INFORMATION FOR TEMPORARY RESIDENT VISA

(To be filled by Sponsored/Visitor)

BASIC INFORMATION:

Full Name: Jasdeep Singh Sunner

Family Name: Sunner Given Name: Jasdeep

Have you ever used any other name? No

Family Name: Given Name:

Sex: Male Citizenship: India

Date of Birth(Y/M/D): 1998/09/26 Place of Birth: Meerapur, Punjab

Current country of residence: India Previous Countries of Residence:

Status: Permanent Status:

From(YY/MM/DD): 1998/09/26 From(YY/MM/DD):

TO (YY/MM/DD): Currently TO (YY/MM/DD):

Marital Status:
 Never Married ✔️
Date of marriage(YYYY/MM/DD):
 Married
 Widowed
 Legally separated Name of Spouse:
 Annulled marriage
 Divorced
 Common Law Family Name: Given Name:

Have you previously been married or in a common law relationship? No

Name of Spouse/Partner:

Date of Birth(YYYY/MM/DD): Type of Relationship:

From(YYYY/MM/DD): To(YYYY/MM/DD):
 Native Language(s): Punjabi Language Preferred for Correspondence: (English/French)

English

Have you taken a test from designated agency to assess your proficiency in English/French? No

UCI No.: Telephone No.: +91 9551000098

Residential Address:

Vill Meera Pur, PO Bara Pind , Tehsil Phillaur, Jalandhar, Punjab, India. (144418)

Passport No.: P9522089 Country of Issue: India

Date of Issue: 20/05/2017 Date of Expiry: 19/05/2027

EDUCATION DETAILS: If you have any post secondary education (including university, college or apprenticeship
training). Give details:

Year Institution Name Field of Type of City and

Study Certificate or Country
From(YY/ To(YY/MM)
Diploma Issued
MM)

EMPLOYMENT DETAILS: (For past 10 years, do not leave gaps)

From(YY/ To(YY/ Activity City/Town and Name of company, employer,

 MM) MM) Country etc

Present

DETAILS OF VISIT TO CANADA:

Purpose of Visit: Indicate how long you plan to stay:

 Business
 Tourism
 Short-term studies
 Returning Student
 Returning Worker
 Super Visa: Parents and Grand Parents From(YYYY/MM/DD):
 Family Visit
 Other

Specify purpose ________________________

_____________________________________
_____________________________________
_____________________________________ To(YYYY/MM/DD):
_____________________________________
_____________________________________
_____________________________________

Funds Available:

Name, Address or relationship of any person or institution you will visit:

 Name: Relationship;

Address:

FAMILY MEMBERS INFORMATION: (Must include Mother, Father, Spouse, Brothers, Sisters, Spouse,
Children, Step-children, and Step-siblings)

Name Relations Date of Birth Place of Marital Present Will Current Address
hip Birth Status Occupation accompa
(Y/M/D) (If deceased, give city&
ny you to
Town/City date)
Canada?
& Country

Dhanwant Father 1961/12/25 Meera Married Agriculture Vill Meera Pur, PO Bara
Singh Pur, Pind , Tehsil Phillaur,
Sunner Punjab Jalandhar, Punjab,
India. (144418)

Kashmir Mother 1967/09/21 Mathada Married Housewife Vill Meera Pur, PO Bara
Kaur Khurd, Pind , Tehsil Phillaur,
Sunner Jalandhar, Jalandhar, Punjab,
Punjab India. (144418)

Harjinder Grand 1940/04/01 Niholgarh Married Housewife Vill Meera Pur, PO Bara
Kaur mother , Punjab Pind , Tehsil Phillaur,
Sunner Jalandhar, Punjab,
India. (144418)

Jaspreet Sister 1996/12/30 Phagwara Single Relief 945 London Place, New
Kaur , Punjab Manager Westminster, BC
Sunner
 (Public V3M 4Z5
Storage)

Government Positions:

List any government positions (i.e. Civil Servant, Judge, Police officer, etc.)you have held if you have not held any
government positions, write "None"

Job title, Department/ Branch, You Country & JurisdictionLevel From To

Activity/Position Held Worked
(national,regional,etc.) YYYY/MM YYYY/MM

Military Service:
List any Military positions you have held if you have not held any Military positions, write "None”

From To Branch of service, units numbers Rank Dates and Reason for
YYYY/MM YYYY/MM and names of your commanding places of any end of
officers active combat service

Membership or Association with Organizations:

From To Name of Organization Activity/ Type of City and Country

YYYY/MM YYYY/MM Positions Held Organization

Travel History: List all your trips in last 10 years or since your 18th birthday if this was less than 10 years ago

From To Length Destination Purpose of travel Status in

YYYY/MM/DD YYYY/MM/DD (City,Town) country

2018/09/20 2018/09/23 4 Days Guangzhou, China Tourism

2018/09/23 2018/09/26 4 Days Kuala Lumpur, Malaysia Tourism

2024/05/03 2024/05/13 11 Days Frankfurt, Germany Tourism

BACKGROUND INFORMATION:

Within the past two years, have you or a family member ever had tuberculosis of the lungs or been in close contact
with a person with tuberculosis?

No

Do you have any physical or mental disorder that would require social and/or health services, other than medication,
during a stay in Canada?

No

Have you ever remained beyond the validity of the status, attended school without authorization or worked without
authorization in Canada?

No

Have you ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country?

No

Have you previously applied to enter or remain in Canada?

No

Have you ever committed, been arrested for, been charged with or convicted of any criminal offence in any country?

No

Did you serve in any military or civil defence unit or serve in a security organization or police force (including non-
obligatory national service, reserve or volunteer units)?

No

Are you, or have you ever been a member or associated with any political party, or other group or organization which
has engaged in or advocated violence as a means to achieving a political or religious objective, or which has been
associated with criminal activity at any time?

No

Have you ever witnessed or participated in the ill treatment of prisoners or civilians, looting or desecration of
religious buildings?

No

If answer to any of the above questions is Yes. Give Details.

NOTES:
Signature: