family members" refers to spouses, parents, sons, daughters, spouses of sons or daughters, brothers,
sisters, grandparents, grandsons, granddaughters and parents-in-law.
(4) Copies of the invitors’ Canadian passport with Chinese visa, and Chinese residency permit.

LONG TERM STAYS (more than 180 days)

- applicants must provide documentary proof of relationship.
- The name and full legal contact information of your Chinese invitor must be provided.
Invitor name and address goes in box 2.6. Complete name and full address required.
Invitor data goes in box 2.8. Complete invitor name and full address required.
- Students & teachers must include a statement in box 3.7: “I, (your full legal name), am a (teacher or
student). I am visiting China as a tourist and while in China I will obey all the Chinese laws.”
- Religious personages must include a statement in box 3.7. ““I, (your full legal name), am a (priest,
etc). I am visiting China and I will not engage in any activities relating to religion during my stay in
China, and I will obey all the Chinese laws.”

- CHINESE PERSONS: First-time application by children of Chinese descent born outside China
require the birth certificate with parents' names, valid foreign passport or permanent resident card of
one of the parents (both in the original and photocopies). People born in China must provide their
Chinese passport for cancelling by the embassy.

MINORS (persons under the age of 18 years) Only parents can sign an application for a minor. Both
parents sign in both signature blocks (boxes 4 and 5). This is a total of four signatures.

NON-CANADIAN APPLICANTS: must provide these additional documents:

- copy of both sides of Permanent Resident Card - current bank statement in your name.
 VISA SERVICES CANADA
WWW.VISASERVICESCANADA.CA

WARNING - PREVIOUS PASSPORTS

The Embassy of the People's Republic of China requires that all persons seeking a Chinese visa of any
type provide their previous (old / cancelled) passport, in addition to their current valid signed passport
with the application package.

1)
The new rules state that if your current valid signed passport was issued on or later than 1 January 2016,
you must provide the original of your previous passport.

2)
If you no longer possess the old passport, you must provide a typed and signed original letter explaining
why you do not have the previous old passport,

3)
You must also provide a typed and signed original letter with a full and complete list of all countries
visited since 01 January 2015 in the following format:
“FRANCE - Paris, June 2015, 10 days”
"KENYA - Nairobi, January 2016, 5 days"
"USA - Chicago, April 2016, 1 day"

All three requirements are mandatory.

Any application without the second passport, or the letters, will be automatically rejected by the
Chinese visa officers across Canada.

Both passports will be returned to the applicant upon completion of the visa processing.

Thank you
 Form V.201
V.20133

中 华 人 民 共 和 国 签 证 申 请 表
Visa Application Form of the People
People’’s Republic of China
(For the Mainland of China only)

申请人必须如实、
申请人必须如实、完整、清楚地 完整、清楚地 填写本表格。请逐项在空白处用中文或英文大写字母打印填写，或在
完整、清楚地填写本表格。请逐项在空白处用中文或英文大写字母打印填写，或在
填写本表格。请逐项在空白处用中文或英文大写字母打印填写，或在□ □内打√选择 。如有关项目
选择。如有关项目
不适用，请写
不适用，请写“ “无”。The applicant should fill in this form tru thful
truthful ly ，completely and clearly
thfully clearly.. Please type the answer in capital Englis
Englishh
letters in the space provided or tick (√) the relevant box to select. If some of the items do not apply, please type N/A

一、个人信息 Part 1: Personal Information

姓 Last name
1.1 英文姓名
中间名 Middle name 粘贴一张近期正面免冠、浅色背
Full English name
景的彩色护照照片。
as in passport
照片/Photo
/Photo
名 First name one recent color passport
photo (full face, front view,
1.2 中文姓名
1. 1.3 别名或曾用名
1.3 bareheaded
bareheadedandand against a plain
Name in Chinese Other name
ame((s) light colored background).

1.5 出生日期
1.5
1.4 性别 Sex
1.4 □ 男 M □ 女 F
OB((yyyy-mm-dd
DOB yyyy-mm-dd))
1.6 现有国籍
1.6
1.7 曾有国籍 Former nationality (ies)
ationality(ies)
Current nationality (ies)
ationality(ies)
1.8 出生地点((市、省//州、国))
1.8
Place of birth(
irth(ccity
ity,, province /s
province/s tate
/state ,c
tate,country
ountry))
,country
1.9 身份证//公民证号码
1.9
ID// Citizenship number
Local ID N/A

1.10 护 照 / 旅 行 证 件 种 类 Passport
1.10 /Travel document
Passport/Travel □ 外交 Diplomatic □ 公务、官员 Service or Official
type □ 普通 Ordinary □ 其他证件((请说明)) Other (Please specify)
specify)::

1.11 护照号码
1.11 1.122 签发日期
1.1
Passport number Date of issue( yyyy-mm-dd
yyyy-mm-dd))
ssue(yyyy-mm-dd
1.133 签发地点
1.1 1.144 失效日期
1.1
Place of issue Date of expiry(yyyy-mm-dd
xpiry yyyy-mm-dd))
□ 前//现任议员 Former/incumbent member of parliament
□ 商人 Business person
Businessperson
职位 Position ________________________
Position________________________
□ 公司职员 Company employee
□ 前//现任政府官员 Former/incumbent government
□ 演艺人员 Entertainer
official
□ 工人//农民 Industrial/Agricultural worker
职位 Position________________________
1.155 当前职业
1.1 □ 学生 Student
□军人 Military personnel
（可选多项） □ 乘务人员 Crew member
职位 Position________________________
Current □ 自雇 Self-employed
occupation(s) □ 非政府组织人员 NGO staff
□ 无业 Unemployed
□ 宗教人士 Religious personnel
□ 退休 Retired
□ 新闻从业人员 Staff of media

□ 其他((请说明)) Other (Please specify):

1.16 受教育程度 □ 研究生 Postgraduate □ 大学 College

Education □ 其他((请说明)) Other (Please specify):

名称 联系电话
1.17 工作单位//学校 Name Phone number
Employer/School
邮政编码
地址 Address
Zip Code

第1页 共 4 页 / Page 1 of 4
1.18 家庭住址 1.19 邮政编码
Home address Code

1.20 电话//手机 1.21 电子邮箱

1.21
Home/mobile phone number E-mail address
1.22 婚姻状况 Marital status
1.22 □ 已婚 Married □ 单身 Single □ 其他 Other(Please specify):

姓名 Name 国籍 Nationality 职业 Occupation 关系 Relationship

1.23 主要家庭成员
(配偶、子女、父母
等,,可另纸))
Major family
members spouse,
members（spouse,
children,parents,et
c.,may type on
separate paper
paper）

1.24 姓名 手机
紧急联络人信息 Name Mobile phone number
Emergency 与申请人的关系
Contact Relationship with the applicant
1.25 申请人申请签证时所在的国家或地区 Country or territory where the
applicant is located when applying for this visa

二、旅行信息 Part 2: Travel Information

□ 官方访问 Official Visit □ 常驻外交、领事、国际组织人员
As resident diplomat
iplomat，cconsul or staff of internation al
international
□ 旅游 Tourism
organization
□ 交流、考察、访问 Non-business visit □ 永久居留 As permanent re ressident
□ 商业贸易 Business & Trade □ 工作 Work
□ 人才引进 As introduced talent □ 寄养 As child in foster care
□ 执行乘务 As crew member
crew
□ 过境 Transit
□ 短期探望中国公民或者具有中国永久居留资格的 □ 与中国公民或者具有中国永久居留资格的外国人
2.1 申请
外 国 人 Short-term visit to Chinese citizen or 家庭团聚居 留超 过 180 日 Family reunion for over
入境事由 Major
purpose foreigner with Chinese permanent residence status 180 days with Chinese citizen or foreigner with
of your visit Chinese permanent residence status
□ 短期探望因工作、学习等事由在中国停留居留的 □ 长期探望因工作、学习等事由在中国居留的外国人
外 国 人 Short-term visit to foreigner residing in As accompanying family member of foreigner
China due to work, study or other reasons residing in China due to work, study or other reasons
□ 短期学习 Short-term study for less than 180 days □ 长期学习 Long-term study for over 180 days
□ 短期采访报道 As journalist for temporary news □外国常驻中国新闻机构记者 As resident journalist
coverage
□ 其他((请说明)Other
)Other (Please specify)
specify)：

□ 一次((自签发之日起 3 个月有效)) One entry valid for 3 months from the date of issue
2.2 计划 □ 二次((自签发之日起 3-6 个月有效)) Two entr
3-6 ies valid for 3 to 6 months from the date of issue
entries
入境次数 □ 半年多次（自签发之日起 6 个月有效)) Multiple entr
Multiple ies valid for 6 months from the date of issue
entries
Intended number
of entries □ 一年多次（自签发之日起 1 年有效)) Multiple entr
Multiple ies valid for 1 year from the date of issue
entries
□ 其他（请说明）Other
Other (Please specify)
specify)::

2.3 是否申请加急服务 Are you applying for express service?

注：加急服务须经领事官员批准，将加收费用。Note: Note: Express service needs approval of □ 是 Yes □ 否 No
consular officials, and extra fees may apply.

2.4 本次行程预计首次抵达中国的日期
Expected date of your first entry into China on this trip (yyyy-mm-dd
yyyy-mm-dd))

第2页 共 4 页 / Page 2 of 4
 2.5 预计行程中单次在华停留的最长天数
2.5
Days
Longest intended stay in China among all entries

日期 Date 详细地址 Detailed address

2.66 在中国境内行
2.
程（按时间顺序,,
可附另纸填写）
Itinerary in
timee
China (in tim

2.7 谁 将 承 担 在 中 国 期 间 的 费 用 ？ Who will pay for your travel and

2.7
expenses during your stay in China? self
姓名或名称
Name

地址
2.8 中国境内邀请 Address
单位或个人信息
Information of 联系电话
inviter in China Phone number

与申请人关系
Relationship with the applicant

2.9 是否曾经获得过中国签证？如有，请说明最近一次获得中国签证的时
间和地点。Have Have you ever been granted a Chinese visa? If applicable, plea se
please
specify the date and place of the last time you were granted the visa.

2.10 过去 12 个月中访问的其他国家或地区 Other countries or territories

you visited in the last 12 months

三、其他事项 Part 3: Other Information

3.1 是否 曾 在 中 国 超 过 签 证 或 居 留 许 可 允 许 的 期 限 停 留 ？ Have you ever overstayed your visa or
□是 Yes □否 No
residence permit in China?
3.2 是否曾经被拒绝签发中国签证,或被拒绝进入中国？HaveHave you ever been refused a visa for China, or
□是 Yes □否 No
been refused entry into China?
3.3 是 否 在 中 国 或 其 他 国 家 有 犯 罪 记 录 ？ Do you have any criminal record in China or any other
□是 Yes □否 No
country?
3.4 是否具有以下任一种情形 Are you experiencing any of the following conditions
conditions??
①严重精神障碍 Serious mental dis order
isorder
□是 Yes □否 No
②传染性肺结核病 Infectious pulmonary tuberculosis
③可能危害公共卫生的其他传染病 Other infectious disease of public health hazards
3.5 近 30 日内是否前往过流行性疾病传染的国家或地区？Did Did you visit countries or territories affected
□是 Yes □否 No
by infectious diseases in the last 30 days?
3.6 如果对 3.1 到 3.5 的任何一个问题选择“是”，请在下面详细说明。
If you select Yes to any questions from 3.1 to 3.5, please give detail
detailss below
below..

第3页 共 4 页 / Page 3 of 4
 3.7 如果有本表未涉及而需专门陈述的其他与签证申请相关的事项，请在此或另纸说明。
If you have more information about your visa application other than the above to declare,please give details below or type on a
paper..
separate paper

3.8 如申请人护照中的偕行人与申请人一同旅行，请将偕行人照片粘贴在下面并填写偕行人信息。If someone else travels and shar es

shares
the same passport with the applicant , please affix their photos and give their information below.

偕行人 1 偕行人 2 偕行人 3

Person 1 Person 2 Person 3
偕行人信息
Information 粘贴照片于此 粘贴照片于此 粘贴照片于此
Affix Photo Affix Photo Affix Photo
here here here

姓名
Full name
性别
Sex
生日
DOB (yyyy-mm-dd)
OB(yyyy-mm-dd)

四、声明及签名 Part 4: Declaration & Signature

4.1 我声明，我已阅读并理解此表所有内容要求，并愿就所填报信息和申请材料的真实性承担一切法律后果。
I hereby declare that I have read and understood all the questions in this application and shall be ar all the legal consequences for the
bear
provided..
authenticity of the information and materials I provided
4.2 我理解，能否获得签证、获得何种签证、入境次数以及有效期、停留期等将由领事官员决定，任何不实、误导或填写不完整均
可能导致签证申请被拒绝或被拒绝进入中国。
I understand that whether to issue a visa, type of visa, number of entries, validity and duration of each stay will be determined by
consular official, and that any false, misleading or incomplete statement may result in the refusal of a visa for or denial of entry into
China.
4.3 我理解，根据中国法律，申请人即使持有中国签证仍有可能被拒绝入境。
I understand that, according to Chinese law, applicant may be refused entry into China even if a visa is granted.

申请人签名 日期
Applicant’’s signature:
Applicant Date (yyyy-mm-dd ):
yyyy-mm-dd):

注：未满 18 周岁的未成年人须由父母或监护人代签。Note: The parent or guardian shall sign on behalf of a minor under 18 years of age
age..

五 、 他 人 代 填 申 请 表 时 填 写 以 下 内 容 Part 5 ： If the application form is completed by another person on the

applicant's behalf, please fill out the information of the one who completes the form
5.2 与 申 请 人 关 系 Relationship
5.1 姓名 Name
with the applicant

5.3 地址 Address 5.4 电话 Phone number

5.5 声明 Declaration
我声明本人是根据申请人要求而协助填表，证明申请人理解并确认表中所填写内容准确无误。
I declare that I have assisted in the completion of this form at the request of the applicant and that the applicant understands and
agrees that the information provided is true and correct.

代填人签名/Signature
/Signature
/Signature： 日期/Date
/Date (yyyy-mm-dd ):
yyyy-mm-dd):

第4页 共 4 页 / Page 4 of 4
TYPE ON SCREEN

VISA SERVICES CANADA

Suite 900 - 275 Slater St.
Ottawa, ON, K1P 5H9, CANADA
W W W .VISASERVICESCANADA.CA
613-231-7054

I, ___________________________________, authorize Visa Services Canada to act on my behalf in acquiring a

visa for my passport. Visa Services Canada is authorized to drop-off and pick-up my passport and any other
personal documents from the embassy, high commission, consulate, diplomatic mission of the country of
__________________________
CHINA while aiding me in acquiring a visa. Visa Services Canada is also authorized to
receive information about my application from the visa office while acting on my behalf.

Signed on this _____ day of the month of _____________ in the year ______,
201
in the city of ___________________ in the province of __________________, in Canada.

Signature_________________________________________

OFFICE COPY

------------------------------------------------------------------------------------------------------------------------------------------

VISA SERVICES CANADA

Suite 900 - 275 Slater St.
Ottawa, ON, K1P 5H9, CANADA
W W W .VISASERVICESCANADA.CA
info@visaservicescanada.ca
613-231-7054 toll-free 866-378-1229

I, ___________________________________, authorize Visa Services Canada to act on my behalf in acquiring a

visa for my passport. Visa Services Canada is authorized to drop-off and pick-up my passport and any other
personal documents from the embassy, high commission, consulate, diplomatic mission of the country of
__________________________
CHINA while aiding me in acquiring a visa. Visa Services Canada is also authorized to
receive information about my application from the visa office while acting on my behalf.

Signed on this _____ day of the month of _____________ in the year ______,
201

in the city of ___________________ in the province of __________________, in Canada.

Signature_________________________________________

EMBASSY COPY

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VISA SERVICES CANADA
WWW.VISASERVICESCANADA.CA

EMBASSY REGISTRATION
For your personal safety and security we can register you with the embassy of Canada in the country
or countries to which you will travel on your upcoming business or tourist journey.

During times of national emergency such as natural disasters, war, or bombings, the government of
Canada may seek out all Canadian nationals in a disaster or security zone. Canadians who are
registered are the first ones found and can be the first evacuated in some cases.

This is a fast and efficient way of ensuring the Canadian Government can find you in case of an
emergency, and can give your family some security during your travels.

- YES, please register my trip with the government ($20. fee per person)

ABOUT ME
Last name as in passport
First name as in passport
Date of birth: (DD/MM/YYYY)
Gender as in passport:
Canadian Passport number:

ABOUT MY TRIP
Destination country CHINA

Region in country if known

Additional information
(address or hotel name)

Arrival date at destination (DD/MM/YYYY)

Departure date from country (DD/MM/YYYY)

I do not know my departure date

MY CONTACT DETAILS OUTSIDE CANADA

You must provide at least one way of contacting you outside Canada
Email address which you check regularly
Telephone number with area code
Mobile telephone number with area code
Send me a text message with destination travel advice and advisories upon arrival
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EMBASSY REGISTRATION continued

MY EMERGENCY CONTACT IN CANADA IS

You must provide at least one means of contacting this person.
Emergency contact in Canada s full name
Emergency contact in Canada s Email
Emergency contact in Canada s telephone
number with area code
Emergency contact in Canada s mobile number
with area code

I AM GOING TO A SECOND COUNTRY

Second Destination country
Region in country if known
Additional information
(address or hotel name)

Arrival date at destination (DD/MM/YYYY)

Departure date from country (DD/MM/YYYY)

I do not know my departure date

I AM GOING TO A THIRD COUNTRY

Third Destination country
Region in country if known
Additional information
(address or hotel name)

Arrival date at destination (DD/MM/YYYY)

Departure date from country (DD/MM/YYYY)

I do not know my departure date

PRIVACY STATEMENT
The information collected here will be shared with the Government of Canada in order to register you as a
Canadian abroad. The data will not be shared with any other government or with any private company. By filling
out this form you acknowledge that you understand how your data will be used and retained, and that Visa Services
Canada is not liable for the data after it has been given to the Government of Canada.

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