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Canadian Trade Office in Taipei
Visa Section
2nd Floor, 369 Fu Hsing North Road
Taipei 105 , Taiwan
加拿大驻台 贸 办事处
签证组
台 市105 兴 369号2
One Application only is required per family, including spouse
and children under 18 years of age.
夫妻及18岁以下子 请使用同一张申请表.
IMPORTANT NOTICE: 重要通知:
Applications must be completed in English or French but the name of
employer should also be provided in Chinese characters. Applications must be
completed fully and accurately. The Applicant must personally sign the
Application Form. Failure to do any of the above may result in refusal of
the visa.
申请表必须以英文或法文填写,唯职业 中之公司或学校名称,
除以英/法文填写外,尚须以中文填写.申请表必须完全并正确
地填妥.申请人必须亲自在申请表上签名.如未遵循上
述几点可能会导致台端签证被拒.
PLEASE INCLUDE THE FOLLOWING WITH YOUR
APPLICATION:
送件时请缴交:
1. Valid passport, with at least one remaining blank visa page.
Taiwanese passport can only be signed by the bearer to be
valid. Note that the validity of a Canadian visa cannot exceed
the validity of the passport.
1.
护照(至少 有一空白签证页).
只有由申请人签署的台湾护照才属有效.并请注意:
加拿大访客签证之有效期是 能超过台端所持护照的
有效期.
2. One recent photograph. 2.最近照片一张.
3. Application Fee (Non-refundable) 3.申请手续费(送件后概 退费).
You may be asked to provide further documentation. 如有需要,本处得要求台端提供别的文件.
OFFICE HOURS: Monday to Friday
09:00 - 11:00 - To submit Visa Applications
14:00 - 16:00 - To Pick up Visa (The next working day after submission
of applications)
作业时间:星期一至星期五
09:00 - 11:00 - 签证送件
14:00 - 16:00 - 取签证(送件后次一工作日)
加 拿 大 短 期 停 签 证 申 请 表
APPLICATION FOR A CANADA TEMPORARY RESIDENT VISA
1. Surname (Family Name) 英文姓 Given Names 英文名 For Official Use
CVV
Chinese Characters 中文姓名 2. I/D Card 身分证字号 APPROVED INTERVIEW
YES NO YES NO
CATEGORY
3. Other Names (Aliases) 其他姓名 4. Date of Birth 出生日期Day日/ Month月/ Year
VALIDITY PERIOD
5. Place of Birth 出生地 6. Present Citizenship 目前国籍 7. Sex 性别
ENTRIES
Male 男 Female 1 M T
8. Marital Status 婚姻 况
Single (Never married) Engaged Married Widowed Separated Divorced
AUTHORIZED OFFICER
未婚 订婚 已婚 丧侣 分居 婚
9. Current Address 现 地址 Telephone No. 电话号码 MEDS DATE
_________
10. Present Occupation of Principal
Applicant 主申请人目前职业
Name & Address of Employer or School of Principal Applicant, if applicable
公司或就 学校之名称及地址
Telephone No. 电话号码
Length of Employment在职期间
Salary 月薪
11. Travel Document No. 护照号码 Country of Issue 发照国 Date of Issue 发照日期 Date of Expiry 效期截止日期
12. Purpose of My Visit to Canada 访加拿大目的
13. Length of Stay 停 期 14. Entries Required 需入境次 15. Proposed Date of Arrival in Canada 预定到达加拿大日期
Day 日 Month 月 Year
week(s) 周 day(s) 日 Single 一次 Multiple 多次 Transit 过境 / /
CONTINUED OVERLEAF (Formulaires francais disponibles sur demande)请看背面 IMM 5257 (TPE 2.91)
16. Particulars of any family members, spouse or common-law partner and children under the age of 18 years, who will accompany you to Canada.
同 之配偶或同居人及未满18岁子 的资
Full Name Date of Birth & Place of Birth Relationship to Applicant Citizenship/Travel Document No./ Expiry Date
全名 出生日期及地点 与主申请人之关系 国籍/护照号码/有效日期
17. Address in Canada. Please indicate name of hotel, if known. 抵达加拿大后之停 地址.如已知停 名称,请注明.
18. Name and address of person(s) I will be visiting in Canada. 在加拿大停 期间本人将会 下 人员
Name Address in Canada Relationship to Applicant
姓名 加拿大地址 与本人的关系
19. Have you or any member of your family accompanying you to Canada ever:
台端或任何随 家属曾经有下 情形:
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
Yes 是 No 否
在过去 ,您或您的家庭成员是否患有肺结核或曾与肺结核患者有密 接触
b. have any physical or mental disorder for which that person will require social and/or health services, other than medication,
during the stay
Yes 是 No 否
是否患有任何身体或 疾病,因而在加拿大停 期间除 得服药之外还必须要有社会及/或医 照护
c. committed a criminal offence in any country Yes 是 No 否
曾在任何国家犯罪
d. been convicted of any crime in any country or are currently charged with a crime in any country Yes 是 No 否
曾在任何国家被定罪或目前在任何国家被指控犯罪
e. been refused a visa to travel to Canada Yes 是 No 否
曾被拒绝加拿大签证
f. been refused admission to or ordered to leave Canada Yes 是 No 否
曾被拒绝入境加拿大或被命 开加拿大
g. applied for a Canadian Immigration Visa Please provide details. Yes 是 No 否
曾申请加拿大移民签证 如有,请提供详情.
h. in periods of either peace or war, been involved in the commission of war crime or crime against humanity Yes 是 No 否
在平时或战时,曾涉入战争罪 或违返人道之罪
* If you answered "yes" to any of the above, please provide details.
如上述之任何一个问题的答案为 "是",则请 明详情.
20. I declare that I have answered all required questions in this application fully and truthfully, and I understand that untruthful
information may result in refusal of my visitor visa application.
本人谨声明已完全照实回答本申请表上的所有问题,同时本人了解 实的资 会导致签证被拒..
One Photograph
of each applicant
请贴各个申请人照片一张
於此及空白处
Signature of Applicant Date
申请人签名 日期
Stamp of Travel Agency:
代办 社送件印章:
The information you provide on this form is collected under the authority of the immigration and Refugee Protection
Act to determine if you may be admitted to Canada as a temporary resident. It will be stored in Personal Information
Bank CIC PPU 051, Foreign Temporary Resident Records and Case File. It is protected and accessible under the
Privacy Act and the Access to Information Act. 台端提供於本申请表之资 系根据移民及难民保护法以 判定台
端是否可短期入境加拿大.这些资 将存放在公民暨移民部的资 库内受到保护并可依隐私法及资讯获取法
取得.
Visa Section
2nd Floor, 369 Fu Hsing North Road
Taipei 105 , Taiwan
加拿大驻台 贸 办事处
签证组
台 市105 兴 369号2
One Application only is required per family, including spouse
and children under 18 years of age.
夫妻及18岁以下子 请使用同一张申请表.
IMPORTANT NOTICE: 重要通知:
Applications must be completed in English or French but the name of
employer should also be provided in Chinese characters. Applications must be
completed fully and accurately. The Applicant must personally sign the
Application Form. Failure to do any of the above may result in refusal of
the visa.
申请表必须以英文或法文填写,唯职业 中之公司或学校名称,
除以英/法文填写外,尚须以中文填写.申请表必须完全并正确
地填妥.申请人必须亲自在申请表上签名.如未遵循上
述几点可能会导致台端签证被拒.
PLEASE INCLUDE THE FOLLOWING WITH YOUR
APPLICATION:
送件时请缴交:
1. Valid passport, with at least one remaining blank visa page.
Taiwanese passport can only be signed by the bearer to be
valid. Note that the validity of a Canadian visa cannot exceed
the validity of the passport.
1.
护照(至少 有一空白签证页).
只有由申请人签署的台湾护照才属有效.并请注意:
加拿大访客签证之有效期是 能超过台端所持护照的
有效期.
2. One recent photograph. 2.最近照片一张.
3. Application Fee (Non-refundable) 3.申请手续费(送件后概 退费).
You may be asked to provide further documentation. 如有需要,本处得要求台端提供别的文件.
OFFICE HOURS: Monday to Friday
09:00 - 11:00 - To submit Visa Applications
14:00 - 16:00 - To Pick up Visa (The next working day after submission
of applications)
作业时间:星期一至星期五
09:00 - 11:00 - 签证送件
14:00 - 16:00 - 取签证(送件后次一工作日)
加 拿 大 短 期 停 签 证 申 请 表
APPLICATION FOR A CANADA TEMPORARY RESIDENT VISA
1. Surname (Family Name) 英文姓 Given Names 英文名 For Official Use
CVV
Chinese Characters 中文姓名 2. I/D Card 身分证字号 APPROVED INTERVIEW
YES NO YES NO
CATEGORY
3. Other Names (Aliases) 其他姓名 4. Date of Birth 出生日期Day日/ Month月/ Year
VALIDITY PERIOD
5. Place of Birth 出生地 6. Present Citizenship 目前国籍 7. Sex 性别
ENTRIES
Male 男 Female 1 M T
8. Marital Status 婚姻 况
Single (Never married) Engaged Married Widowed Separated Divorced
AUTHORIZED OFFICER
未婚 订婚 已婚 丧侣 分居 婚
9. Current Address 现 地址 Telephone No. 电话号码 MEDS DATE
_________
10. Present Occupation of Principal
Applicant 主申请人目前职业
Name & Address of Employer or School of Principal Applicant, if applicable
公司或就 学校之名称及地址
Telephone No. 电话号码
Length of Employment在职期间
Salary 月薪
11. Travel Document No. 护照号码 Country of Issue 发照国 Date of Issue 发照日期 Date of Expiry 效期截止日期
12. Purpose of My Visit to Canada 访加拿大目的
13. Length of Stay 停 期 14. Entries Required 需入境次 15. Proposed Date of Arrival in Canada 预定到达加拿大日期
Day 日 Month 月 Year
week(s) 周 day(s) 日 Single 一次 Multiple 多次 Transit 过境 / /
CONTINUED OVERLEAF (Formulaires francais disponibles sur demande)请看背面 IMM 5257 (TPE 2.91)
16. Particulars of any family members, spouse or common-law partner and children under the age of 18 years, who will accompany you to Canada.
同 之配偶或同居人及未满18岁子 的资
Full Name Date of Birth & Place of Birth Relationship to Applicant Citizenship/Travel Document No./ Expiry Date
全名 出生日期及地点 与主申请人之关系 国籍/护照号码/有效日期
17. Address in Canada. Please indicate name of hotel, if known. 抵达加拿大后之停 地址.如已知停 名称,请注明.
18. Name and address of person(s) I will be visiting in Canada. 在加拿大停 期间本人将会 下 人员
Name Address in Canada Relationship to Applicant
姓名 加拿大地址 与本人的关系
19. Have you or any member of your family accompanying you to Canada ever:
台端或任何随 家属曾经有下 情形:
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
Yes 是 No 否
在过去 ,您或您的家庭成员是否患有肺结核或曾与肺结核患者有密 接触
b. have any physical or mental disorder for which that person will require social and/or health services, other than medication,
during the stay
Yes 是 No 否
是否患有任何身体或 疾病,因而在加拿大停 期间除 得服药之外还必须要有社会及/或医 照护
c. committed a criminal offence in any country Yes 是 No 否
曾在任何国家犯罪
d. been convicted of any crime in any country or are currently charged with a crime in any country Yes 是 No 否
曾在任何国家被定罪或目前在任何国家被指控犯罪
e. been refused a visa to travel to Canada Yes 是 No 否
曾被拒绝加拿大签证
f. been refused admission to or ordered to leave Canada Yes 是 No 否
曾被拒绝入境加拿大或被命 开加拿大
g. applied for a Canadian Immigration Visa Please provide details. Yes 是 No 否
曾申请加拿大移民签证 如有,请提供详情.
h. in periods of either peace or war, been involved in the commission of war crime or crime against humanity Yes 是 No 否
在平时或战时,曾涉入战争罪 或违返人道之罪
* If you answered "yes" to any of the above, please provide details.
如上述之任何一个问题的答案为 "是",则请 明详情.
20. I declare that I have answered all required questions in this application fully and truthfully, and I understand that untruthful
information may result in refusal of my visitor visa application.
本人谨声明已完全照实回答本申请表上的所有问题,同时本人了解 实的资 会导致签证被拒..
One Photograph
of each applicant
请贴各个申请人照片一张
於此及空白处
Signature of Applicant Date
申请人签名 日期
Stamp of Travel Agency:
代办 社送件印章:
The information you provide on this form is collected under the authority of the immigration and Refugee Protection
Act to determine if you may be admitted to Canada as a temporary resident. It will be stored in Personal Information
Bank CIC PPU 051, Foreign Temporary Resident Records and Case File. It is protected and accessible under the
Privacy Act and the Access to Information Act. 台端提供於本申请表之资 系根据移民及难民保护法以 判定台
端是否可短期入境加拿大.这些资 将存放在公民暨移民部的资 库内受到保护并可依隐私法及资讯获取法
取得.
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