Canada Temporary Resident Visa Application Pack

Canada Visitor Visa

This is a Canada Visitor Visa Application Information kit. This kit serves as
an aid for persons who wish to visit Canada and need to apply for a visa. Not
all countries need a visa to enter Canada. Please confirm that the country
for which you hold a passport needs a visa to enter Canada.
More than 35 million people visit Canada every year to enjoy the many great
attributes our country has to offer. You will need to meet certain entry
requirements depending on where you live, and the reason for your visit.
The visit visa application is formally called Temporary Resident Visa.
This kit is a reference guide that should be used to assist you in completing
the application form for a Temporary Resident Visa to Canada.
This application pack contains:
An eligibility guide
A list of countries that require a visa to enter Canada
Step-by-step instructions on how to complete the forms
List of documents you will need
Photo specification guide
Addresses where to send your application
Instructions on how to pay your fees
Sample application reviewed by a licensed professional
Free sample forms
How to use this kit:
Step 1: Read the instructions and review the sample form provided to you.
Step 2: Fill out the Temporary Resident Visa Application
Step 3: Submit your form with documents and fee

Canada Temporary Resident Visa Application Pack

Index

Who Can Apply?

List of countries that require a visa

Supporting Documentation

Photo Specification Guide

Instructions on completing the forms

Where to send your Application

10

How to pay the fees

10

Appendix
Visitor Visa Application Forms

Canada Temporary Resident Visa Application Pack

Who Can Apply?

You must meet the following requirements if you plan on visiting Canada:
have a valid passport or other travel document that has at least 6 months
validity
be physically healthy
be able to prove that you have ties, such as employment, home and family,
that will take you back to the country you are coming from
convince an immigration officer that you will leave Canada by the time
your visa expires
have enough money to sustain yourself for your stay. For more
information ask the Canadian consulate in your area.
Additional Requirements:
a Temporary Resident Visa, depending on your citizenship. Please see list
of countries that require a visa to Canada on page.
a medical exam
a letter from someone who lives in Canada, inviting you to visit.
Several situations can make you inadmissible into Canada. These could be
your involvement in criminal activity, human rights violations or
involvement organized crime. You can also be inadmissible for security,
health or financial reasons. If you have been convicted of a criminal offence,
you may be inadmissible in Canada.
Some examples of criminal offences are theft, manslaughter, assault, and
dangerous driving. For a list of criminal offences in Canada, please see the
Canadian Criminal Code.

Canada Temporary Resident Visa Application Pack

List of Countries that Require a Visa to Enter Canada
A
Afghanistan
Albania
Algeria
Angola
Argentina
Armenia
Azerbaijan
B
Bahrain
Bangladesh
Belarus
Belize
Benin
Bhutan
Bolivia
Bosnia-Herzegovina
Brazil
Bulgaria
Burkina Faso
Burundi
C
Cambodia
Republic of Cameroon
Cape Verde
Central African
Republic
Chad
Chile
China, Peoples
Republic of
Colombia
Comoros
Congo, Democratic
Republic of the
Congo, Republic of the
Costa Rica
Cuba
Czech Republic
D
Djibouti
Dominica
Dominican Republic
E
East Timor
Ecuador
Egypt
El Salvador

Equatorial Guinea
Eritrea
Ethiopia
F
Fiji
G
Gabon
Gambia
Georgia
Ghana
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
H
Haiti
Honduras
I
India
Indonesia
Iran
Iraq
Israel (only Israeli
citizens holding valid
Israeli Travel
Document in lieu of
National Passport)
Ivory Coast
J
Jamaica
Jordan
K
Kazakhstan
Kenya
Kiribati
Korea, North
Kosovo
Kuwait
Kyrgyzstan
L
Laos
Lebanon
Lesotho

Liberia
Libya
Lithuania (holders of nonbiometric passports only)
M
Macao S.A.R.
Macedonia
Madagascar
Malawi
Malaysia
Maldives Islands
Mali
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia, Fed. States
Moldova
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (Burma)
N
Nauru
Nepal
Nicaragua
Niger
Nigeria
O
Oman
P
Pakistan
Palau
Palestinian Authority
Panama
Paraguay
Peru
Philippines
Poland (holders of non-biometric
passports only)
Q
Qatar
R
Romania

Russia
Rwanda
S
Sao Tom e Principe
Saudi Arabia,
Kingdom of
Senegal
Serbia
Seychelles
Sierra Leone
Somalia
South Africa
Sri Lanka
Sudan
Surinam
Syria
T
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and
Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
U
Uganda
Ukraine
United Arab
Emirates
Uruguay
Uzbekistan
V
Vanuatu
Venezuela
Vietnam
Y
Yemen
Z
Zambia & Zimbabwe

Canada Temporary Resident Visa Application Pack

Supporting Documentation
The documents listed are usually needed with your application. However,
the local requirements of your country of residence may also apply. Please
verify all required documents with your local visa office before submitting
your application. You may do this by visiting their website or contacting
them by phone.
Proof of your identity
a passport or travel document, valid for at least another 6 months, that
guarantees your re-entry to the country that issued it.
two photos of you and any family members accompanying you
Proof of your financial sustenance
you must present proof of funds available to support you and
accompanying family members during your stay and to enable you to leave
Canada. This proof could be in the form of a bank statement, proof of
employment, pay stubs or copies of travelers cheques.
You must also provide proof of your immigration status in the country
from where you apply if you are not a citizen of that country
You must obtain a re-entry permit into the country you are applying from
if the government that issued your passport or travel document requires a
re-entry permit. This must be done before you apply for your visa to
Canada.
You must provide a photocopy of your national identity card if your
country of citizenship has one.
You may need to submit a marriage certificate and birth certificates for
any accompanying family members.
If your common-law partner is going to accompany you to Canada, you
may be required to complete the Statutory Declaration of Common-Law
Union (IMM 5409).

Canada Temporary Resident Visa Application Pack

In this case, you must also provide the evidence outlined on the form to
support your relationship.
You may require a medical exam. If you need one, the officer handling
your case will notify you and an appointment will be set up.
If you are using a representative to complete your application form, your
must include the Use of Representative form.

Canada Temporary Resident Visa Application Pack

Photo Specification Guide

Your application could be delayed if the guide is not followed.
Provide two identical photographs taken within the last six months. They
may be either black and white or colour.
The photos must be clear, well defined and taken against a plain white or
light-colored background.
If the photos are digital, they must not be altered in any way.
Your face must be square to the camera with a neutral expression. Do not
frown or smile. Keep your mouth closed.
You may wear prescription glasses as long as your eyes are clearly visible.
Sunglasses are not acceptable.
A hairpiece or other cosmetic accessory is acceptable if it does not disguise
your normal appearance.
If you must wear a head covering for religious reasons, make sure your full
facial features are visible.

The photos must show the full front view of the head, with the face in the
middle of the photo, and include the top of the shoulders.
The size of the head, from chin to crown, must be between 31 mm (1 1/4")
and 36 mm (1 7/16").
Crown means the top of the head or where the top of the head would be if it could be seen.

Canada Temporary Resident Visa Application Pack

Instructions on Completing the Forms

Your application will be returned to you if it is not properly
completed, or the required supporting documents have not been
submitted.
Attach a separate sheet of paper if you need more space and indicate the
letter or number of the question you are answering.
The form itself is self-explanatory; however, some questions may be
confusing. The following instructions are guides for only those questions
which may pose a problem for you.
Section 1
You must indicate whether you are applying for a single entry, multiple
entry, or transit visa.
Single Entry allows you to enter Canada only once. This means that
once you leave Canada, you may not re-enter until you have obtained a visa
again.
Multiple Entry - allows you to enter Canada from any country more than
once during the validity of the visa.
Transit Visa - is needed if you are traveling through Canada to another
country, need a temporary resident visa, and your flight will stop in Canada
for less than 48 hours.
Section 3
You must provide the reasons for your visit to Canada. Provide as much
information as possible on your planned visit. Include persons and places
you will be visiting.
Section 6
8

Canada Temporary Resident Visa Application Pack

Indicate your mailing address with which the government of Canada can
communicate with you. If your home address is different from your mailing
address, you must indicate it in section 7.
Section 12
This section contains questions regarding security. Please answer truthfully
by placing an X inside the box for yes or no. If you answer yes to any
question from c g, you must fill out the related information section. If you
answered no, you can leave the information section blank and proceed to
the next section.
Section 14
Please sign the application form. If you do not sign, your application will be
sent back to you. This signature is your guaranty that all information
contained in the application package is truthful.

Canada Temporary Resident Visa Application Pack

Where to Send Your Application
You must submit your application to the Canadian consulate that has
jurisdiction for your country. Please see the following website for a list of
consulates and countries.
http://cic.gc.ca/english/information/offices/missions.asp

How to Pay the Fees

Single entry - $ 75/person
Multiple entry - $150/ person
Family package - $400/ single or multiple
Please make sure that you meet the eligibility requirements before you
apply for the temporary resident visa and pay your fees. The processing
fee will not be refunded, no matter what the final decision on your
application. The fee will not be refunded even if you are refused. If you
apply again, you will have to pay the processing fee again. For information
on how to pay the fees, please use the following website to locate the
consulate in your area and its regulations. Methods of payment may vary by
region. Personal cheques are not accepted.
http://cic.gc.ca/english/information/offices/missions.asp

10

Citizenship and
Immigration Canada

PAGE 1 OF/DE 3

Citoyennet et
Immigration Canada

PROTECTED WHEN COMPLETED

PROTG UNE FOIS REMPLI

-B

APPLICATION FOR A TEMPORARY RESIDENT VISA MADE OUTSIDE OF CANADA

DEMANDE DE VISA DE RSIDENT TEMPORAIRE PRSENTE L'EXTRIEUR DU CANADA
I want service in:
Je veux tre servi(e) en :
1

English
Anglais

French
Franais

Single entry visa(s) requested

Visa(s) pour un seul sjour demand(s)

File - Rfrence

This form must be completed in English or French

Ce formulaire doit tre rempli en franais ou en anglais

Multiple entry visa(s) requested

Visa(s) pour entres multiples demand(s)

APPLICANT
REQURANT

Transit visa(s) requested

Visa(s) de transit demand(s)

SPOUSE OR COMMON-LAW PARTNER AND CHILDREN

CONJOINT OU CONJOINT DE FAIT ET ENFANTS

Family name
Nom de famille

Dinaschand

Dinaschand

Dinaschand

Dinaschand

First name
Prnom

Omesh

Dilranie

Indrajit

Nadia

Second name
Autre prnom

Chand

Devi

SELF
LUI-MME

Relationship
Lien de parent
Sex
Sexe

Male / Homme

Date of birth
Date de naissance

Son/Fils

Spouse/pouse

Female / Femme

Daughter/Fille

Male / Homme

Female / Femme

D-J

Y-A

D-J

Y-A

D-J

Y-A

D-J

Y-A

13

07

1966

24

10

1977

19

11

1995

23

06

1998

Place of birth
Lieu de naissance

GUYANA

GUYANA

GUYANA

GUYANA

Citizenship
Citoyennet

GUYANA

GUYANA

GUYANA

GUYANA

Passport no.
N de passeport

R0480040

R0480341

R0222121

R0221758

Passport expiry date

Date d'expiration du passeport
Marital status
tat matrimonial

D-J

Y-A

14

07

2019

Married / Mari

D-J

14

D-J

Y-A

D-J

Y-A

07

07

2016

30

06

2016

Yes
Oui

No
Non

Yes
Oui

No
Non

Yes
Oui

No
Non

The purpose of my visit to Canada is - Objet de ma visite au Canada

Tourism
Tourisme

Y-A

2019

Married / Mari

Will accompany you to Canada?

Vous accompagnera au Canada?
3

07

Business
Affaires

Other (Provide details below)

Autre (Prcisez ci-dessous)

For my uncle memorial service

D-J

Y-A

10

04

2015

Indicate how long you plan to stay in Canada

Veuillez indiquer pour combien de temps vous planifiez de rester au Canada

From
De

Funds available for my stay in Canada

Je dispose, pour mon sjour au Canada, de

10,000.00 $ CAN

To

D-J

Y-A

25

04

2015

CDN $

My current mailing address. All correspondence will go to this address unless you indicate your e-mail address below, thereby authorizing
correspondence, including file and personal information, be provided to the specified e-mail address. If you wish to authorize the release of
information from your case file to a representative, indicate their address below and on the form IMM 5476.
Mon adresse postale actuelle. Toute la correspondance sera envoye cette adresse, sauf si vous fournissez une adresse de courriel,
auquel cas la correspondance autorise, y compris vos renseignements personnels, sera envoye cette adresse de courriel. Si vous
dsirez autoriser la transmission de renseignements concernant votre dossier un reprsentant, indiquez son adresse ci-dessous et sur le
formulaire IMM 5476.

My residential address (if different from your mailing address)

Mon adresse personnelle (si elle est diffrente de votre
adresse postale)

Lot 69, Grant 1780, Crabwood Creek, Corentyne, Berbice, Guyana.

E-mail
Courriel

dianadinaschand@yahoo.com

Telephone number
Numro de tlphone

592-3350251

Fax number
Numro de tlcopieur
DO NOT WRITE IN THIS SPACE
ESPACE RSERV

Applicant

IMM 5257 (10-2006) B

Officer - Agent

THIS FORM HAS BEEN ESTABLISHED BY THE MINISTER OF CITIZENSHIP AND IMMIGRATION
FORMULAIRE TABLI PAR LE MINISTRE DE LA CITOYENNET ET DE L'IMMIGRATION

PAGE 2 OF/DE 3
8

a)

Immigration status of applicant(s) in country where applying:

Statut par rapport l'immigration du (des) requrant(s) dans le pays o la demande est prsente
Citizen
Citoyen

Permanent resident
Rsident permanent

Temporary Resident
Rsident Temporaire

Worker
Travailleur

My present job (Give the job title and a brief description of your position)
Ma profession actuelle (Indiquer le titre de votre emploi et une brve description du poste)

b)

D-J

Valid until
Valide jusqu'au

Y-A

Student
tudiant

10 Name and address of my present employer or school

Nom et adresse de mon employeur actuel ou de l'tablissement d'enseignement

Farmer
I am a farmer planting citrus,rice,provision and cash crops.

11 Name, address and relationship of any person(s) or institution I will visit are

Nom, adresse et lien de parent de toute personne qui je rendrai visite ou nom et adresse de tout tablissement que je visiterai
Name - Nom
Address in Canada - Adresse au Canada
Mahendra Chakalall
15 Chadwick street L6Y-4Y5 Brampton Ontario Canada

15 Chadwick street L6Y-4Y5 Brampton Ontario Canada

Aeshurie Chakalall

Relationship to me - Lien de parent

Brother-in-law
Sister

"X" THE APPROPRIATE BOX

INSCRIRE X DANS LA CASE APPROPRIE

12

a)

Within the past two years, have you or a family member had tuberculosis of the lung or been in close contact with a person with tuberculosis of the lung?
Au cours des deux dernires annes, avez-vous eu, vous ou un des membres de votre famille, la tuberculose pulmonaire ou t en contact avec une
personne qui a la tuberculose pulmonaire?

b)

Do you or an accompanying family member have any physical or mental disorder for which that person will require social and/or health services, other
than medication, during the stay?
Avez-vous, vous ou un des membres de votre famille qui vous accompagne, un trouble physique ou mental qui ncessiterait des services sociaux
et/ou des soins de sant autres que des mdicaments durant le sjour?

YES
OUI

NO
NON

YES
OUI

NO
NON

Have you or any member of your family ever:

Est-ce que vous-mme ou tout membre de votre famille :
c)

Committed, been arrested or charged with any criminal offence in any country?
Avez-vous commis, ou avez-vous t arrt pour avoir commis ou accus d'avoir commis une infraction pnale quelconque dans n'importe quel pays?

YES
OUI

NO
NON

d)

Been refused admission to, or ordered to leave Canada?

Vous a-t-on jamais refus l'admission au Canada, ou enjoint de quitter le Canada?

YES
OUI

NO
NON

e)

Applied for any Canadian Immigration visas

(e.g. Permanent Resident, Student, Worker, Temporary Resident (visitor), Temporary Resident Permit)?
Avez-vous demand un visa canadien auparavant?
(par exemple, un visa de rsident permanent, d'tudiant, de travailleur, de rsident temporaire [visiteur] ou un permis de sjour temporaire)?

YES
OUI

NO
NON

f)

Been refused a visa to travel to Canada?

Vous a-t-on jamais refus un visa pour le Canada?

YES
OUI

NO
NON

g)

In periods of either peace or war, have you ever been involved in the commission of a war crime or crime against humanity, such as: willful killing,
torture, attacks upon, enslavement, starvation or other inhumane acts committed against civilians or prisoners of war; or deportation of civilians?
En priode de paix ou de guerre, avez-vous dj particip la commission d'un crime de guerre ou d'un crime contre l'humanit, c'est--dire de tout
acte inhumain commis contre des populations civiles ou des prisonniers de guerre, par exemple, l'assassinat, la torture, l'agression, la rduction en
esclavage ou la privation de nourriture, etc., ou encore particip la dportation de civils?

YES
OUI

NO
NON

If you answer "yes" to any of the questions c) to g) above, you must provide details in the box below marked "Related information".
Si vous rpondez oui lune ou plusieurs des questions c) g) ci-dessus, vous devez fournir des dtails dans cette case Dtails .
Related information - Dtails

I was refused a visa in 1990,2006

13 During the past five years have you or any family member accompanying you lived in any other country than your country of

citizenship or permanent residence for more than six months?

Au cours des cinq dernires annes, avez-vous ou n'importe quel membre de votre famille vous accompagnant a-t-il vcu
dans un autre pays que votre pays de citoyennet ou de rsidence permanente pendant plus de six mois?
If answer to question 13 is "yes", list countries and length of stay
Si la rponse la case 13 est affirmative, indiquer le nom de ces pays et la dure du sjour
Name
Nom

YES
OUI

Length of stay - Dure du sjour

Country
Pays

From - De
D-J

14 I declare that I have answered all questions

in this application fully and truthfully.

Je dclare avoir donn des rponses exactes et
compltes toutes les questions de la prsente demande.

NO
NON

To -

Y-A

D-J

Signature of applicant - Signature du requrant

D-J

Y-A

Y-A

Date

This form has been established by the Minister of Citizenship and Immigration
Formulaire tabli par le ministre de la Citoyennet et de l'Immigration
The information you provide on this form is collected under the authority of the
Les renseignements fournis sur ce formulaire sont recueillis en vertu de la Loi sur
Immigration and Refugee Protection Act to determine if you may be admitted to
l'immigration et la protection des rfugis pour tablir si vous tes admissible au
Canada as a temporary resident. It will be stored in Personal Information Bank CIC
Canada titre de rsident temporaire
Ils seront verss au fichier de
PPU 051, Foreign Temporary Resident Records and Case File. It is protected and
renseignements personnels CIC PPU 051, Dossier et fichier de rsident temporaire.
accessible under the Privacy Act and the Access to Information Act.
Ils sont protgs et accessibles en vertu de la Loi sur la protection des
renseignements personnels et de la Loi sur l'accs l'information.
IMM 5257 (10-2006) B

Citizenship and
Immigration Canada

Citoyennet et
Immigration Canada

PAGE 3 OF/DE 3

APPLICATION FOR A TEMPORARY RESIDENT VISA MADE OUTSIDE OF CANADA

DEMANDE DE VISA DE RSIDENT TEMPORAIRE PRSENTE L'EXTRIEUR DU CANADA
PLEASE PRINT AND ATTACH THIS PAGE WITH YOUR APPLICATION
VEUILLEZ IMPRIMER ET ATTACHER CETTE PAGE VOTRE DEMANDE

DEPENDENT #1
DPENDANT #1

Dependent1

DEPENDENT #2
DPENDANT #2

Dependent2

DEPENDENT #3
DPENDANT #3

Dependent3

IMM 5257 (10-2006) B

THIS FORM HAS BEEN ESTABLISHED BY THE MINISTER OF CITIZENSHIP AND IMMIGRATION
FORMULAIRE TABLI PAR LE MINISTRE DE LA CITOYENNET ET DE L'IMMIGRATION

Citizenship and
Immigration Canada

Citoyennet et
Immigration Canada

PAGE 1 OF 1

DOCUMENT CHECKLIST
FOR A TEMPORARY RESIDENT VISA

The documents you need to attach to your application are detailed on this form. If any of the required documents are missing, your
application will be returned to you.
All documents in a language other than English or French must be translated. Provide both a photocopy of the document and the
translation in English or French.

Put an "X" in the box

when you have
enclosed the item

I have enclosed the following items:

Completed "Application for a Temporary Resident Visa" (IMM 5257)

Use of a Representative (IMM 5476), if applicable

Fee payment in an acceptable format. Verify acceptable methods of payment with the Visa office responsible

for your area.

Note: Visa offices cannot accept payment receipts from banks in Canada

"Statutory Declaration of Common-law Union" (IMM 5409) (if applicable)

For yourself and each accompanying family member included on the application:
Valid passport (there must be one completely blank page other than the last page, available in each passport)
Two photos, meeting the requirements of Appendix B - Photo Specifications. On the back of one photo (and only one)
in each set, write the name and date of birth of the person appearing in the photo

Photocopy of your current immigration document (if applicable)

(e.g. study permit, work permit or temporary resident permit)

Proof of financial support, as specified in the "Visiting Canada" section of this guide
Photocopy of your valid return ticket (if you have one)
Any additional documents required by the responsible visa office

IMM 5484 (09-2005) E

(DISPONIBLE EN FRANAIS - IMM 5484 F)