1243 Islington Avenue, Suite 501

Toronto, Ontario M8X 1Y9

P : 416 234 8800 | F : 416 234 8820
www.alliancept.org

190101

Form C – Educational Credential and Qualifications Assessment

Identity Documents - Instructions

Identity Document(s)
We need one (or more) official document(s) that have the following:
• your photo
• your full legal name
• your date of birth
• your signature

If all the information we need is on one document, you do not need to submit more than one document.

You must make sure that your identity document:

• is official (i.e., issued by the government / agency authorized by the government to issue official documents),
• is valid (it is not expired), and
• can be verified with the source.

We do not accept original documents. Please submit a copy of your identity document(s).
Here is a list of documents you can submit to support your identity:
a. Birth Certificate (Attach a certified translation if your Birth Certificate is in a language other than English or French.)
b. Passport (We do not need all the pages in your passport. We only need the pages with the required information. For
example, if your photo, full legal name and your date of birth is on one page and your signature is on another page, we will
need both pages.)
c. Canadian Citizenship Card / Canadian Citizenship Certificate
d. Health Card from a Canadian province or territory
e. Driving Permit (Driver’s Licence) from a Canadian province or territory (If some of the required information is on the back of
the card, send us a copy of both sides.)
f. Identification Card from a Canadian province or territory (If some of the required information is on the back of the card,
send us a copy of both sides.)
g. Canadian Immigration Record of Landing
h. Canadian Permanent Resident Card
i. Refugee Protection Claimant Document

If you do not have an official document...

If you do not have an official document, you, personally, must sign an affidavit that is certified by a notary public. The affidavit
must indicate that the information provided is true and accurate to the best of your knowledge. The affidavit must also include:
• that the name shown on your application is your full legal name
• your date of birth
• a current photograph of you
• the reason why you don’t have an official document.
 1243 Islington Avenue, Suite 501
Toronto, Ontario M8X 1Y9
P : 416 234 8800 | F : 416 234 8820
www.alliancept.org

190101

If you have changed your name...

If you have changed your name, you must send one of the following documents certified as a true copy of the original by a notary
public with a certified translation attached if the document is in a language other than English or French:
• Marriage Certificate
• Legal change of name document if you have legally changed your name.

This is only necessary if any of your required documents (academic records, degrees, other documents) are in a different name
from the name on your application.

Photograph - hardcopy requirements

You must provide a colour passport photograph.

The photograph must be:
a. Current - taken within the past six (6) months,
b. Colour,
c. Passport size and quality - full-face and very clear, and
d. Original (not taken from an existing photo).

On the back of the photograph you must print your name, print the date the photograph was taken and sign.
NOTE

• The passport sized photograph will be valid for 5 years and will be shared with the Exam department when you become
eligible for the Physiotherapy Competency Examination (PCE). Your passport sized photograph must still be valid when
you attempt an administration of the PCE.
• Many applicants do not print their full legal name on the Application form. We need your full legal name on all the forms
that you will complete and send to us. The following example may help applicants when completing the various forms:
Example:
If your full legal name is “Mary Jane Smith”, then print Mary Jane Smith on the following forms:
1. Application form;
2. the first page of the Document Request Form before you send it to your school;
3. Application Checklist;
Make sure that the identity document (e.g., passport, driver’s Licence etc.) you submit with your forms has your full legal name
“Mary Jane Smith”.

It is advised you attach your passport photograph with a paper clip to this form to ensure it is not misplaced.

Photo
Last Name(s)/Surname(s): _______________________________________________________

First Name(s)/Given Name(s): ____________________________________________________

Middle Name(s): ______________________________________________________________