Canada Visa Form
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Application for a visitor visa or study permit                                                                                                                                                                     

I want to apply for a:

Why do you need a visa?

Tell us more about what you'll do in Canada. Include dates.

When will you enter Canada?

When will you leave Canada?

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Representative

Are you applying on behalf of someone else?

Travel document information of the applicant

Surname/last name

Given name/first name

Date of birth
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Gender

Clear selection
Travel document of the applicant

What document are you travelling with?

What kind of passport?

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What is the country code that matches the one on your passport

What's the nationality on your passport?

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What's your passport or travel document number?

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Confirm your passport or travel document number

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Date of issue of passport or travel document

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Date of expiry of your passport or travel document

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Are you a lawful permanent resident of the United States with a valid Green Card (alien registration card)?

Have you held a Canadian visitor visa in the past 10 years?

Do you currently hold a valid U.S. nonimmigrant visa?

Are you travelling to Canada by air?

Citizenship and places where the applicant has lived

Country or territory where you were born

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City or town where you were born

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Are you a citizen of more than one country or territory ?

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Which country or territory are you a citizen of?

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Since what date are you a citizen of this country or territory?

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National identity document of the applicant

Do you have a valid national identity document? If Yes, NIN Number and issue date

Do you have a valid national identity document? If Yes, NIN Number and issue date

Names used in the past

Have you used another name in the past?

Contact information of the applicant

What is Your country or territory

Street address

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City or town

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Is your mailing address the same as your residential address?

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What is Your country or territory

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What is your status in your country or territory of residence?

From

Is this where you currently live.?

Is this where you currently live.?

Biometrics (fingerprints and photo) of the applicant

Do we already have your fingerprints and photo (biometrics), and are they still valid?

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Do you want to give your biometrics again?

*
Finances

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

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Is someone else giving you money for your stay in Canada? If Yes, who?

*

Information about education, work and other activities

Have you ever studied at a post-secondary school (university, college or vocational school)? You don't need to have completed a deg or diploma.

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Name the school or institution where you studied, or where you currently study.

*

From

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To

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Level of study

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Field of study

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In what ountry or territory

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Street address

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City or town

*

Did you serve in any military, militia, civil defence unit, security organization or police force (including non-obligatory service, reserv or voluntary units)?

*

Work details in the past 10years

From

Ongoing

Work/Activity

What country or territory

Street address

City or town

Travel history

During the past 5 years have you travelled to a country or territory other than the 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 with authorization in Canada?

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Have you ever been refused a visa or permit, denied entry to, or ordered to leave any country or territory?

 

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Provide as many details as possible about when that happened and why. This will help with processing your application.

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Criminality and security

 Have you ever committed any crime in any country or territory (this includes driving under the influence of alcohol or drugs)?

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Have you ever been arrested for any criminal offence in any country or territory (this includes driving under the influence of alcohol drugs)?

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Have you ever been charged for any criminal offence in any country or territory (this includes driving under the influence of alcohol drugs)?

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Have you ever been convicted for any criminal offence in any country or territory (this includes driving under the influence of alcoho drugs)?

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Criminality and security questions

Are you or have you ever been a member or associated with any political party, or other group or organization which has engaged in advanced violence as a means to achieving a political or religious objective, or which has been associated with criminal activity at an time?

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Have you ever witnessed or participated in the ill treatment of prisoners or civilians, looting or desecration of religious buildings?

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Medical background questions

Have you had a medical exam performed by an IRCC authorized panel physician (doctor) within the last 12 months?

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Medical background questions- Tuberculosis

In the last 2 years, were you diagnosed with tuberculosis?

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In the last 5 years, have you been in close contact with a person with tuberculosis?

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Medical background questions

Are you currently receiving dialysis treatment?

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 Have you had a drug or alcohol addiction causing you to be a threat to yourself or others, or to be hospitalized?

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Have you had a mental health condition causing you to be a threat to yourself or others, or to be hospitalized?

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Have you ever been diagnosed with syphilis?

*
Family information

What is your current marital status?

*

Date of marriage or start of common-law relationship

*

Surname/last name of spouse

*

Given name/first name

*

Date of birth

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Country or territory of birth

*

Present occupation

Is their address the same as yours?

Will your spouse/common-law partner accompany you to Canada?

Children

Do you have any biological, adopted or step-children?

Surname/last name

Given name/first name

Date of birth

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Relationship

Country or territory of birth

 Does this child have the same address as you?

If the child is not in Canada, will they accompany you to Canada?

Tell us about your parents
Language of the applicant
What is your native language or mother tongue?

Can you communicate in English and/or French?

What language do you want us to use to contact you?

Phone Number of applicant

Phone Number

*
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