Fillable Form IMM 5257E

What is Form IMM 5257E?

Form IMM 5257E, Application for Visitor Visa (Temporary Resident Visa) form, is an application form to obtain a temporary visa from Canada. It may be used to go to the country for a short period of time to visit family or friends, conduct business trips, or take a tour.

Form IMM 5257Eis issued by Immigration, Refugees and Citizenship Canada (IRCC). It will be placed in your passport to confirm that you have adhered to the requirements to be a temporary resident either as a visitor, a student, or a worker in Canada.

Who can file Form IMM 5257E?

Form IMM 5257E is used by individuals who wish to apply for a temporary resident visa to visit Canada.

What are the requirements to get a Canada visa?

An individual must meet the requirements of the Immigration and Refugee Protection Act (IRPA) and the Immigration and Refugee Protection Regulations.

The application must also comply with the following:

• You must show that you have enough funds during your stay in Canada.
• You have no intention to work or study in Canada, except if you are authorized to do so.
• You have no criminal records and will be obedient to follow laws.
• You are not a threat to the security of Canada.
• You will be able to provide additional documents requested by the Canada Visa Office.
• You are in good health.

How to fill out Form IMM 5257E?

PERSONAL DETAILS

LINE 1

FULL NAME

Family name

Enter your last name as shown in your passport.

Given name(s)

Enter your first name as shown in your passport.

LINE 2

Mark YES if you have used any other name such as a nickname, maiden name, alias, etc. Otherwise, mark NO and leave this section blank.

If YES, provide the following:

Family name

Enter the last name you used before.

Given name(s)

Enter the first name you used. It could be a nickname or alias.

LINE 3 SEX

Enter your gender, either male or female.

LINE 4 DATE OF BIRTH

Enter your birth date in this format: yyyy/mm/dd.

LINE 5 PLACE OF BIRTH

City/Town

Enter the city or town where you were born.

Country or Territory

Enter the country or territory where you were born.

LINE 6 CITIZENSHIP

Enter your citizenship.

LINE 7 CURRENT COUNTRY or TERRITORY of RESIDENCE

Country or Territory

Enter the country or territory where you are currently living.

Status

Enter the status of your residency.

Other

Enter other details about your residency, if applicable.

Date

Enter the date when you begin to live in your current country in this format: yyyy/mm/dd

LINE 8 PREVIOUS COUNTRIES or TERRITORIES of RESIDENCE

Mark YES if you have lived in any other country or territory other than your country of citizenship or your current country or territory of residence for more than six months during the past 5 years. Otherwise, mark NO and leave this section blank.

If YES, provide the following:

Country or Territory

Enter the country or territory where you have lived before.

Status

Enter the status of your residency in the country or territory you have lived.

Other

Enter other details about your residency in your previous country or territory, if applicable.

Date

Enter the date when you begin to live in your previous country or territory in this format: yyyy/mm/dd.

LINE 9 COUNTRY or TERRITORY where applying

Mark YES if you are applying this application in your current country or territory of residence. Otherwise, mark NO.

To verify the country or territory where you applying this form, fill out the information needed:

Country or Territory

Enter the country or territory.

Status

Enter the status of your residency.

Other

Enter other details about your residency, if applicable.

Date

Enter the date when you begin to live in your country in this format: yyyy/mm/dd.

LINE 10

A. Marital Status

Enter your current marital status.

B. If married or in a common-law relationship

Date

Provide the date when you got married or entered into a common-law relationship in this format: yyyy/mm/dd.

C. Name of Spouse or Common-law Partner

Family name

Enter the last name of your spouse or common-law partner.

Give name

Enter the first name of your spouse or common-law partner.

PAGE 2

APPLICANT NAME

Enter your full legal name.

DATE OF BIRTH

Enter your birth date.

LINE 11

A. Mark YES if you have been previously married or in a common-law relationship. Otherwise, mark NO and leave this section blank.

B. If YES, provide the information needed about your previous spouse or common-law partner.

Family name

Enter the last name of your previous spouse or common-law partner.

Give name

Enter the first name of your previous spouse or common-law partner.

C. Date of birth

Enter the birth date of your previous spouse or common-law partner.

D. Type of Relationship

Indicate the type of relationship with your previous spouse or common-law partner.

Date

Enter the start and end date of marriage with your previous spouse or common-law partner.

LANGUAGE(S)

LINE 1

A. Native Language/Mother Tongue

Enter the primary language you use.

B. Communicate in English or French

Answer if you are able to communicate in either English or French language.

C. Language Proficiency

Enter the language you are most comfortable at, either English or French.

D. Mark YES if you have taken a test from a designated testing agency to assess your proficiency in English or French. Otherwise, mark NO.

PASSPORT

LINE 1 PASSPORT NUMBER

Enter your passport number.

LINE 2 COUNTRY or TERRITORY of ISSUE

Enter the country or territory where your passport was issued.

LINE 3 ISSUE DATE

Enter the issue date of your passport.

LINE 4 EXPIRY DATE

Enter the expiration date of your passport.

LINE 5

Mark YES if you will use a passport issued by the Ministry of Foreign Affairs in Taiwan that includes your personal identification number for this trip. Otherwise, mark NO.

LINE 6

Mark YES if you will use a National Israeli Passport. Otherwise, mark NO.

NATIONAL IDENTITY DOCUMENT

LINE 1

Mark YES if you have a national identity document. Otherwise, mark NO.

If YES, provide the information needed on Line 2.

LINE 2 DOCUMENT NUMBER

Enter the document number located in your national identity document.

LINE 3 COUNTRY OR TERRITORY OF ISSUE

Enter the country or territory where your national identity document was issued.

LINE 4 ISSUE DATE

Enter the issue date of your national identity document.

LINE 5 EXPIRY DATE

Enter the expiration date of your national identity document.

US PR CARD

LINE 1

Mark YES if you are a lawful Permanent Resident of the United States with a valid alien registration card (green card). Otherwise, mark NO.

If YES, provide the information on Line 2.

LINE 2

Document number

Enter the document number of your green card.

Expiry date

Enter the expiration date of your green card.

CONTACT INFORMATION

If you opt to submit your application by mail, read the following:

• All correspondence will go to the address you entered unless you have indicated your email address.

• Indicating an email address authorizes all correspondence, including file and personal information that will be sent to your email address.

• If you have an authorized representative, indicate their email and mailing address in this section and in Form IMM5476, Use of a Representative.

LINE 1 CURRENT MAILING ADDRESS

P.O. Box

Enter your P.O. box number, if there’s any.

Apartment/Unit

Enter your apartment or unit number.

Street Number

Enter your street number.

Street Name

Enter your street name.

City/Town

Enter the city or town of your mailing address.

Country or Territory

Enter the country or territory.

Province/State

Enter the province or state.

Postal Code

Enter the postal code of the mailing address.

District

Enter the district.

LINE 2 RESIDENTIAL ADDRESS

Mark YES if the residential address is the same as the mailing address. Otherwise, mark NO and enter your residential address.

Apartment/Unit

Enter your apartment or unit number.

Street Number

Enter your street number.

Street Name

Enter your street name.

City/Town

Enter the city or town.

Country or Territory

Enter the country or territory.

Province/State

Enter the province or state.

Postal Code

Enter the postal code.

District

Enter the district.

LINE 3 TELEPHONE NUMBER

Mark the selection boxes whether you have a Canada/US number. If not, mark the “other” box option.

Type

Specify the type of device you have whether a home, cell or work phone number.

Country Code

Enter the country code of your phone number.

Number

Enter your phone number.

Ext.

Enter the extension of your phone number. Example: 613-555-0415, Ext. 126.

LINE 4 ALTERNATE TELEPHONE NUMBER

Mark the selection boxes whether you have a Canada/US number as an alternate phone number. If not, mark the “other” box option.

Type

Specify the type of device you have whether a home, cell or work phone number.

Country Code

Enter the country code of your phone number.

Number

Enter your alternate phone number.

Ext.

Enter the extension of your phone number. Example: 613-555-0415, Ext. 126.

LINE 5 FAX NUMBER

Enter your fax number if you have. Otherwise, leave this section blank.

Mark the selection boxes whether you have a Canada/US number or other.

Country Code

Enter the country code of your fax number.

Number

Enter your fax number.

Ext.

Enter the extension of your fax number.

LINE 6 E-MAIL ADDRESS

Enter your email address.

PAGE 3

To continue with your application, enter your full name and birth date.

DETAILS OF VISIT TO CANADA

LINE 1

A. Purpose of my visit

State the purpose of your visit to Canada. It could be for academic or business purposes or to visit a family or friend.

B. Other

Enter the other purpose of your visit to Canada.

LINE 2

Date

Indicate how long you plan to stay in Canada.

LINE 3

Indicate the available funds for your stay.

Note: It is not necessary to use all your savings. Hence, you can use the funds you plan for your stay.

LINE 4 NAME, ADDRESS, AND RELATIONSHIP OF ANY PERSON(S) OR INSTITUTION(S) TO VISIT

Name

Enter the name(s) of the person you will visit.

Relationship to me

Enter your relationship with the person you are visiting.

Address in Canada

Enter the address of the person you will visit in Canada.

EDUCATION

Mark YES if you had any post-secondary education, including university, college, or apprenticeship training. Otherwise, mark NO.

If YES, provide the details needed:

Date

Enter the start and end date of your study in this format: yyyy/mm.

Field of Study

Enter the program you have enrolled in.

School/Facility Name

Enter the name of the school or facility.

City/Town

Enter the city or town of the school or facility you have attended.

Country or Territory

Enter the country or territory of the school or facility.

Province/State

Enter the province or state of the school or facility.

EMPLOYMENT

In this section, you must give the details of your employment over the past 10 years, including if you have worked in any government positions.

Indicate if you are retired, not working, or studying. If retired, provide your employment for the past 10 years before retirement. Complete each section to give the details of your employment.

Date

Enter the period you have been in your previous job. Follow this format: yyyy/mm.

Current Activity/Occupation

Indicate your current or previous job.

Company/Employer/Facility Name

Enter your company, employer, or facility name.

City/Town

Enter the city or town where you have worked.

Country or Territory

Enter the country or the territory of your company.

Province/State

Enter the province or the state of your company.

PAGE 4

To continue with your application, enter your full name and birth date.

BACKGROUND INFORMATION

If you are 18 years old and older you must complete this section.

Question 1

A. Mark YES if you or a family member had tuberculosis of the lungs or been in close contact with a person with tuberculosis within the past years. Otherwise, mark NO.

B. Mark YES if you have any physical or mental disorder that would require social and/or health services, other than medication, during a stay in Canada. Otherwise, mark NO.

C. If you answered YES to both 1A and 1B questions. Please provide the details and name of that family member in the field.

Question 2

A. Mark YES if you have remained beyond the validity of your status, attended school, without authorization or worked without authorization in Canada. Otherwise, mark NO.

B. Mark YES if you have been refused a visa or permit, denied entry or ordered to leave Canada, or any other country or territory. Otherwise, mark NO.

C. Mark YES if you have previously applied to enter or remain in Canada. Otherwise, mark NO.

D. If you answered YES from 2A through 2C questions. Provide more details about it in the field.

Question 3

A. Mark YES if you have been committed, arrested, charged with or convicted of any criminal offense in any country or territory. Otherwise, mark NO.

B. If you answered YES to question 3A. Explain the details in the field.

Question 4

A. Mark YES if you did serve any military, militia, or civil defense unit or serve in a security organization or police force, including non-obligatory national service, reserve, or volunteer units. Otherwise, mark NO.

B. If you answered YES from 4A question. Provide the dates of service and countries or territories where you have rendered your service.

Question 5

Mark YES if you have 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. Otherwise, mark NO.

Question 6

Mark YES if you have witnessed or participated in the ill treatment of prisoners or civilians, looting or desecration of religious buildings. Otherwise, mark NO.

Note: If you answered YES to any questions from 3 through 6, you may be required to fill out IMM 5257 Schedule 1.

PAGE 5

To continue with your application, enter your full name and birth date.

SIGNATURE

Citizenship and Immigration Canada, or an organization at CIC’s request, may contact you in the future to ask you about any services you received from CIC prior to the application process.

Mark YES if you consent to be contacted by (CIC), or an organization at CIC’s requisition, in the future. Otherwise, mark NO.

Be informed that all information you provided will be used for the purpose of processing your application and will be used to evaluate your suitability for admission to Canada.

Sign and date the application form.

Note: This application form must be signed and dated before submission to avoid discrepancies.

Where to send Form IMM 5257E?

Send the application form to your local Canadian Visa Office.