You have some form errors. Please check below. Your form validation is successful! Name * Date of birth * Expiry date of your passport Address: Address 1 Address 2 City Province Zip/Postal Code Country --- Select Country --- Canada Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Coral Sea Islands Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo-Kinshasa Congo-Brazzaville Costa Rica Cote d Ivoire (Ivory Coast) Croatia Cuba Northern Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia South Ossetia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (North) Korea (South) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Pridnestrovie (Transnistria) Monaco Mongolia Montenegro Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somaliland South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Tajikistan Tanzania Thailand Timor-Leste (East Timor) Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Yemen Zambia Zimbabwe ----------------- Taiwan Christmas Island Cocos (Keeling) Islands Heard Island and McDonald Islands Norfolk Island New Caledonia Clipperton Island Mayotte Guadeloupe Saint Pierre and Miquelon Wallis and Futuna French Southern and Antarctic Lands Bouvet Island Cook Islands Niue Tokelau Guernsey Isle of Man Jersey Anguilla Bermuda British Indian Ocean Territory British Sovereign Base Are British Virgin Islands Cayman Islands Falkland Islands (Islas Malvinas) Gibraltar Montserrat Pitcairn Islands Saint Helena South Georgia and the South Sandwich Islands Turks and Caicos Islands Northern Mariana Islands Puerto Rico American Samoa Wake Island Guam U.S. Virgin Islands Hong Kong Macau Faroe Islands Greenland French Guiana Martinique Reunion Aland Aruba Netherlands Antilles Svalbard Ascension Tristan da Cunha British Antarctic Territory Kosovo Palestinian Territories - West Bank Western Sahara Email Address * Phone Marital status * Single Married / Common law Separated / Divorced Purpose of your visit * Tourism Business Short studies Visit family or friends Visit children and Grandchildren Other reason Other reason Who will accompany you to Canada? Companions:* Funds available for your visit * $ How you will pay for your travel expenses? * Please indicate if you, another person or institution will be covering your travel expenses Background information * Do you have any physical or mental illness? Have you ever had tuberculosis or been in contact with a person with tuberculosis? Have you ever worked, studied or remain in Canada without authorization? Have you ever been refused any kind of visa to Canada or any other country? For example, USA. Have you ever committed, been arrested, charged or convicted with any criminal offense? None applicable Other comments or questions Submit Form Read in: Français
