TR 6279207 1

STANLEY MELLY KIRWA (V401714868) 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,

Why do you need a visa?
conference, event, or training
To Attend Gem Expo Show Toronto

Tell us more about what you'll do in Canada. Include dates.
From 27-29 October 2023
When will you enter Canada? 2023-10-24
When will you leave Canada? 2023-11-02
Representative
Are you applying on behalf of someone else? No
Travel document of the applicant
Surname/last name MELLY KIRWA
Given name/first name STANLEY
Date of birth 1983-12-25
Gender Male
Date modified: 2023-09-04 19:24:11 UTCZ Page 1 of 11

Travel document information 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? AK0584038
Confirm your passport or travel document number AK0584038
When was the passport issued? 2019-11-05
Date of expiry of the passport 2029-11-04
Are you a lawful permanent resident of the United States with a valid Green Card
No
(alien 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 Eldoret
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 1983-12-25
National identity document of the applicant
Do you have a valid national identity document? Yes
Document number 24535245
Confirm your document number 24535245
Date of issue 2005-01-19
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
Manually input address

58
Address
ELDoret
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 1983-01-01
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
Yes
valid?
Do you want to give your biometrics again? No
Invitation
Who is inviting you?
Surname/last name moorani
Given name/first name salim
Relationship to you Organization
Name of organization or conference Gem EXpo Show Toronto

1416-65 Wynford Heights Cres
Mailing address
North York Ontario M3C 1L7
Canada
Telephone number
Telephone type Residence
Select telephone number country or territory Canada/US
Telephone number 6477739001
Email address salim@thegemexpo.com
Has someone else also invited you? No

Special event information
Did we give your organization or conference a special event code? No
Finances
How much money do you have for your stay in Canada? (In Canadian dollars -
8500
CAD)
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

No
vocational school)? You don't need to have completed a degree or diploma.
Work/activities history
Military/police history
Did you serve in any military, militia, civil defence unit, security organization or
No
police force (including non-obligatory service, reserve or voluntary units)?
Give details of all your employment and activities for the past 10 years.
From 2001-12
To 2021-12
Work/Activity Unemployed

58 ziwa
Address
Eldoret
Kenya
From 2022-01
Ongoing
Trades, transport and equipment

Work/Activity
operators and related occupations
Contractors and supervisors in

Job title agriculture, horticulture and related
operations and services
Company/employer METTO COMPANY
Main duties of the job SUPERVISOR

14707
Address
NAIROBI
Kenya

Travel history
During the past 5 years have you travelled to a country or territory other than the
No
one where you're a citizen or where you live now?
Have you ever stayed in Canada beyond the validity of your status, attended
school in Canada without authorization, or worked without authorization in No
Canada?
Have you ever been refused a visa or permit, denied entry to, or ordered to leave
Yes
any country or territory?
Provide as many details as possible about when that happened and why. This will financial status, family ties and personal
help with processing your application. assets
Criminality and security
Have you ever committed any crime in any country or territory (this includes
No
driving under the influence of alcohol or drugs)?
Have you ever been arrested for any criminal offence in any country or territory
No
(this includes driving under the influence of alcohol or drugs)?
Have you ever been charged for any criminal offence in any country or territory
No
Have you ever been convicted for any criminal offence in any country or territory
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
No
means to achieving a political or 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

No
civilians, looting or desecration of religious buildings?
Medical background questions
Have you had a medical exam performed by an IRCC authorized panel physician
No
(doctor) within 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
No
tuberculosis?

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
No
others, or to be hospitalized?
Have you had a mental health condition causing you to be a threat to yourself or
No
others, or to 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 2008-12-31
Name of spouse/common-law partner
Surname/last name jepleting
Given name/first name Pouline
Country or territory of birth Kenya
Present occupation Unemployed
Is their address the same as yours? Yes
Will your spouse/common-law partner accompany you to Canada? No

Children
Do you have any biological, adopted or step-children? Yes
Surname/last name kimutai
Given name/first name mallon
Relationship Son
Does this child have the same address as you? Yes
If the child is not in Canada, will they accompany you to Canada? No
Surname/last name kipkoech
Given name/first name felx
Relationship Son
Surname/last name cheptoo
Given name/first name shamila
Relationship Daughter

Tell us about your parents
Surname/last name Birgen
Given name/first name Shadrack
Relationship Father
Present occupation farmer
Does this parent have the same address as you? Yes
Will this parent come with you to Canada? No
Surname/last name Kimeli
Given name/first name sara
Relationship Mother
Date of birth 1959-**-**
Present occupation farmer
Does this parent have the same address as you? Yes
Will this parent come with you to Canada? No
Language of the applicant
What is your native language or mother tongue? Kiswahili
Can you communicate in English and/or French? Both
Which language are you most comfortable using? English
What language do you want us to use to contact you? English
Email address of applicant
Email address stanleykirwamelly@gmail.com
Confirm your email address stanleykirwamelly@gmail.com

Telephone number of the applicant
Telephone type Cellular
Select telephone number country or territory Other
Telephone number +254 720444231
Telephone type Cellular
Select telephone number country or territory Other
Telephone number +254 720444231

Documents to support your application
Document name Letter of invitation
File name AK0584038_compressed.pdf
Size of the Document 361.00 KB
Date/time uploaded 2023-09-04 19:24:11 UTCZ
Document name National identity document
File name Family ties (2).pdf
Size of the Document 1,038.00 KB
Document name Passport/travel document
File name TRAVEL HISTORY AND DOCUMENTS.pdf
Size of the Document 1,763.00 KB
Document name Funds (proof)
File name stantley bank statement.pdf
Document name Consent personal information
File name stanley sop FINAL 1.pdf
Document name Employer letter (current)
File name doc09059720230904152140.pdf
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.
Surname/last name MELLY
Given name/first name
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.

TR 6279207 1

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

TR 6279207 1

Uploaded by

Copyright:

Available Formats

STANLEY MELLY KIRWA (V401714868) Protected B

Application for a visitor visa

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

For business reasons, like a meeting,

To Attend Gem Expo Show Toronto

When will you enter Canada? 2023-10-24

When will you leave Canada? 2023-11-02

Are you applying on behalf of someone else? No

Travel document of the applicant

Surname/last name MELLY KIRWA

Given name/first name STANLEY

Date of birth 1983-12-25

Date modified: 2023-09-04 19:24:11 UTCZ Page 1 of 11

Travel document information 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? AK0584038

Confirm your passport or travel document number AK0584038

When was the passport issued? 2019-11-05

Date of expiry of the passport 2029-11-04

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 Eldoret

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 24535245

Confirm your document number 24535245

Date of issue 2005-01-19

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: 2023-09-04 19:24:11 UTCZ Page 2 of 11

Contact information of the applicant

Manually input address

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

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 moorani

Given name/first name salim

Relationship to you Organization

Name of organization or conference Gem EXpo Show Toronto

Manually input address

Telephone type Residence

Select telephone number country or territory Canada/US

Telephone number 6477739001

Email address salim@thegemexpo.com

Has someone else also invited you? No

Date modified: 2023-09-04 19:24:11 UTCZ Page 3 of 11

Special event information

Did we give your organization or conference a special event code? No

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

Information about education, work and other activities

Date of birth 1959--