English translation 1

Citizens and

Canadian Immigration Services

Citoyenneneté et al

Canadian Immigration Services

Page 1/Can Select discard 3

The service I want:

Ji veux exists servi (5) EN:

English

English

French

Fran? Accreditation Bodies

1

Single Entry Visa (County) Requirements

Visa (County) for United Nations Sejour Quebec (County)

Multiple-entry visa (county) requirements

Visa (county) multiples Quebec (county)

Transit visa (county) requirements

Victoria Saskatchewan (county) transiting Quebec (county)

The purpose of my visit is to visit Canada - object horse visit 1.00 Canada

Applicant

REQU? Speech

Number d - JMY -advertisement - JMY -advertisement - JMY -advertisement - JMY -A

Number d - JMY -advertisement - JMY -advertisement - JMY -advertisement - JMY - A

will accompany you to Canada?

Plaza accompagnera 1.00 Canada?

Last Name

Pseudonym Family

First Name

Prénom

Second Name

Alternative prenom

Relationship

Lien Chan Day parenté

Sex

Sexe

Date Birthday Day Birth

Place of birth

Instead of date of birth

Citizen

Citoyanneté

Passport number.

Number date passport

Passport expiration date

Date of expiration du passeport

Marital status

? Up to marriage

Instructions as long as you plan to stay in Canada

Veuillez indiquer for combien times square planifiez rester 1.00 canada

Available funds for me to stay in Canada

Economic Disposal, for Monday séjour 1.00 Canada, Japan

Probability 5257 (10-2006) B

45

Steward- Agent

Canadian DollarCanadian Dollar

23

Yes

Say No

NoNon

Delaware

?

Number of d-magazines? -A

Yes

Say no

NoNon

Yes

Say no

NoNon

Number of d-magazine?-A

Other (please provide details)

Alternative (Précisez dessous)

Business

Ministry of Foreign Affairs

Tourism

Tourist Office

Documents - Reference< /p>

Spouse or common-law partner and children

CONJOINT EUROPEAN CONJOINT OPTIONAL TO DROPPING FACILITY CHILDREN

My residential address on June 7 (if different from yours Mailing address)

Monday address personnelle (Municipal el différente de votre

Address mailing)

Protection completed

Protein ? Guertin University of New England FOIS REMPLI - B

Telephone number

Night phone

Fax number

Night télécopieur

Email

Courriel

This form must be in English or French

Chief formalaire doit exist rempli en Fran?ois? Authorized institution or English