Application for a visitor visa to visit daughter in Canada

SUCHIRITA GOBINDA SINHA (V400265189) Protected B
Application Summary
Group information
Do you want to apply for more than 1 person at the same time? Yes
Group type Family
Application for a visitor visa
I want to apply for a: visitor visa or supervisa
To visit my spouse, common law partner, dependent child,

parent, step-parent, guardian or tutor who is in Canada
Why do you need a visa?
temporarily, such as an international student or temporary
worker
To visit our daughter, AHANA SINHA, who is working there

Tell us more about what you'll do in Canada. Include dates. after completion of her undergraduate study from University
of Toronto.
When will you enter Canada? 2022-07-02
When will you leave Canada? 2022-07-22
UCI (unique client identifier), if known 96415393
Representative
Are you applying on behalf of someone else? Yes
Are you an authorized paid representative? No
Who are you in relation to the person you're helping? Family member
Surname/last name SINHA
Given name/first name GOBINDA
Telephone number
Telephone type Residence
Select telephone number country or territory Other
Telephone number +65 68750116
31 HINDHEDE WALK, SOUTHAVEN II, #02-03, SINGAPORE

Address SINGAPORE 587967
Singapore
Email address gsinha99@gmail.com
Confirm your email address gsinha99@gmail.com
Date modified: 2022-03-28 03:34:01 UTCZ Page 1 of 11

Travel document information of the applicant
Given name/first name SUCHIRITA GOBINDA
Date of birth 1968-01-02
Gender Female
What document are you travelling with? Passport
What kind of passport? Regular
Select the country code that matches the one on your passport IND (India)
What's the nationality on your passport? India
What's your passport or travel document number? R8168378
Confirm your passport or travel document number R8168378
When was the passport issued? 2017-11-15
Date of expiry of the passport 2027-11-14
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? Yes
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 India
City or town where you were born CALCUTTA
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 India
I am a citizen of this country or territory since birth
From 1968-01-02
National identity document of the applicant
Do you have a valid national identity document? Yes
Document number FXKPS1623F
Confirm your document number FXKPS1623F
Date of issue 2015-01-08
Select the country or territory that issued this document India

Names used in the past
Have you used another name in the past? No
Contact information of the applicant
31 HINDHEDE WALK, SOUTHAVEN II, UNIT 02-03

Address SINGAPORE 587967
Singapore
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 Singapore
Status Permanent resident
From 2001-09-28
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? Yes
Do you want to give your biometrics again? No
Invitation
Who is inviting you?
Given name/first name AHANA
Relationship to you Family member
80 Queens Wharf Rd
Mailing address Toronto Ontario M5V 0J3
Canada
Telephone number
Telephone type Cellular
Select telephone number country or territory Canada/US
Telephone number 6476177951
Email address ah.sinhaa@gmail.com
Has someone else also invited you? No

Finances
How much money do you have for your stay in Canada? (In Canadian dollars - CAD) 10000
Is someone else giving you money for your stay in Canada? Yes
MY HUSBAND GOBINDA
SINHA WILL PROVIDE AS
WE WILL TRAVEL TO
Please provide details. CANADA TOGETHER. HE
HAS ATTACHED HIS
FINANCIAL BANK
STATEMENT TO SUPPORT.
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 CALCUTTA
currently studying.
From 1990-07
Level of study University - Master's Deg.
Field of study Arts/Humanities/Social Science
To 1992-06
87 1, COLLEGE STREET
Address KOLKATA
India
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 for the past 10 years.
From 2012-01
Ongoing
Work/Activity Homemaker
31 HINDHEDE WALK, SOUTHAVEN II, UNIT 02-03

Address SINGAPORE
Singapore

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 2019-03
To 2019-03
Country/territory Indonesia
Location/place where stationed BATAM
Purpose of travel To see places, tourism
From 2018-08
To 2018-08
Country/territory France
Location/place where stationed PARIS
From 2018-08
To 2018-08
Country/territory England
Location/place where stationed LONDON
From 2017-12
To 2017-12
Country/territory Malaysia
Location/place where stationed JOHOR BAHRU
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 1995-11-26
Name of spouse/common-law partner
Given name/first name GOBINDA
Country or territory of birth India
Present occupation Management occupations
Is their address the same as yours? Yes
Will your spouse/common-law partner accompany you to

Yes
Canada?
Children
Do you have any biological, adopted or step-children? Yes
Given name/first name AHANA
Relationship Daughter
Does this child have the same address as you? No
80 Queens Wharf Rd
Present Address Toronto Ontario M5V 0J3
Canada
If the child is not in Canada, will they accompany you to

No
Canada?

Tell us about your parents
Surname/last name BOSE
Given name/first name GOPAL CHANDRA
Relationship Father
Present occupation RETIRED
Does this parent have the same address as you? No
17 MURARIPUKUR ROAD, HOUSING ESTATE, BLOCK A,

FLAT 3
Address
KOLKATA 700067
India
Will this parent come with you to Canada? No
Surname/last name BOSE
Given name/first name RUBY
Relationship Mother
Present occupation HOMEMAKER
Does this parent have the same address as you? No
17 MURARIPUKUR ROAD, HOUSING ESTATE, BLOCK A,

FLAT 3
Address
KOLKATA 700067
India
Will this parent come with you to Canada? No
Language of the applicant
What is your native language or mother tongue? Bengali
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 gsinha99@gmail.com
Confirm your email address gsinha99@gmail.com

Telephone number of the applicant
Telephone type Cellular
Select telephone number country or territory Other
Telephone number +65 81570332
Documents to support your application
Document name Immigration status (proof)
File name SSINHA_NRIC_REENTRY PERMIT.pdf
Size of the Document 182.00 KB
Date/time uploaded 2022-03-28 03:34:00 UTCZ
Document name National identity document
File name PAN_CARD_SSINHA.pdf
Document name Passport/travel document
File name SINHA_PASSPORT_FULL.pdf
Size of the Document 1,120.00 KB
Document name Use of representative IMM5476
File name imm5476e_GSINHA_Signed.pdf
Document name Marriage certificate
File name GSINHA_SSINHA_Marriage_Cert.pdf
Document name Additional documents
File name Cover Letter for Canada Visa_Mar22_Signed_Supp.pdf
Size of the Document 1,549.00 KB

Fees
Fee Quantity Price Total
Visitor visa 1 CAN$100 CAN$100
Total CAN$100
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.
Given name/first name SUCHORITA GOBINDA
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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SUCHIRITA GOBINDA SINHA (V400265189) Protected B

Group type Family

Application for a visitor visa

I want to apply for a: visitor visa or supervisa

To visit my spouse, common law partner, dependent child,

To visit our daughter, AHANA SINHA, who is working there

When will you enter Canada? 2022-07-02

When will you leave Canada? 2022-07-22

UCI (unique client identifier), if known 96415393

Are you applying on behalf of someone else? Yes

Are you an authorized paid representative? No

Surname/last name SINHA

Given name/first name GOBINDA

Select telephone number country or territory Other

Telephone number +65 68750116

31 HINDHEDE WALK, SOUTHAVEN II, #02-03, SINGAPORE

Email address gsinha99@gmail.com

Confirm your email address gsinha99@gmail.com

Date modified: 2022-03-28 03:34:01 UTCZ Page 1 of 11

Travel document information of the applicant

Surname/last name SINHA

Given name/first name SUCHIRITA GOBINDA

Date of birth 1968-01-02

What document are you travelling with? Passport

What kind of passport? Regular

What's the nationality on your passport? India

What's your passport or travel document number? R8168378

Confirm your passport or travel document number R8168378

When was the passport issued? 2017-11-15

Date of expiry of the passport 2027-11-14

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 India

City or town where you were born CALCUTTA

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 India

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 FXKPS1623F

Confirm your document number FXKPS1623F

Date of issue 2015-01-08

Select the country or territory that issued this document India

Date modified: 2022-03-28 03:34:01 UTCZ Page 2 of 11

Names used in the past

Have you used another name in the past? No

Contact information of the applicant

31 HINDHEDE WALK, SOUTHAVEN II, UNIT 02-03

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

Status Permanent resident

This is where I currently live.

Biometrics (fingerprints and photo) of the applicant

Do you want to give your biometrics again? No

Who is inviting you?

Surname/last name SINHA

Given name/first name AHANA

Relationship to you Family member

Select telephone number country or territory Canada/US

Telephone number 6476177951

Email address ah.sinhaa@gmail.com

Has someone else also invited you? No