Embassy of Ireland Visa Payment

Application Reference/Transaction Number*

Type of Visa/Preclearance*

Short StayLong Stay

Journey Type*

Single Journey - $100 CADMultiple Journey - $165 CADTransit - $35 CAD

Surname (as per Application Summary Sheet)*

Forename (as per Application Summary Sheet)*

Other names (as per Application Summary Sheet)

Your Email*

example@example.com

I am one of the following Nationalities**

*The above nationalities are visa fee exempt.

I am a family member of an Irish Citizen*

*Family members of Irish Citizens who are exempt from visa fees (on production of the required documents): Spouse, Widow/widower (subject to death certificate), Child (under 18 years), Adopted child (under 18 years).*

I am a beneficiary of Directive 2004/38/EC (Free Movement Directive)*

*‘Qualifying Family Members’ of EU/EEA/Swiss Citizens who are exempt from visa fees. (on production of the required documents): Spouse, Child (under 21 years), Child of the spouse (under 21 years), Adopted child, Dependent parent, Dependent parent of the spouse, Other dependent family members in the direct ascending/descending line (i.e. - grandparent/grandchild), Other dependent family members of the spouse in the direct ascending/descending line*

Country of Residence*

*Applicants who reside outside of Canada must provide their own return shipping label.*

Return Postage*

I will provide my own return shipping label.*Canada Post Xpresspost - $60.00 CAD

*If no return shipping label is provided you will be contacted by the Visa Office.*

Discount

Subtotal

Admin Fee

Fee Total

Payment Amount

CAD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Embassy of Ireland - Visa Payment Form

Payment Details