CANADIAN AUTOMOBILE ASSOCIATION
CANADIAN INTERNATIONAL DRIVING PERMIT APPLICATION FORM
IMPORTANT:
International Driving Permits will be issued only to persons 18 years of age or over who hold full valid Canadian provincial driving licences. This excludes provisional or learner's licences, and licences under suspension. The IDP is valid for one year from date of issue and cannot be issued for any category of vehicle which is not at present covered by the Canadian driving licence. The Canadian IDP is not valid in Canada. Attach 2 signed, full-face passport photographs, fee of $15.00CAN and a copy of the front and back of your Canadian driver's licence.
IDP No. |__|__|__|__|__|__|__|__|__| -- Issued for Category A B C D E -- Date__________________________________

1.
Mr./Ms./Mrs/Miss:

|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|		 |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| |__|
Surname (IN BLOCK LETTERS) Given Name Initial

2. Place of Birth (if known)		 _____________________ _____________________ __________________
(Village / Town / City) (Province / State) (Country)
3. Date of Birth
|__|__|		 |__|__| |__|__|__|__| (if exact date unknown approximate age)  ____________________
Day Month Year

4. Home Address in Canada
________________________________________
Tel. (__|__|__) |__|__|__| - |__|__|__|__|
(Residence No., Name of Street & Apt.)

_______________________
________________________________________
|__|__|__| |__|__|__|
(Village / Town / City) (Province) (Postal Code)

GIVE PARTICULARS OF CANADIAN DRIVER'S LICENCE BELOW

5. Licence No. |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|		 Province______________________ Expiry Date_________

6. Class No.____________________________________________________________________________

7.
List any restrictions noted on Canadian licence______________________________________________

Which of the following vehicles are you permitted to drive in Canada?
A |__| Motorcycles/Scooters
B |__| Motor cars and/or light commercial vehicles not exceeding 3500 kg (7700 lbs.) gross weight
C |__| Heavy commercial vehicles exceeding 3500 kg (7700 lbs.)
D |__| Public transportation buses (please note any restrictions in 7 above)
E |__| Trailers exceeding gross weight of 750 kg (1650 lbs.)

9. Have you had an IDP before? YES |__| NO |__|

10. If YES, give date of issue and IDP number if available__________________________________________

11. State vehicle(s) for which IDP is required_____________________________________________________

12. Departure date from Canada______________________________________________

13.
I hereby certify that the information contained herein is true and that I am the holder and in possession of a currently valid (not under suspension) Canadian driving licence issued by the province of ______________________ for the category of vehicles noted above.

14.		 Signature of Applicant____________________________________________
FOR OFFICE USE ONLY

I'd like to pay by credit card: VISA MC      Amount: $_____________

Card Number: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|  Expiry Date: |__|__|  |__|__|

Card Holder's Signature:______________________________________

FOR OFFICE USE ONLY

Issued By
_____________________________________
Date of Issue________________
(Name of Counsellor)

Issued At		 _____________________________________________________
(Name of City or Town)
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