备注：1，如父母亲已经去世，也需要您填写。
2，儿女的身份界定，包括亲生儿女及正式继养、收养之子女
申请人之兄弟姐妹(包括同父异母及同母异父之兄弟姐妹)
此次是否是你的第一次出境旅行？若不是，请提供过去五年中所有出境旅行概况，包括目的地国家及旅行起始日期。 1， 2， 3，
我谨声明：本表所列各项内容均属事实且详尽
请注意：以上教育就业细节日期务必连贯。 我谨声明：本表所列各项内容均属事实且详尽。
申请人签字：
第二篇：加拿大签证申请审核表
Checklist for Private Visitor Temporary Resident Visa Application
(Visiting family or friends)
个人访问者临时居留签证申请审核表（探亲或访友）
Name: _________________
（姓 名）
Passport Number: ____________________
（护照号） Purpose of Visit: ____________________ （访问目的） Group No. if relevant: ________________ （团号，如有）
For official Yes/No/ If not, why not? 没use: dox 有? 有? 如没有，注明原因 present?
Original passport or travel document including at least one blank page, and valid for at least one month from the date
1. you intend to leave Canada.
至少有一页空白页的护照或旅行证件原件，此证件有效
期至少要持续到申请人计划从加拿大离境后的一个月
Three passport-size photos (colour or black and white) taken within the past 6 months and including the date of
birth (day/month/year) and applicant’s name clearly
2. printed in pinyin on the back of each photo.
三张在最近六个月内拍摄的护照相尺寸的照片（彩色或
黑白）并用清晰的印刷体拼音在每张照片后面注明申请
人姓名及出生日期（日/月/年）
Correct application processing fee. 3. 正确的申请受理费
Two self-addressed adhesive labels per person, including the applicant’s name, address and postal code in Chinese 4. characters.
两份用中文写有申请人姓名、地址及邮编的粘性贴纸
One signed (original signature) and dated copy of “Application for Temporary Resident Visa” Form
(English/French), including your employer’s telephone
5. and fax numbers in box 10.
一份申请人签名（原始签名）、注明日期并在第十栏写
明申请人雇主电话及传真号的“临时居住签证表”（英
文/法文）
One signed (original signature) and dated copy of the “Family Composition/Education and Employment” form
6. (Chinese and English/French).
一份申请人签字（原始签名）并注明日期的家属表及教
育和就业细节表格（中文及英文/法文）
A copy of the inviter’s citizenship or immigration status document (for example, IMM1000, IMM5292, Permanent
Resident Card – copies of both sides, Study Permit, Work 7. Permit).
邀请人的公民身份证明的复印件（例如 IMM1000，永
久居住卡两面的复印件，学习许可，工作许可）
An invitation letter stating the purpose of visit. 8. 说明访问理由的邀请信
A list showing all the people in the inviter’s household. 9. 附有邀请人家庭成员的清单
Parental Letter of Consent authorizing travel for children
10. under the age of 18 years.
十八岁以下的申请人须有父母的同意其旅行的同意函
2 11.
12.
13.
14.
15.
16.
17. A completed form “Use of a Representative” if applicable.一份填写完整的代理人信息表（如适用） Proof of inviters' income and financial situation. This should be in the form of independent, third-party documentation from a Canadian source which is reliable or easily verifiable (for example but not limited to: Canada Revenue Agency Notice of Assessments [NOA], employment letter showing salary, pay stubs, bank statements, T4 or financial statements prepared by a licensed professional). If inviter is studying, letter of acceptance from the school and/or transcripts. 邀请人的收入及财政状况证明，须为来自于加拿大的独立第三方性质的文件，可靠并且易核实（例如但不仅限于：加拿大税务总局出具的评估报告（简称NOA），显示收入情况的雇佣证明信，缴款存根，银行对账单，执业专业人士出具的T4或财务报表）。如果邀请人在学，学校出具的录取信及/或成绩单。 If employed, a signed original letter on letterhead paper from the employer granting leave of absence, and including the following information: the applicant’s name, position, and current salary. It must include the employer’s name and address in Chinese characters, as well as the telephone and fax number. 如果在职，带有公司抬头纸的由雇主签字的准假信原件，其中包含以下信息：申请人的姓名，职位，目前薪金。此信必须包含中文注明的雇主姓名，地址，电话及传真。 If retired, a Retirement Certificate indicating the applicant’s pension. 如果退休，注明申请人退休金的退休证明 Funds: original bank documents showing financial history over several months or years 资金：显示过去若干月/年中财政历史的银行文件原件 Evidence of assets in China (e.g. house property certificate, vehicle registration, etc.) 在中国的资产证明（例如房产证，机动车登记证书等） Proof of relationship with the inviter in Canada (e.g. copy of birth certificate/marriage certificate/correspondence, etc.)
与加拿大邀请人的关系证明（例如出生证/结婚证/通信
证明的复印件）
Note/注意:
If you intend to travel to the United States during your visit to Canada, you do not need a multiple-entry visa in order to re-enter Canada directly from the United States during the period for which you were originally admitted to Canada.
如果申请人想在访问加拿大期间前往美国，在加拿大合法停留期限之内从美国再次进入加拿大不需要一个多次入境签证
Please note that where a multiple entry visa is paid for but, at the discretion of the visa officer, a single-entry visa is issued, the fee difference will not be refunded. Moreover, the processing fee is non-refundable for any application that is withdrawn or refused.
请注意，如果支付了多次入境签证费用、但是签证官只考虑签发了一个单次入境签证，费用差异不予退还。并且，任何撤销或被拒签的申请受理费也不予退还。
3
Inquiry Officer to delete as appropriate（资料审核员根据适用情况选择）
1．The applicant has confirmed that s/he has no other documents to submit
申请人已经确认她/他不提交其他文件
OR 或者
2．The applicant has submitted the supporting documents above. I have advised him / her that failure to submit all necessary documents may result in the application being refused, but s/he has chosen to proceed with the application. 申请人已经递交了上述文件，我已通知其不提交所有必要文件会导致被拒签，但其选择继续提交请。
NAME OF TRAVEL AGENT Application Processing Fee/申请受理费 代理名称：
Logistic Fee/申请递送费 ADDRESS
地址 Courier Fee(If any)快递费（如选）
Other Fees（其他费用） TEL
电话
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Name & Signature of Inquiry Officer（资料审核员签名） Date/日期:
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Applicant’s Signature（申请人签名）