HELAL AL-DHULMANI (V401852618) 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

transit visa or temporary special

I want to apply for a:
measures

To transit through Canada by air -

What exactly do you want to apply for? between 2 international flights, for less
than 48 hours

Transit through Canada Airport for a trip

Tell us more about what you'll do in Canada. Include dates. from Kuala Lumpur - Seattle 08.12.2023
08:00

When will you enter Canada? 2023-12-08

When will you leave Canada? 2023-12-08

Representative

Are you applying on behalf of someone else? No

Travel document of the applicant

Surname/last name AL-DHULMANI

Given name/first name HELAL

Date of birth 1997-06-02

Gender Male

Date modified: 2023-10-28 17:10:27 UTCZ Page 1 of 10

HELAL AL-DHULMANI (V401852618) Protected B

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 YEM (Yemen)

What's the nationality on your passport? Yemen

What's your passport or travel document number? 10424045

Confirm your passport or travel document number 10424045

When was the passport issued? 2021-09-20

Date of expiry of the passport 2027-09-20

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? Yes

Nonimmigrant visa number C8949132

Expiry date 2028-12-06

Are you using a different passport for this application than the one you used to
No
get your U.S. nonimmigrant visa?

Are you travelling to Canada by air? Yes

Citizenship and places where the applicant has lived

Country or territory where you were born Yemen

City or town where you were born DHAMAR

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 Yemen

I am a citizen of this country or territory since birth

From 1997-06-02

National identity document of the applicant

Do you have a valid national identity document? Yes

Document number 17010174076

Confirm your document number 17010174076

Date of issue 2015-02-10

Select the country or territory that issued this document Yemen

Date modified: 2023-10-28 17:10:27 UTCZ Page 2 of 10

HELAL AL-DHULMANI (V401852618) Protected B

Names used in the past

Have you used another name in the past? No

Contact information of the applicant

Manually input address

Jalam Pudu Hulu, Off, Jln Cheras,
Address Kuala Lumpur, Federal Territory of Kuala
Lumpur 56100
Malaysia

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 Yemen

Status Citizen

From 1997-06-02

This is where I currently live.

Finances

How much money do you have for your stay in Canada? (In Canadian dollars -
50000
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

Yes
vocational school)? You don't need to have completed a degree or diploma.

Date modified: 2023-10-28 17:10:27 UTCZ Page 3 of 10

HELAL AL-DHULMANI (V401852618) Protected B

Give details of each program you have studied and are currently studying. DHAMAR UNIVERSITY

From 2015-01

Level of study University - Bachelor's Deg.

Field of study Computing or IT

To 2020-12

Manually input address

Bukit Bintang
Address
Kuala Lumpur
Malaysia

University of Science and Technology

Give details of each program you have studied and are currently studying.
(Yemen)

From 2011-01

Level of study College - Diploma

Field of study Computing or IT

To 2015-12

Manually input address

Sana'a, Yemen
Address
Sana'a, Yemen
Yemen

Give details of each program you have studied and are currently studying. Al-Saeed Educational Complex

From 2009-01

Level of study Secondary School

Field of study Sciences, General

To 2015-12

Manually input address

DHAMAR,YEMEN
Address
DHAMAR
Yemen

Give details of each program you have studied and are currently studying. 7 JULE

From 2001-01

Level of study Primary School

Field of study Sciences, General

To 2009-12

Manually input address

Zubayri Street, Sana'a, Yemen
Address
Sana'a, Yemen
Yemen

Date modified: 2023-10-28 17:10:27 UTCZ Page 4 of 10

HELAL AL-DHULMANI (V401852618) Protected B

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 since the age of 18.

From 2021-01

Ongoing

Business, finance and administration

Work/Activity
occupations

Computer and information systems

Job title
professionals

Company/employer TELEYEMEN

Main duties of the job PROGRAMMER

Manually input address

85WW 6H6, Zubayri Street, Sana'a,
Address Yemen
Sana'a, Yemen
Yemen

Date modified: 2023-10-28 17:10:27 UTCZ Page 5 of 10

HELAL AL-DHULMANI (V401852618) Protected B

Travel history

During the past 5 years have you travelled to a country or territory other than the
Yes
one where you're a citizen or where you live now?

From 2021-10

To 2022-01

Country/territory Malaysia

Location/place where stationed kuala lumpur

Purpose of travel vacation

From 2018-08

To 2018-09

Country/territory Korea, South

Location/place where stationed SOUTH KOREA

Purpose of travel vacation

From 2018-07

To 2018-08

Country/territory United Arab Emirates

Location/place where stationed Dubai

Purpose of travel vacation

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
No
any country or territory?

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
(this includes driving under the influence of alcohol or drugs)?

Have you ever been convicted for any criminal offence in any country or territory
No
(this includes driving under the influence of alcohol or drugs)?

Date modified: 2023-10-28 17:10:27 UTCZ Page 6 of 10

HELAL AL-DHULMANI (V401852618) Protected B

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? Single

Children

Do you have any biological, adopted or step-children? No

I understand that I am not declaring any natural, adopted or step-children.

Date modified: 2023-10-28 17:10:27 UTCZ Page 7 of 10

HELAL AL-DHULMANI (V401852618) Protected B

Tell us about your parents

Surname/last name AL-DHULMANI

Given name/first name YAHYA

Relationship Father

Date of birth 1967-07-03

Country or territory of birth Yemen

Present occupation retired

Does this parent have the same address as you? Yes

Will this parent come with you to Canada? No

Surname/last name ZABIBA

Given name/first name ALI

Relationship Mother

Date of birth 1980-09-04

Country or territory of birth Yemen

Present occupation housewife

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? Arabic, Yemen, Judeo-Yemeni

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 hil212299@gmail.com

Confirm your email address hil212299@gmail.com

Telephone number of the applicant

Telephone type Cellular

Select telephone number country or territory Other

Telephone number +60 174308243

Date modified: 2023-10-28 17:10:27 UTCZ Page 8 of 10

HELAL AL-DHULMANI (V401852618) Protected B

Documents to support your application

Document name Travel itinerary

File name 2023-10-28-obFCfHj24.pdf

Size of the Document 25.00 KB

Date/time uploaded 2023-10-28 17:10:26 UTCZ

Document name U.S. non-immigrant visa

File name USE.jpg

Size of the Document 159.00 KB

Date/time uploaded 2023-10-28 17:10:26 UTCZ

Document name National identity document

File name identfy.pdf

Size of the Document 413.00 KB

Date/time uploaded 2023-10-28 17:10:26 UTCZ

Document name Passport/travel document

File name passport.pdf

Size of the Document 746.00 KB

Date/time uploaded 2023-10-28 17:10:26 UTCZ

Document name Employer letter (current)

File name Employment Contract TY.pdf

Size of the Document 832.00 KB

Date/time uploaded 2023-10-28 17:10:26 UTCZ

Document name Valid visa (final dest.)

File name USE.jpg

Size of the Document 159.00 KB

Date/time uploaded 2023-10-28 17:10:26 UTCZ

Document name Additional documents

File name DocCanada.pdf

Size of the Document 974.00 KB

Date/time uploaded 2023-10-28 17:10:26 UTCZ

Date modified: 2023-10-28 17:10:27 UTCZ Page 9 of 10

HELAL AL-DHULMANI (V401852618) Protected B

Fees

Fee Quantity Price Total

Visitor visa 1 CAN$100 CAN$0

Total CAN$0

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 AL-DHULMANI

Given name/first name HELAL

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
and advanced technologies to support processing of applications and decision making, including your application. Personal information, including from
computer analytics and advanced technologies, 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.

Date modified: 2023-10-28 17:10:27 UTCZ Page 10 of 10