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1 Personal and Travel Information
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Please provide all responses in English

Applicant Information

In the Family Name field, enter your family name as the family name appears on your passport under the Family Name or Surname field. The family name is required to complete the application. ?

Enter your Family Name as shown on your passport This field is required.
Please provide your Given Name(s) (also known as "First Name") exactly as shown on your passport or identity document. ?

Enter your First Name as shown on your passport This field is required.
In the Birth Date field, chose the day on which you were born. The day of birth is required to complete the application ?
Select a correct date
In the Country field, choose the country. The country is required to complete the application. ?
Select one option
Enter the city, town, village, or hamlet in which you were born. The city, town, village, or hamlet where you were born is required to complete the application. If you do not know the city in which you were born, enter UNKNOWN. ?
This field is required.
Select one of the options
Never Married/Single: Never been married nor in a common-law relationship.
Married: Married means that two people have had a ceremony that legally binds them to each other. This marriage must be recognized under the laws of the country where it was performed and under Canadian law.
Common-law (also know as in Civil Union): A person who has been living with another person in a conjugal relationship for at least one year. The term refers to opposite-sex and same-sex relationships.
Legally separated: Separated means that two people are married but no longer living together, and they do not wish to live together again. They may be waiting for a divorce or have not yet decided to divorce.
Divorced: Divorced means that a court has granted a divorce and that a marriage has ended. The two people are no longer married.
Annulled marriage: A declaration that a marriage is not valid.
Widowed: Widowed means that a person’s spouse has died and that person has not remarried or entered into a common-law relationship.
?
Select one option
Please indicate the country of your citizenship, the country of the passport you will use to travel. If you do not find your country on this list, it means that your country is not eligible to apply for an online visa. ?
Select one option

Passport information

Choose the country of citizenship, as it appears on your passport. The country of citizenship is required to complete the application. ?
Select one option
This field is required.
Enter your passport number as it appears on your passport. The passport number may contain numbers and/or characters. Please closely distinguish between the number zero and the letter O. The passport number is required to complete the application or to check the status of your application. ?
Enter your passport number as it appears on your passport. The passport number may contain numbers and/or characters. Please closely distinguish between the number zero and the letter O. The passport number is required to complete the application or to check the status of your application. ?
Your passport number do not match
In the Day field, choose the day on which your passport was issued, as it appears on your passport under the Date of Issue field. The day on which the passport was issued is required to complete the application. In the Month field, choose the month in which your passport was issued, as it appears on your passport under the Date of Issue field. The month in which the passport was issued is required to complete the application. In the Year field, choose the year in which your passport was issued, as it appears on your passport under the Date of Issue field. The year in which the passport was issued is required to complete the application. ?
Select a correct date
In the Day field, choose the day on which your passport expires, as it appears on your passport under the Expiration Date field. The day on which the passport expires is required to complete the application. In the Month field, choose the month in which your passport expires, as it appears on your passport under the Expiration Date field. The month in which the passport expires is required to complete the application. In the Year field, choose the year in which your passport expires, as it appears on your passport under the Expiration Date field. The year in which the passport expires is required to complete the application. ?
Select a correct date The expiration date cannot be before the issuance date

Other data

Indicate whether you are a national or citizen of more than one country. ?
Select one of the options
In the Country field, choose the country. The country is required to complete the application. ?
Select one option
Select yes if, in the past, you submitted an application to come to Canada, such as a study permit, work permit or visitor visa. ?
Select one of the options
If, in the past, you submitted an application to come to Canada such as a study permit or work permit, you will have a Unique Client Identifier (UCI). Look for this number on letters you received from Citizenship and Immigration Canada or on the immigration document that was issued. Example: study permit, work permit, or visitor visa. If you do not know what your UCI is, enter your immigration document number. Example: study permit, work permit, or visitor visa number. ?
Select one option
Enter the e-mail address at which you can be contacted. The e-mail address is required to complete the application. If you do not have an e-mail address, you may provide an alternative third-party e-mail address belonging to a point of contact (e.g. a family member, friend or business associate). ?
The email is not correct
Your email does not match
This field is required.
In the Address Line field, enter the number and street of the location of your home address. Do not include the city and state in this field. Address line is required to complete the application. ?
This field is required.
Enter the Street Number of your residential address. Do not enter apartment, unit or suite numbers in this field. ?
This field is required.
In the Apartment Number field, enter apartment, suite, unit, or other, as appropriate. Do not include the city and state in this field. Apartment number is optional to complete the application. ?
In the City field, enter the city, town, village, or hamlet. The city, town, village, or hamlet is required to complete the application. ?
This field is required.
In the Country field, choose the country. The country is required to complete the application. ?
Select one option
Select the option that best describes your current employment situation. ?
Select one option
Select the option that best describes your job. ?
Select one option
Enter the name of your employer. If you are a student, enter the name of your school. You may also enter SELF-EMPLOYED, STUDENT, CHILD, HOMEMAKER, STAY AT-HOME PARENT, or any other word to describe your employment status. ?
This field is required.
From the drop-down menu, select the name of the country where your employer is located. If you are a student, select the country where your school is located. ?
Select one option
Enter the name of the city/town where your employer is located. If you are a student, enter the city where your school is located. ?
This field is required.
This field is required.

Background Questions

If your answer is yes, please provide as many details as possible. ?

This field is required.
If your answer is yes, please provide as many details as possible. ?

This field is required.

If your answer is yes, please provide as many details as possible. ?

This field is required.
If you have conmmitted or been convited of a crime, you may not be allowed into Canada. This includes both minor and serious crimes, such as: Theft, assault, manslaughter, dangerous driving, driving while under the influence of drugs or alcohol, possession of or trafficking in drugs or controlled substances. Information provided to CIC is collected under the authority of the Immigration and Refugee Protection Act (IRPA) to determine admissibility to Canada. Information provided may be shared with other Canadian government institutions such as, but not limited to, the Canada Border Services Agency (CBSA), the Royal Canadian Mounted Police (RCMP), the Canadian Security Intelligence Service (CSIS), the Department of Foreign Affairs, Trade and Development (DFATD), Employment and Social Development Canada (ESDC), the Canada Revenue Agency (CRA), provincial and territorial governments and foreign governments in accordance with subsection 8(2) of the Privacy Act.

Declaration of Applicant