You are on page 1of 1

Host Supervisor Infomation

Name Miguel Vargas Martin

Title Associate Professor

Email miguel.vargasmartin@uoit.ca

Phone Extn 2834

Office Number (Including Building ID E.g. ERC ####) UB 3002

Faculty Business and IT

Name of Faculty Dean Dr. Pamela Ritchie

Visitor Scholar Information

Name Miguel Angel Ortiz Esparza

Email ing.miguel.o.e@gmail.com

Gender Male

Date of Birth Oct 26, 2015

Citizenship Mexican???

Country of Birth Mexico???

Passport Number ???

Expiry Date (Passport) Oct 26, 2015

Home Address ???


???, ??? Aguascalientes
Mexico

Duration of Visit (months) 3

StartDate
End
Home Date
Institution Mar 01,
May 31, 2016
2016

Research
Name
Status
Faculty/
Home
Phone
Upload of
Institution
at
the
Department
Home
Home
Information
Enrollment
Institution
Institution
AddressLetter (if the visitor is a Universidad
Masters
Departamento
Av.
524499107400
Letter
Universidad
of Student
Support
Autonoma
de940
-Sistemas
Ortizde
- MArch-May2016.pdf
Aguascalientes
Electricos
student) or Confirmation of Employment (if the visitor Aguascalientes, Ags Aguascalientes
Project
Type
Check
Does of
the
all
Title
is faculty)Research
visitor’s
applicable
from Home research
places tasks
whereinvolve
Institution research
the will
following?
take -Collaborative
Software
Labratory
Mexico Engineering
researchfor with
Inclusive
UOIT supervisor
Mobile Applications to Support Mathematics
place
If yes to any, please contact the Biosafety and Radiation Learning
Safety Officer, Human Resources

Funding
Hazardous
Animals
Human
Controlled
Do
Is
Howany
there
you
many
safety
anticipate
Subjects
enough
andGoods
visiting
materials,
Fees
training
lab
office
any
scholars
space
required
Equipment
intellectual
space for
are
for
this
before
you
this
and/or
property
visiting
currently
visiting
theagents?
visitor
scholar?
rights
scholar?
as a Yes
1
No
conducts
result
supervising
of this
any
including
visit?
research?those who are in the process of
Please
Upload
planningconfirm
the Funding
their this visit
visit? Letter
is funded - Yes
FundingLetter-March-May2016.pdf

Employer
Does this visiting
Compliance
scholar
Feerequire reimbursement of No
expenses from the host supervisors’ budget?
Does the
Under newVisiting
regulations
Scholar
fromalready
Citizenship
have authorization
and Immigration
NoCanada, the processing of a work permit for the visiting scholar requires the
to work inofCanada
payment a $230 for
employer
the duration
compliance
of theirfee.
visit?
Please provide the following information for the payment of the fee.

This form will be submitted to the International Office, which


Fund
Organization
Account 232001
2200
71245 will contact you shortly to complete the invitation process.
If you have any questions, please email internationaloffice@uoit.ca

By Submitting this form, you agree that the Visiting - I Agree


Scholar is responsible for applying for his/her own
WORK PERMIT.
I also understand that the International Office will
ONLY process the appropriate DOCUMENTS for the
WORK VISA, once the Proof of funding letter,
enrollment letter from Home institution/organization
and the Faculty Dean, Host Professor and Visiting
Scholar have SIGNED Invitation Letter.

You might also like