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1、Pleasekindlynote:CitizenshipandCitoyennetéetThiscompletedformisforyourinformationonly.ImmigrationCanadaImmigrationCanada敬請(qǐng)注意：此申請(qǐng)表格填寫樣本僅供您參考使用。APPLICATIONFORATEMPORARYRESIDENTVISAMADEOUTSIDEOFCANADA加拿大境外臨時(shí)居民簽證申請(qǐng)表Iwantservicein:EnglishFrenchThisformmustbecompletedinEnglishorFrenchFile–文件號(hào)所選服務(wù)語言種類:英語
2、法語此表格必須用英語或者法語填寫1Singleentryvisa(s)requestedMultipleentryvisa(s)requestedTransitvisa(s)requested單次入境簽證多次入境簽證過境簽證2APPLICANTSPOUSEORCOMMON-LAWPARTNERANDCHILDREN申請(qǐng)人配偶或普通法伴侶以及子女FamilynameZHANGZHAOZHANGZHANG姓FirstnameWUJIMINZHIRUOQINGSHU名SecondnameN/AN/AN/AN/A中間名RelationshipSELFSPOUSEDAUGHTERSON關(guān)系LUI-M
3、êMESexMALEFEMALEFEMALEMALE性別DateofbirthD–日M－月Y–年D–日M－月Y–年D–日M－月Y–年D–日M－月Y–年出生日期08081962060619650806199306081994PlaceofbirthZHEJIANGSHANGHAISHANGHAIZHEJIANG出生地點(diǎn)CitizenshipCHINACHINACHINACHINA國籍Passportno.G2001XXXXG2002XXXXN/AG2003XXXX護(hù)照號(hào)碼PassportexpirydateD–日M－月Y–年D–日M－月Y–年D–日M－月Y–年D–日M－月Y–年護(hù)照有效期至0
4、80820120606201208062012MaritalstatusMARRIEDMARRIEDSINGLESINGLE婚姻狀況WillaccompanyyoutoCanada?YesNoYesNoYesNo將隨同您去加拿大?是否是否是否3ThepurposeofmyvisittoCanadais-去加拿大的旅行目的-TourismBusinessOther(Providedetailsbelow)VISITMYSON旅游商務(wù)其它(請(qǐng)注明)4IndicatehowlongyouplantostayinCanadaFromD–日M－月Y–年ToD–日M－月Y–年您打算在加拿大逗留多長時(shí)間
5、從20022009至200320095FundsavailableformystayinCanadaCDN$為在加拿大逗留期間所準(zhǔn)備的資金加元8,000.006Mycurrentmailingaddress.Allcorrespondencewillgotothisaddressunlessyouindicateyoure-mailaddressbelow,therebyauthorizing7Myresidentialaddress(ifdifferentfromyourmailingaddress)correspondence,includingfileandpersonalinfor
6、mation,beprovidedtothespecifiede-mailaddress.Ifyouwishtoauthorizethereleaseof我的住址(如不同于您的通訊地址)informationfromyourcasefiletoarepresentative,indicatetheiraddressbelowandontheformIMM5476.我目前的通訊地址.所有的信息來往將寄到這個(gè)地址,除非您在下面提供了您的電子郵件地址–那么我們將把所有的信息發(fā)到你的郵箱里，RoomXXX,No.XX,LaneXXXLubanRoad包括文件和個(gè)人信息。如果您希望由您的代理獲取相關(guān)
7、的信息，請(qǐng)分別在下面和IMM5476表格中填寫他們的地址。LuwanDistrict,Shanghai200023No.XXXZhongshanRoad,YuyaoCountyNingboCity,ZhengjiangProvince,China315400E-mailHotmail@hotmail.comTelephonenumber139XXXXXXXXFaxnumber021-6390XXXX電子郵件電話號(hào)碼傳真號(hào)
