Be DD Seema cowernement PROTECTED WHEN COMPLETED ofCanada du Canada PAGE OF APPLICATION FOR VISITOR VISA (TEMPORARY RESIDENT VISA) younced more space for ary seston, printout an additonal paye containing the appropriate soction, complete and submit it with your application = = — PERSONAL DETAILS. line FFamiy name (ae shown en your passport or ravel document Given names) (as ston on your passpert or revel docurent) [2T iv jos ar osd any wrnne oa NeAnave mon ane aso? Le [Dy tant me en ame “or f Dat ofbieh Place ofbith + iyrown + Country er ortony wr ww oo. (e[chiserstin (Curent country or tetany a ordence ‘County oF Tarion Sau Ober Fon ia a] reious counties or tran afresience Dna a pat yor Fv os ad wy coy or aToW Oar an ROUTE |e yy | {ilzenehi or Your eet county oferty of eeldence Inaealad abora| fer more har ex mens? [21 country orTerrtery where eopvinaSaneas inert auneyorteroy otenaene | ]"Wo LT Say oa ta an = Fa area na came oh bigae ermrornacemmrinraonnp Poe, aia ou Sa Sane rane enna FOR OFACE UE GHD NOT WATE N THE TEE Th omiende wala by io, in and leap Gu ad wtb ade za Raereearat (bsrOneLE En FRANGALS tml 7 F CanadaPAGE 20 te Rane ‘ate oF Binh PERSONAL DETAILS (CONTINUED) [11 = Have you previously boen marie orn a commorcew >) Prove tne folowing iensnl [ovo [Ts is for your previous Spousoanmor-ow Partner Femiyname Siren ramets) vote is a) Type ctraatonship Fon Te ww um. evan eves LANGUAGE(S) “By Are yo able communica a Engiah andr peranic sm wich anguage are yous et ase? a) Nave lnquage!tner Tongue Have you hor atestrom a designated PASSPORT [AI Passport rantor [ire i “ . — [ET Fortis i wits psi si ye Msi o Fern Ais Then Batak yr sna een LN] ee ing any to asoes your prefeneyh Engish oro! Pho] “Yas [ST ror ms vp wnyeu use a Navona eras passper| |-no [J “ves NATIONAL IDENTITY DOCUMENT [Flow rme erties semen Eno Fv | 2] Occument rumber fer" issue rh [fe te Sarre [#1 nce you awts Permanent Resident ofthe United States wit a val alen region cara areoncard_ [No [| Yes 2 caer runber pie Hf suomiting your application by malt "All soresponcence will goto this address unless you indicate your emai aderess below. idicatingan eral aderens wil auras alleorecpendence, including le ae personal formation, to be sent tothe e-nall address yeu spect. = youvwish to authorize the raleese of Information fom your application te &reprosontatv,incato thelr eral and malig address(es) nth section and onthe [fetes natig ators P.O, tox [Api r ‘Street name oo Cano Toey P| Pose FP [2] restentranas Sona Maire [ [vw ro arectna asirane vem ea oy ae oa [aT seononse | Jemnaas [Tove [apron raenane [| coaaaus | [one os canyCne Ho. ene oot a, ra [ST Fax: | Te-maadarss 1 canadaus: ‘Country Code No, Est. Lf ote 14 . _RPPLCATION FOR MIITOR VA (TEMPORARY RESE mi Sanna HMGRATION FETUSES ET (SROvENNETE ADAPAGE OF tr Rane ‘Date or inh [DETAILS OF VISIT TO CANADA PT 2 Pecpose ct my vist foarer "rom Te Funds eat ormy ay GAD) India how oa oulonte i) seve eves a Nar. oats ana iatoatio aan poser or aiuRowa Twa st 1 Fratanane me F Rierssin Canad Hane 2 Fatananpia me [= Cara eve youhad ary pest secon eduatn (clung unveriyccege or eprentceahipwelana)? [TNO TD ygq yu answered ye" ei eta you tight evelofpost secondary ecveaton. From Fer aus SeboarFaaiy nae 1 2 eon coon oreo FromesiSize EMPLOYMENT ‘Give deals of your ployment he past 70 yeas. rng you hare al any Qovernen postions (uch as Gv sear. ge poise. mayer, Mare ef Paramore somites ce sect errizan) Demlteav ars. Hees sol womag or stor, pase ele yeu ar wee, tease ose ine 10 yn etre sou een From F cureniAsivivOospaion F SonoannineF oct ae 1 Te F ciyrtown Country er Teton re From Prous ActyGeeoaton CompanvemabvorFeiy name 2 % east aun oreo Ponce From PreieasAtsyOecipaton ComparvmpoyerFeiy name 3 ac Cayton [Cosniry or Terrioy re osast 05.200) LRPRICATON FOR TOR VA TEMPORARY RES ‘SADA MGRATOM.REZUSES ET (SROvENNETE ADAPAGE OF te ane Date or ith | BACKGROUND INFORMATION ‘You must complete this sction you ae 18 yoars of ago or ober. [Tey te a tv vrs ren a EST aan Cs a ap oe 2D ou any yar mon eer Patou ogre sec ar hah seas, tr armada cn ayn wee Sader cy anor eutson ar 1s oie dens ane rane ft any meter tape) Have you sve ond ely yar sun isd ho wou a renor owt wa aon A eins? “Me Have youve tensa vino ae dred ny roared ave Caras orate county eat? Me vee coos you peony apes oer orroniin Cah? woes

_ Be sateaen ste sonedand dateeere issn by mat (Ob na forgtto include phos, foes if appleble) ar any eer decurartsraqured Review the agpleaton gid for mor isfermaton ac vay hat you hve amped ad proved a otha requas documents 2 pr the docuront checks. PRIVACY NOTICE Persona inoraton rode on his fer i caloctod and wil be use, dosed, and retined by Inmigraien, Refuges anc Cltzership Caraca (RCC) urder he sutosty of he Inmigraton eng Retugee Prschen act (RPA). The persoraiioration provided il ba use ere purpose of procseaingagplatcn. The perso Iformaton provid may score! tether ederal goverment hstuens ane thre pares Feueny ow evrconent odes, province goremrots andor foreign goverment ore papore ot aléing tent, ebgalty and acmssbiy Te personatinomnation ccd o an agpcatien, ar ote! foratoncalced a supper ofan appcaton may be usd fer compar analy scot posessingo! soatone and cecson rahing,inlsng yur appeston, Personal inermaton,nekting Fem computer anaytcs, may also be use for purpores nang research sinks, prosrem ane ptey evaluator, eral aud, compliance, ask managimert salogy dereopmen’ ane repering mare biometrics are provid in supertot an application, he Hognprit oles wilde sloredand shares with te RCMP. The ogni recoumayalzobe dsloved t exforcament agercesin Canada aoeotnce wih susacion 13.1(1) ef the Inmgyaton an Refigoe Prosacion Regulations Ths inermaton my be used 1 eslabish cr vrty ieceriy of oersonin order preven. nveante,o prosecute a elence urder any nw of Carada ora Pownce. Trsneraton ma also botot ostbish cr vest cory ef sn ngvdva| nese cert cannot easonaby boarerseexeDishe er vad because pyle! or mental congton. canada ay als sare inglton rtoraton relatod to tlometre ecards wth feragn govarronts wih whem Canada has n agrowort farangeert Faure to comple he fr in fall may resutin a deay othe aplication not bang processed. Tho PrvanyAct gos incu the right f accesso, potocten, and carecton cf er persona arson Furst dla are avalon lo Source Iya are roles wh the mannarin whi ICC handles your pearl ivoraton yourray execs you Fgh flea complain othe Oftes of ne Privacy Cemmssiorer of Carada, The clecton, se, dsaostreandretanion! your parson ifoTwaton Is futhe!deacrbed 8 TRC remona iformaton Fark RCC PPU O58. osast 05.200) Imicration reruoess aNo cmUENSAP LRPRICATON FOR TOR VA TEMPORARY RES ‘COADA MiGRATION RerUGeS ET a (SROvENNETE ADA