Application Summary Group Information

PAUL NJENGA (V400969173) Protected B
Application Summary
Group information
Do you want to apply for more than 1 person at the same time? No
Application for a visitor visa
I want to apply for a: visitor visa or super visa
For business reasons, like a meeting, conference, event, or

Why do you need a visa?
training
Attending Random Algebraic Geometry workshop which will

Tell us more about what you'll do in Canada. Include dates.
be held on 16th April to 21th April 2023 in Banff, Canada.
When will you enter Canada? 2023-04-14
When will you leave Canada? 2023-04-23
Representative
Are you applying on behalf of someone else? No
Travel document information of the applicant
Surname/last name NJENGA
Given name/first name PAUL
Date of birth 1997-04-17
Gender Male
Date modified: 2022-11-29 05:48:00 UTCZ Page 1 of 12

Travel document of the applicant
What document are you travelling with? Passport
What kind of passport? Regular
Select the country code that matches the one on your passport KEN (Kenya)
What's the nationality on your passport? Kenya
What's your passport or travel document number? AK1072677
Confirm your passport or travel document number AK1072677
When was the passport issued? 2022-04-20
Date of expiry of the passport 2032-04-19
Are you a lawful permanent resident of the United States with a valid Green Card (alien
No
registration card)?
Have you held a Canadian visitor visa in the past 10 years? No
Do you currently hold a valid U.S. nonimmigrant visa? No
Are you travelling to Canada by air? Yes
Citizenship and places where the applicant has lived
Country or territory where you were born Kenya
City or town where you were born NAIROBI
Are you a citizen of more than one country or territory ? No
Which country or territory are you a citizen of?
Country/territory of issue Kenya
I am a citizen of this country or territory since birth
From 1997-04-17
National identity document of the applicant
Do you have a valid national identity document? Yes
Document number 33446081
Confirm your document number 33446081
Date of issue 2015-06-02
Select the country or territory that issued this document Kenya
Names used in the past
Have you used another name in the past? No

Contact information of the applicant
23079
Address KIAMBU 00604
Kenya
Is your mailing address the same as your residential address? Yes
List your current country or territory of residence, then add all other countries or territories where you've lived for the past five
years, for more than 6 months.
Country/territory Kenya
Status Citizen
From 1997-04-17
This is where I currently live.
Biometrics (fingerprints and photo) of the applicant
Do we already have your fingerprints and photo (biometrics), and are they still valid? No
Invitation
Who is inviting you?
Surname/last name POSACKI
Given name/first name JACOB
Relationship to you Conference
Name of organization or conference Banff International Research Station
Manually input address
1020 Stn 48
107 Tunnel Mountain Drive
Mailing address
Banff Alberta T1L 1H5
Canada
Telephone number
Telephone type Cellular
Select telephone number country or territory Other
Telephone number +254 0798220429
Email address paulndonyo6@gmail.com
Has someone else also invited you? No

Special event information
Did we give your organization or conference a special event

Yes
code?
Enter the special event code 23w507
Finances
How much money do you have for your stay in Canada? (In Canadian dollars - CAD) 13500
Is someone else giving you money for your stay in Canada? No

Information about education, work and other activities
Post-secondary education history
Have you ever studied at a post-secondary school (university, college or vocational school)?
Yes
You don't need to have completed a degree or diploma.
Give details of each program you have studied and are

University of Eldoret
currently studying.
From 2015-01
Level of study University - Bachelor's Deg.
Field of study Sciences, General
To 2018-12
1125-30100
Address Eldoret
Kenya
Work/activities history
Military/police history
Did you serve in any military, militia, civil defence unit, security organization or police force
No
(including non-obligatory service, reserve or voluntary units)?
Give details of all your employment and activities since the age of 18.
From 2019-01
Ongoing
Education, law and social, community and government

Work/Activity
services occupations
Secondary and elementary school teachers and

Job title
educational counsellors
Company/employer Teacher's Service Commission
Teaching Mathematics and Physics. Guidance and

Main duties of the job
Counselling students
43687-00100
Address Nairobi
Kenya

Travel history
During the past 5 years have you travelled to a country or territory other than the one where
Yes
you're a citizen or where you live now?
From 2022-10
To 2022-10
Country/territory Tanzania
Location/place where stationed Arusha
Purpose of travel Career enhancing workshop
From 2015-07
To 2015-07
Country/territory England
Location/place where stationed Europe
Purpose of travel Exchange program
Have you ever stayed in Canada beyond the validity of your status, attended school in Canada
No
without authorization, or worked without authorization in Canada?
Have you ever been refused a visa or permit, denied entry to, or ordered to leave any country or
No
territory?
Criminality and security
Have you ever committed any crime in any country or territory (this includes driving under the
No
influence of alcohol or drugs)?
Have you ever been arrested for any criminal offence in any country or territory (this includes
No
driving under the influence of alcohol or drugs)?
Have you ever been charged for any criminal offence in any country or territory (this includes
No
Have you ever been convicted for any criminal offence in any country or territory (this includes
No
Criminality and security questions
Are you or have you ever been a member associated with any political party, or other group or
organization which has engaged in or advanced violence as a means to achieving a political or No
religious objective, or which has been associated with criminal activity at any time?
Have you ever witnessed or participated in the ill treatment of prisoners or civilians, looting or
No
desecration of religious buildings?
Medical background questions
Have you had a medical exam performed by an IRCC authorized panel physician (doctor) within
No
the last 12 months?

Medical background questions- Tuberculosis
In the last 2 years, were you diagnosed with tuberculosis? No
In the last 5 years, have you been in close contact with a person with tuberculosis? No
Medical background questions
Are you currently receiving dialysis treatment? No
Have you had a drug or alcohol addiction causing you to be a threat to yourself or others, or to
No
be hospitalized?
Have you had a mental health condition causing you to be a threat to yourself or others, or to
No
be hospitalized?
Have you ever been diagnosed with syphilis? No
Family information
What is your current marital status? Married
Date of marriage or start of common-law relationship 2021-09-04
Name of spouse/common-law partner
Surname/last name Towett
Given name/first name Triza
Country or territory of birth Kenya
Present occupation Business, finance and administration occupations
Is their address the same as yours? Yes
Will your spouse/common-law partner accompany you to

No
Canada?

Children
Do you have any biological, adopted or step-children? Yes
Surname/last name Ndonyo
Given name/first name Shanniz
Relationship Daughter
Does this child have the same address as you? Yes
If the child is not in Canada, will they accompany you to

No
Canada?
Given name/first name Amanda
Relationship Daughter
Does this child have the same address as you? Yes
If the child is not in Canada, will they accompany you to

No
Canada?

Tell us about your parents
Given name/first name John
Relationship Father
Present occupation Vetinery Officer
Does this parent have the same address as you? No
23072
Address Kiambu 00604
Kenya
Will this parent come with you to Canada? No
Surname/last name Kinuthia
Given name/first name Scolastica
Relationship Mother
Present occupation Business Lady
Does this parent have the same address as you? No
23072
Address Kiambu 00604
Kenya
Will this parent come with you to Canada? No
Language of the applicant
What is your native language or mother tongue? Kikuyu, Gikuyu
Can you communicate in English and/or French? English
What language do you want us to use to contact you? English
Email address of applicant
Email address paulndonyo6@gmail.com
Confirm your email address paulndonyo6@gmail.com

Telephone number of the applicant
Telephone type Cellular
Select telephone number country or territory Other
Telephone number +254 0798220429
Documents to support your application
Document name Letter of invitation
File name INVITE LETTER AND ITINERARY (1)-min (1).pdf
Size of the Document 1,471.00 KB
Date/time uploaded 2022-11-28 05:48:00 UTCZ
Document name National identity document
File name ID PAUL 1.pdf
Size of the Document 300.00 KB
Document name Passport/travel document
File name paul passport.pdf
Document name Funds (proof)
File name BANK STATEMENT PAUL_compressed (C).pdf
Document name Consent personal information
File name IMM5744E (5).pdf
Document name Additional documents
File name PAUL NDONYO XXXX FINAL-min (1).pdf

Fees
Fee Quantity Price Total
Biometrics 1 CAN$85 CAN$85
Visitor visa 1 CAN$100 CAN$100
Total CAN$185
Consent and declaration
Citizenship and Immigration Canada (CIC), or an organization at CIC's request, may want to contact you in the future to ask you
about any services you received from CIC prior to the application process (such as participation in an information forum), during
the application process (including the application process itself as well as orientation or accreditation services), and services
received after arriving in Canada (including settlement, integration and citizenship). CIC will use this information, along with the
information provided by other individuals, for research, performance measurement or evaluation purposes. CIC will not use this
information to make any decisions about you personally.
Do you consent to be contacted by CIC, or an organization at CIC's request, in the future? Yes
I consent to the release to Citizenship and Immigration Canada (CIC) and Canada Border Services Agency (CBSA) of all records
and information for the purpose of processing my request that any government authority, including police, judicial and state
authorities in all countries in which I have lived may possess about me. This information will be used to evaluate my suitability
for admission to Canada or to remain in Canada pursuant to Canadian legislation.
I declare that I have answered all questions in this application fully and truthfully.
Signature of Applicant or Parent/Legal Guardian's for a person under 18 years of age.
Surname/last name NJENGA
Given name/first name PAUL
Privacy Notice
Personal information provided on this form is collected and will be used, disclosed, and retained by Immigration, Refugees and
Citizenship Canada (IRCC) under the authority of the Immigration and Refugee Protection Act (IRPA). The personal information
provided will be used for the purpose of processing applications. The personal information provided may be disclosed to other
federal government institutions and third parties including law enforcement bodies, provincial/territorial governments and/or
foreign governments for the purpose of validating identity, eligibility and admissibility.
The personal information collected on an application, and other information collected in support of an application, may be used
for computer analytics to support processing of applications and decision making, including your application. Personal
information, including from computer analytics, may also be used for purposes including research, statistics, program and policy
evaluation, internal audit, compliance, risk management, strategy development and reporting.
Where biometrics are provided in support of an application, the fingerprints collected will be stored and shared with the RCMP.
The fingerprint record may also be disclosed to law enforcement agencies in Canada in accordance with subsection 13.11(1) of
the Immigration and Refugee Protection Regulations. The information may be used to establish or verify the identity of a person
in order to prevent, investigate, or prosecute an offence under any law of Canada or a Province. This information may also be
used to establish or verify the identity of an individual whose identity cannot reasonably be otherwise established or verified
because of physical or mental condition. Canada may also share immigration information related to biometric records with
foreign governments with whom Canada has an agreement or arrangement.

Failure to complete the form in full may result in a delay or the application not being processed. The Privacy Act gives individuals
the right of access to, protection, and correction of their personal information. Further details are available in Info Source. If you
are not satisfied with the manner in which IRCC handles your personal information, you may exercise your right to file a
complaint to the Office of the Privacy Commissioner of Canada. The collection, use, disclosure and retention of your personal
information is further described in IRCC's personal information bank - IRCC PPU 068.

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PAUL NJENGA (V400969173) Protected B

Application for a visitor visa

I want to apply for a: visitor visa or super visa

For business reasons, like a meeting, conference, event, or

Attending Random Algebraic Geometry workshop which will

When will you enter Canada? 2023-04-14

When will you leave Canada? 2023-04-23

Are you applying on behalf of someone else? No

Travel document information of the applicant

Surname/last name NJENGA

Given name/first name PAUL

Date of birth 1997-04-17

Date modified: 2022-11-29 05:48:00 UTCZ Page 1 of 12

Travel document of the applicant

What document are you travelling with? Passport

What kind of passport? Regular

What's the nationality on your passport? Kenya

What's your passport or travel document number? AK1072677

Confirm your passport or travel document number AK1072677

When was the passport issued? 2022-04-20

Date of expiry of the passport 2032-04-19

Have you held a Canadian visitor visa in the past 10 years? No

Do you currently hold a valid U.S. nonimmigrant visa? No

Are you travelling to Canada by air? Yes

Citizenship and places where the applicant has lived

Country or territory where you were born Kenya

City or town where you were born NAIROBI

Are you a citizen of more than one country or territory ? No

Which country or territory are you a citizen of?

Country/territory of issue Kenya

I am a citizen of this country or territory since birth

National identity document of the applicant

Do you have a valid national identity document? Yes

Document number 33446081

Confirm your document number 33446081

Date of issue 2015-06-02

Select the country or territory that issued this document Kenya

Names used in the past

Have you used another name in the past? No

Date modified: 2022-11-29 05:48:00 UTCZ Page 2 of 12

Contact information of the applicant

Is your mailing address the same as your residential address? Yes

This is where I currently live.

Biometrics (fingerprints and photo) of the applicant

Who is inviting you?

Surname/last name POSACKI

Given name/first name JACOB

Relationship to you Conference

Name of organization or conference Banff International Research Station

Manually input address

Select telephone number country or territory Other

Telephone number +254 0798220429

Email address paulndonyo6@gmail.com

Has someone else also invited you? No

Date modified: 2022-11-29 05:48:00 UTCZ Page 3 of 12

Special event information

Did we give your organization or conference a special event

Enter the special event code 23w507

Is someone else giving you money for your stay in Canada? No

Date modified: 2022-11-29 05:48:00 UTCZ Page 4 of 12

Information about education, work and other activities

Post-secondary education history

Give details of each program you have studied and are