NEXUS | Renewal Application

NEXUS | Renewal Application

Part 2 of 3
Personal Data
PASSID (9 digits on back of existing or expired card)*
LAST Name (family)*
FIRST Name (given)*
Middle Names
Gender*

MaleFemale
Eye Colour*
Height*
Contact Details
E-mail*

Confirmation Email
Home Phone Number*

Area CodePhone Number
Mobile Phone Number*

Area CodePhone Number
Date & Place of Birth
Date of Birth *

YearMonthDay
City of Birth*
Country of Birth*
State/Province of Birth*
Citizenship & Nationality
Primary Citizenship

You must give EXACT details as they appear on on your official documents. You may attach copies of your ducuments if you wish.

(if you have a passport then the details should be provided)
Primary Passport Number
Expiry Date

YearMonthDay
Date of Issue

YearMonthDay
Exact Name on Primary Passport

First NameMiddle NameLast Name
Upload a Copy (optional)

Upload a File

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Secondary Citizenship
Secondary Passport Number
Expiry Date

YearMonthDay
Date of Issue

YearMonthDay
Exact Name on Secondary Passport

First NameMiddle NameLast Name
Upload a Copy (optional)

Upload a File

Cancelof
Alternative Documents

When NO Passport Exists
Citizenship Certificate
Citizenship Certificate Number
Country of Issue
Issue Date

YearMonthDay
Exact Name on Certificate

First NameMiddle NameLast Name
Upload a Copy (optional)

Upload a File

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Birth Certificate
Birth Certificate Number
Country of Issue
State/Province of Issue
Issue Date

YearMonthDay
Exact Name on Certificate

First NameMiddle NameLast Name
Upload a Copy (optional)

Upload a File

Cancelof
Canada/US Permanent Residence

Details Must be added if you are not a US/Canada Citizen
Permanent Resident*

CanadaUS
PR Card Number
Country of Issue
Expiry Date

YearMonthDay
Exact Name on PR Card

First NameMiddle NameLast Name
Upload a Copy (optional)

Upload a File

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Driver Licence (if you have a driver licence then the details should be provided)
Driver License Number
Country of License
State/Province Issued
Expiry Date

YearMonthDay
Is License Enhanced ?

YesNo
Exact Name on License

First NameMiddle NameLast Name
Upload a Copy (optional)

Upload a File

Cancelof
Address

You MUST provide 5 years address history. Your application can not be processed without it.
Your Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
When Did You Start Living Here*

YearMonthDay
Is this also your mailing address ?*

YesNo
Mailing Address
Mailing Address if Different

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
ADDRESS HISTORY FOR 5 YEARS
5 Year History (1)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
When Did You Start Living Here From

YearMonthDay
When Did You Stop Living Here

YearMonthDay
Address History for 5 Years (contiued)
5 Year History (2)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
When Did You Start Living Here From

YearMonthDay
When Did You Stop Living Here

YearMonthDay
Address History for 5 Years (contiued)
5 Year History (3)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
When Did You Start Living Here From

YearMonthDay
When Did You Stop Living Here

YearMonthDay
Address History for 5 Years (contiued)
5 Year History (4)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
When Did You Start Living Here From

YearMonthDay
When Did You Stop Living Here From

YearMonthDay
Information About Your Current Work

You MUST provide 5 years work history. Your application can not be processed without it. If you are a Student, Child, Unemployed or Retired you only have to check box and provide dates of unemployment or date of Retirement.
Status*

EmployedSelf EmployedUnemployedRetiredStudentChild
Occupation
From*

YearMonthDay
To

YearMonthDay
Employer
Employers Phone

Area CodePhone Number
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employment 5 Years History (continued)
Status

EmployedSelf EmployedUnemployedRetiredStudentChild
Occupation
From

YearMonthDay
To

YearMonthDay
Employer
Employers Phone

Area CodePhone Number
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employment 5 Years History (continued)
Status

EmployedSelf EmployedUnemployedRetiredStudentChild
Occupation
From

YearMonthDay
To

YearMonthDay
Employer
Employers Phone

Area CodePhone Number
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employment 5 Years History (continued)
Status

EmployedSelf EmployedUnemployedRetiredStudentChild
Occupation
From

YearMonthDay
To

YearMonthDay
Employer
Employers Phone

Area CodePhone Number
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Travel History

List all the countries visited in last 5 years excluding Mexico, USA & Canada
Have you traveled to other Countries*

YesNo
Country (1)
Country (2)
Country (3)
Country (4)
Country (5)
Country (6)
Country (7)
Country (8)
Country (9)
Country (10)
Additional Information
1. Have you ever been convicted of a criminal offense (includiding misdemeanor or felony traffic violations) in the united States or any other country ?
1.*

YesNo
2. Have you ever received a waiver of inadmissibility to the USA from a US government agency?
2.*

YesNo
3. Have you ever been found in violation of customs laws?
3.*

YesNo
4. Have you ever been found in violation of immigration laws?
4.*

YesNo
IF YOU HAVE ANSWERED YES TO ANY OF THE ABOVE QUESTIONS - PLEASE GIVE EXACT DETAILS BELOW
Exact Details
Certification
You certify that you understand this information will be shared with law enforcement agencies, canada border services agency, US customs and border protection, government immigration agencies and other government bodies with applicable laws. Your information will be used for the sole purpose of processing your NEXUS application.

NEXUS application back ground check reveiws and approvals are jointly processed by Canada Border Services Agency & U.S. Customs and Border Protection. NEXUS is subject to the approval of both agencies

The TOTAL cost of your Supported Trusted Traveler NEXUS adult renewal application is $160 USD. Trusted Support Services (TSS) non government online service fee $110 USD + United States Customs and Border Protection (CBP) government certification fee $50 USD.

(TSS) cannot process your application if you do not submit 5 years address and work history.

By Clicking "I Certify & Agree" below, You agree to the standard published terms & conditions and certify that the information was given voluntarily and is true, complete and correct.

By clicking submit application, you will electronically submit your application. Approval review periods vary but are normally between 4-12 weeks.

You will receive a confirmation email within 24 hours of submission.
I Certify & Agree*

I Certify & Agree

NEXUS RENEWAL

NEXUS Adult Renewal$2.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

NEXUS | Renewal Application

Personal Data

Contact Details

Date & Place of Birth

Citizenship & Nationality

Alternative Documents

Address

Information About Your Current Work

Travel History

Additional Information

Certification