Application for a visiter visa or study permit hunt ter (ret) ant vse sept Annan sera Gum asemme rbah ined emeoe ome orig Teac is perder ud ro pe nr wh MC Thre yin gan sting hating sin np he aan en "ot year or yansoentomare dang nent pea) Framebe pce ered)W468 Some" Sone Representative + Ave you applying on behalf of someone olze? (required) youre preparing = appliestion fr com _ you're 3 representative. Tobe someone's representative you must provide the right forms to show you have the pereision to hale ther appation for them. Oves @No ome moti 202.0202 sissonBOE eee guna Work without a work permit = Teon tn work permit because I'm a/an; (required) shortsterm work (120 days) for resear rs (Global kis Surat + /yOu must be outside Canada and a have written confirmai inating organization for researchers and institutions. | © seats tnced prec gracing baton ors eaed serch nation, o bas syste(O For business reasons, ke a meeting, conference, event. or traning For a medical procedure (scheduled) or weatmert 2 To study without a perme fr less than 6 months © Towork without a permit Notsure * Tellus more about what you'll do in Canada Include dates. (required) ibe ing te Canadia to complete my roseateh Intemnship. I'm upeaming MITACS GRI scholar at Rystson unlersity Toronto. * when will you enter Canada? (required) you dont ye know the de you wiltravel to Canad, select on approximte te mm | wy 8 3 + when will you leave Cenede? (required) ma + | octosar |i 0 Uct (unique cient identifier). if known (optional)* bave of issue of passport or taveldocument (requires) ‘Make sure your passport is valid lng enough to cover the time you want to be in Canada. Your passport ‘expiry date will determine the expiry date ofthe document you'te applying for. * Date of expiry of your passpertortravel document (required) 4 = | December + | 2028 ‘The validity of the document you are requesting can't be issued beyond the document. * Doyou currently hold avalid US. nonimmigrant visa? (required) Yes @No * Are you traveling to Canada by air? (required Ores OND‘Type of travel document “vet document re youtrevlng with? (equret) ‘Wc ind of pespor? (required) oft Servce(ofical goverment serena plot) [Aters passport saved te nortiers) + Selec the country code that matches the one on your passpart (required) no (ha) * wets the nationality on our passport? (egired) * whet'syourpassportortrve dscimentnimber? (required) * conten your passport or travel documers number (reed) *Deteot issue ofpassort or travel dncumant (required) 5 December + | [28Travel document information of the applicant * sumame/last name (required) Given name/first name (options!) ete your oven nae, none, lave thief lank of ith (required) Select your eae of bth exactly o appears onyeur passport 2001 wy * Gender (required) Mae © Female Unknown Another gender sslilas6 Soom Sear Names used in the past Have you used another name in the past? (required) ves @No < mex ate moses: 20220202 svotseene National identity document of the applicant * Do you have a valid national identity document? (required) Not all countries issue a nationalidentiy document. you have one, provide yur information @yes Ono * Document number (required) => * Confirm your decument number (required) * Date ofissue (required) 2019 ~ | vecember - ifs * Select the country or territory that issued this document (required) Inda - € aeCitizenship and places where the applicant has lived * country oF territory where you were born [required) India 2 + cltyor town where you were born (required) bath + Are youa clizen of more than one country or territory? (required) Yes @No * Which country or territory are you a citizen of? (requived) tnaia 2 11am a ctizenof tis couney or territory since brth + Since what date are you citizen ofthis country or territory? (required) a0 : + |[s :Biometrics (fingerprints and photo) of the applicant You should check the status of your biometrics to see when they expire. The document you're applying {for can't be valid longer than your biometrics. If you need your document to be valid for longer, you can give your biometrics again, * Do we already have your fingerprints and photo (biometrics), and are they stil valid? (required) inne ly ify + gave your biometrics nthe past 10 years fora str sa, study or work permit anplcatien, and + know your biemetries ore Yes @No ti wali, vad you're net ave find aut your biomes ‘You will be required to submit your biometrics after you pay the biometrics fee and you submit your application. Note: Some people may be fee exempt. bate mocifad 2022-2202 sorsme ob i cay or town (reir) Postal code (optional) ress theseme as your residential address? (required) Countries otertoriesofresidence “Let your current country or territory of residence then addal other countries or territories where youvelived forthe past five years fermore than month. equiv) ead cod co to Inia Permanan resident 20197415,Contact information of the applicant Countries or territories of residence Whats your residential address? “Wiss the adress whereyou caret oe. * select a country or territory (required) *seret address (required) nce te ageres.ncng nose numer or berg number apowabe. 21 Rasy Fu, Street 07, near La Mande Wishna Nagar * City or town (required) ewae Postal code (optional) ‘00st “Is your maling address the same as your residential address? (required) Ores Ono Countries or territories of residence “List your curren country or territory ofresidence, then. years, for more than § month. (required) other countries or territories where you've lived forthe past fiveTravel history a SarsWork/activities history miitarypalice history + Dil yeu serve in any rlitary, mite, cl defence unit, security organization or police fere (including norrobligetery servic, reserve or voluntary unis)? (required) * sive eas fal your employment and activtessincethe age 8 (equirea Do net inhade any eerie thet ou seedy por prot secordany econ or itary pce Natery (tht wee your oly csipation ‘x chaine) For llathe pevods tne, you ned to enter an ecapation o acy. Gort eave anyother gaps Select “Government position” if you've worked asa chil servant, judge, mayer, Member of Fadiament, hospital administrator, or employee of « security organization. Jebttle —Companyfempoyer_ from Unemployes meer Indio = =aInformation about education, work and other activities ‘You must complete this entire section to be able to save your details, ‘You can only save your information afteryou answer all the questions below and fillin cach table. Ifyou leave the application without provicing all these details * your information will not be saved ‘+ youll have to Input the information again when you return Post-secondary education history * Have you ever studied at a post-secondary school (university, college or vocational school]? You dent need to have completed 2 degree or diploma. (required) yes ONO * Give deteils of each program you have studied and are currently studying, (required) > You!lJase your information ify leave tis page without saving. ome eee From coe a proee Guru Gobind Singh 2019 University ay mie Incraprasta Uotversty 0 tsachelor’s eg See - 2017 Science, 2018: ines a India Queen Mary's Schoo! Secondary Schoo! Mary's Seh aCriminality and security questions “Are you or have you ever been a mamier or astoited with ary pole pat. ther group or orpnizaton which as ‘engagediner advances violence as «means t achieving a polal a relgjous objective, or neh hs been sseeited wlth ‘mina activity at anytime? regred) + Have you ever wnesseorpartkpate nthe treutmer of prioner rcvilans, oot or cesecraion of religious tailings? (routed)ee EE Criminality and security “Have you eer commited any ermein any country er trary hisincudes ving under the infueceot sles dns)? (wcqured) “Have you ever een reste oan rina fence inary unr ortertry ths ead dg under the ues ot eho errs (egies) Har you eer un dared fray rinialaes in any eat ora tines ing nar th ene of seca er drug? (nara) “Have you eer een convicted foray cin tern ony counter terror (sinus driving under the zene of eho er rugs? (required)Travel history (continued) + nave you ever sayedin canada beyendtnevaayt your sats, etended sen! in Canedawtnoutwuthorzatien er worked ‘woe astrortaton incanaca? (ques) “tae youver ben rtd vin orpart, deiedentryte,ororderdtseave any country srteritan?(nqured)Medical background questions- Tuberculosis ‘tn the ast2 years, were you dlagnosed with tuberculosis? required) + Tuberculosis ica disease ofthe ings caused by bacaria, may als be known 36 TB Pots cence, Koch's cone, srful latent tubaradosis or extz;pulnenary wberaloss. + ryouhave ahisoryof wbercloes, st dewen t mean tha you cant come to Canada, Once yeu completa your Waatment you can come to Cara Ores @No “In the lost 5 years, have you been in close contact with a person with tuberculosis? (required) ‘Tuberculosis ia dicen ofthe ange cared by bacteria, Bay alee ncn ae TE, Pate een, Koch's daoat, erful latent tubers or etre pulmonary tberadess, «+ aryouhave ahisory of wberclos doesnt mean ta you art come to Canada, Once you complete your weaiment yu can come to Canad Ores @No emaWen eo ee Medical background questions “Have you had a medea exam performedtbyanIRCC utherize psel physcon (doctor within he last 12 months? (requree)locieal opted or step-eldren? (required) jo augers guess of age or pro ven, 1 Tuncorctandehat | am notdedarng ay satura adopter eep-chldon 1xCSS = Family information Marital Status * Wat is your current marital states? (required) “Annie Marriage Common Lave Drorced SeparatedMedical background questions * Are you currantl receiving: ysis trantrent? (required) Have you hada droga sleaheladdetion causing you ined? (roquired) * Have you hada mental health cenitln causing you to be «threat to yourselforathers,or tobe horptalzed? (rs red) pie your ean, youcan cre CanaEmail address of applicant “enderLanguage of the applicant “a yourrte angsaeemoteronn? aut) “er mcommanat inthe ei he lt oe sumetofoaesin! i “talaguagedeyounanturtoue taco ou? (egies) DewTellus about your parents If youwere adopted, provide the details about your legal parents, _ @ ror temmman route — Se eeTelephone number of the applicant