Form IMM 5257 - Application for a Temporary Resident Visa
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IMM 5257 E: Application for visitor visa (temporary resident visa)
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IMM 5257 F : Demande de visa de visiteur (visa de résident
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SCHEDULE 1 APPLICATION FOR TEMPORARY RESIDENCE
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IMM 5257E Schedule 1 : Application for a Temporary Resident Visa
IMM 5257 (06-2012) E. Schedule 1. PROTECTED WHEN COMPLETED - B. This form is made available by Citizenship and Immigration Canada and is not to be sold to
ANNEXE 1 DEMANDE DE STATUT DE RÉSIDENT TEMPORAIRE
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IMM 5721 E : DOCUMENT CHECKLIST TEMPORARY RESIDENT
FORMS LIST: The following forms must be completed signed and dated. Application for Temporary Resident Visa (IMM 5257). Note: If this application form is
IMM 5887 E : Temporary Resident Visa
Application for Temporary Resident Visa (IMM5257) form fully completed
imm5257e-Sample.pdf
IMM 5257 (06-2019) E. This form is made available by Immigration Refugees and Citizenship Canada and is not to be sold to applicants.
Untitled
Ce formulaire est produit par Citoyenneté et Immigration Canada et ne doit pas être vendu aux requérants. (AVAILABLE IN ENGLISH - IMM 5257 E). IMM 5257
PROTECTED WHEN COMPLETED - B
IMM 5257 (06-2019) E
This form is made available by Immigration, Refugees and Citizenship Can ada and is not to be sold to applicants. (DISPONIBLE EN FRANÇAIS - IMM 5257 F)PAGE 1 OF 5 APPLICATION FOR VISITOR VISA (TEMPORARY RESIDENT VISA) APPLICATION FOR VISITOR VISA (TEMPORARY RESIDENT VISA) If you need more space for any section, print out an additional page con taining the appropriate section, complete and submit it with your application.UCI* I want service in2* Visa requested3
PERSONAL DETAILS
1Full name
*Family name (as shown on your passport or travel document)Given name(s)
(as shown on your passport or travel document) 2Family name
Given name(s)Have you ever used any other name (e.g. Nickname, maiden name, alias, e tc.) ? * No* Yes *Sex3* Date of birth YYYYMM DDPlace of birth
* City/Town * Country or Territory *Citizenship 6Current country or territory of residence:
Country or TerritoryStatusOtherFromTo
Previous countries or territory of residence:
During the past five years have you lived in any country or territory o ther than your country of citizenship or your current country or territory of residence (indicate d above) for more than six months? * No* YesCountry or TerritoryStatusOtherFromTo
Country or Territory where applying:
* No* YesCountry or TerritoryStatusOtherFromTo
Same as current country or territory of residence?YYYY-MM-DDYYYY-MM-DD
YYYY-MM-DD YYYY-MM-DD
YYYY-MM-DD YYYY-MM-DD
YYYY-MM-DD
YYYY-MM-DD
457 8 9
Validated
OFFICE USE ONLY
1 b) (If you are married or in a common-law relationship)Provide the date
on which you were married or entered into the common-law relationship10* a) Your current marital statusDate
Family name
Given name(s)
c) Provide the name of your current Spouse/Common-law partnerYYYY-MM-DD
FOR OFFICE USE ONLY - DO NOT WRITE IN THIS SPACE
6HOHFW(QJOLVKRU)UHQFK9LVLWRU9LVD
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