canadaetaportal.com
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https://canadaetaportal.com/eta/application-form.php
Submission: On June 27 via manual from PH — Scanned from DE
Submission: On June 27 via manual from PH — Scanned from DE
Form analysis 8 forms found in the DOM
<form id="accordion" inspfaactive="true">
<input type="hidden" name="actionname" id="actionname" value="add_personal_data">
<input type="hidden" name="requestid" id="requestid" value="CAN/9A2/A33">
<input type="hidden" name="main_session_id" id="main_session_id" value="main_session_1633116084">
<div class="accordion-item">
<h2 class="accordion-header" id="headingOne">
<button id="collapseOnebtn" class="accordion-button btn-title personalinfo_btn" type="button" data-bs-toggle="collapse" data-bs-target="#collapseOne" aria-expanded="true" aria-controls="collapseOne"> Personal Information </button>
</h2>
<div id="collapseOne" class="accordion-collapse collapse show" aria-labelledby="headingOne" data-bs-parent="#accordionExample">
<div class="accordion-body">
<div class="list-group-item list-group-p" data-acc-step="">
<h5 class="mb-0" data-acc-title="">Personal Details</h5>
<div data-acc-content="">
<div class="my-3">
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-sm-4 ">
<label class="fs-6"><span class="needed ">*</span> First name <span class="needed "> (required)</span></label>
<input id="fname" type="text" name="fname" value="" class="form-control" placeholder="Please enter your first name.">
<p id="usercheck" class="text-danger f_err fw-bold fst-italic" style="display: none;">This field is required</p>
</div>
<div class="col-sm-4 ">
<label class="fs-6"><span class="needed "></span> Middle name <span class="needed1 "> (optional)</span></label>
<input id="m_name" type="text" name="mname" value="" class="form-control" placeholder="Please enter your middle name.">
<p class="text-danger m_err fw-bold fst-italic"></p>
</div>
<div class="col-sm-4">
<label class="fs-6"><span class="needed ">*</span> Last name <span class="needed "> (required)</span></label>
<input id="lname" type="text" name="lname" value="" class="form-control" placeholder="Please enter your last name.">
<p class="text-danger l_err fw-bold fst-italic" style="display: none;"></p>
</div>
</div>
</div>
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-sm-6">
<label class="fs-6"><span class="needed ">*</span> Email address <span class="needed "> (required)</span></label>
<input type="text" class="form-control required email" id="email" name="email" value="" aria-required="true" placeholder="Please enter a valid email address.">
<p class="text-danger e_err fw-bold fst-italic"></p>
</div>
<div class="col-sm-6">
<label class="fs-6"><span class="needed ">*</span> Email address (re-enter) <span class="needed "> (required)</span></label>
<input type="text" class="form-control required confirm_email" id="confirm_email" name="confirm_email" value="" aria-required="true" placeholder="You cannot copy and paste into this field.">
<p class="text-danger re_err fw-bold fst-italic"></p>
</div>
</div>
</div>
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-sm-6">
<label class="fs-6"><span class="needed ">*</span> Phone <span class="needed "> (required)</span></label><br>
<div class="d-flex">
<select class="form-control" id="country_code1" name="country_code1" aria-required="true" style="width:35%;">
<option data-countrycode="DZ" value="213">(+213) Algeria </option>
<option data-countrycode="AD" value="376">(+376) Andorra </option>
<option data-countrycode="AO" value="244">(+244) Angola </option>
<option data-countrycode="AI" value="1264">(+1264) Anguilla </option>
<option data-countrycode="AG" value="1268">(+1268) Antigua & Barbuda </option>
<option data-countrycode="AR" value="54">(+54) Argentina </option>
<option data-countrycode="AM" value="374">(+374) Armenia </option>
<option data-countrycode="AW" value="297">(+297) Aruba </option>
<option data-countrycode="AU" value="61">(+61) Australia </option>
<option data-countrycode="AT" value="43">(+43) Austria</option>
<option data-countrycode="AZ" value="994">(+994) Azerbaijan </option>
<option data-countrycode="BS" value="1242">(+1242) Bahamas </option>
<option data-countrycode="BH" value="973">(+973) Bahrain </option>
<option data-countrycode="BD" value="880">(+880) Bangladesh </option>
<option data-countrycode="BB" value="1246">(+1246) Barbados </option>
<option data-countrycode="BY" value="375">(+375) Belarus </option>
<option data-countrycode="BE" value="32">(+32) Belgium </option>
<option data-countrycode="BZ" value="501">(+501) Belize </option>
<option data-countrycode="BJ" value="229">(+229) Benin </option>
<option data-countrycode="BM" value="1441">(+1441) Bermuda </option>
<option data-countrycode="BT" value="975">(+975) Bhutan </option>
<option data-countrycode="BO" value="591">(+591) Bolivia </option>
<option data-countrycode="BA" value="387">(+387) Bosnia Herzegovina </option>
<option data-countrycode="BW" value="267">(+267) Botswana </option>
<option data-countrycode="BR" value="55">(+55) Brazil </option>
<option data-countrycode="BN" value="673">(+673) Brunei </option>
<option data-countrycode="BG" value="359">(+359) Bulgaria </option>
<option data-countrycode="BF" value="226">(+226) Burkina Faso </option>
<option data-countrycode="BI" value="257">(+257) Burundi </option>
<option data-countrycode="KH" value="855">(+855) Cambodia </option>
<option data-countrycode="CM" value="237">(+237) Cameroon </option>
<option data-countrycode="CA" value="1">(+1) Canada </option>
<option data-countrycode="CV" value="238">(+238) Cape Verde Islands </option>
<option data-countrycode="KY" value="1345">(+1345) Cayman Islands </option>
<option data-countrycode="CF" value="236">(+236) Central African Republic </option>
<option data-countrycode="CL" value="56">(+56) Chile </option>
<option data-countrycode="CN" value="86">(+86) China </option>
<option data-countrycode="CO" value="57">(+57) Colombia </option>
<option data-countrycode="KM" value="269">(+269) Comoros </option>
<option data-countrycode="CG" value="242">(+242) Congo </option>
<option data-countrycode="CK" value="682">(+682) Cook Islands </option>
<option data-countrycode="CR" value="506">(+506) Costa Rica </option>
<option data-countrycode="HR" value="385">(+385) Croatia </option>
<option data-countrycode="CU" value="53">(+53) Cuba </option>
<option data-countrycode="CY" value="90392">(+90392) Cyprus North </option>
<option data-countrycode="CY" value="357">(+357) Cyprus South </option>
<option data-countrycode="CZ" value="42">(+42) Czech Republic </option>
<option data-countrycode="DK" value="45">(+45) Denmark </option>
<option data-countrycode="DJ" value="253">(+253) Djibouti </option>
<option data-countrycode="DM" value="1809">(+1809) Dominica </option>
<option data-countrycode="EC" value="593">(+593) Ecuador </option>
<option data-countrycode="EG" value="20">(+20) Egypt </option>
<option data-countrycode="SV" value="503">(+503) El Salvador </option>
<option data-countrycode="GQ" value="240">(+240) Equatorial Guinea </option>
<option data-countrycode="ER" value="291">(+291) Eritrea </option>
<option data-countrycode="EE" value="372">(+372) Estonia </option>
<option data-countrycode="ET" value="251">(+251) Ethiopia </option>
<option data-countrycode="FK" value="500">(+500) Falkland Islands </option>
<option data-countrycode="FO" value="298">(+298) Faroe Islands </option>
<option data-countrycode="FJ" value="679">(+679) Fiji </option>
<option data-countrycode="FI" value="358">(+358) Finland </option>
<option data-countrycode="FR" value="33">(+33) France </option>
<option data-countrycode="GF" value="594">(+594) French Guiana </option>
<option data-countrycode="PF" value="689">(+689) French Polynesia </option>
<option data-countrycode="GA" value="241">(+241) Gabon </option>
<option data-countrycode="GM" value="220">(+220) Gambia </option>
<option data-countrycode="GE" value="7880">(+7880) Georgia </option>
<option data-countrycode="DE" value="49" selected="">(+49) Germany </option>
<option data-countrycode="GH" value="233">(+233) Ghana </option>
<option data-countrycode="GI" value="350">(+350) Gibraltar </option>
<option data-countrycode="GR" value="30">(+30) Greece </option>
<option data-countrycode="GL" value="299">(+299) Greenland </option>
<option data-countrycode="GD" value="1473">(+1473) Grenada </option>
<option data-countrycode="GP" value="590">(+590) Guadeloupe </option>
<option data-countrycode="GU" value="671">(+671) Guam </option>
<option data-countrycode="GT" value="502">(+502) Guatemala </option>
<option data-countrycode="GN" value="224">(+224) Guinea </option>
<option data-countrycode="GW" value="245">(+245) Guinea - Bissau </option>
<option data-countrycode="GY" value="592">(+592) Guyana </option>
<option data-countrycode="HT" value="509">(+509) Haiti </option>
<option data-countrycode="HN" value="504">(+504) Honduras </option>
<option data-countrycode="HK" value="852">(+852) Hong Kong </option>
<option data-countrycode="HU" value="36">(+36) Hungary </option>
<option data-countrycode="IS" value="354">(+354) Iceland </option>
<option data-countrycode="IN" value="91">(+91) India </option>
<option data-countrycode="ID" value="62">(+62) Indonesia </option>
<option data-countrycode="IR" value="98">(+98) Iran </option>
<option data-countrycode="IQ" value="964">(+964) Iraq </option>
<option data-countrycode="IE" value="353">(+353) Ireland </option>
<option data-countrycode="IL" value="972">(+972) Israel </option>
<option data-countrycode="IT" value="39">(+39) Italy </option>
<option data-countrycode="JM" value="1876">(+1876) Jamaica </option>
<option data-countrycode="JP" value="81">(+81) Japan </option>
<option data-countrycode="JO" value="962">(+962) Jordan </option>
<option data-countrycode="KZ" value="7">(+7) Kazakhstan </option>
<option data-countrycode="KE" value="254">(+254) Kenya </option>
<option data-countrycode="KI" value="686">(+686) Kiribati </option>
<option data-countrycode="KP" value="850">(+850) Korea North </option>
<option data-countrycode="KR" value="82">(+82) Korea South </option>
<option data-countrycode="KW" value="965">(+965) Kuwait </option>
<option data-countrycode="KG" value="996">(+996) Kyrgyzstan </option>
<option data-countrycode="LA" value="856">(+856) Laos </option>
<option data-countrycode="LV" value="371">(+371) Latvia </option>
<option data-countrycode="LB" value="961">(+961) Lebanon </option>
<option data-countrycode="LS" value="266">(+266) Lesotho </option>
<option data-countrycode="LR" value="231">(+231) Liberia </option>
<option data-countrycode="LY" value="218">(+218) Libya </option>
<option data-countrycode="LI" value="417">(+417) Liechtenstein </option>
<option data-countrycode="LT" value="370">(+370) Lithuania </option>
<option data-countrycode="LU" value="352">(+352) Luxembourg </option>
<option data-countrycode="MO" value="853">(+853) Macao </option>
<option data-countrycode="MK" value="389">(+389) Macedonia </option>
<option data-countrycode="MG" value="261">(+261) Madagascar </option>
<option data-countrycode="MW" value="265">(+265) Malawi </option>
<option data-countrycode="MY" value="60">(+60) Malaysia </option>
<option data-countrycode="MV" value="960">(+960) Maldives </option>
<option data-countrycode="ML" value="223">(+223) Mali </option>
<option data-countrycode="MT" value="356">(+356) Malta </option>
<option data-countrycode="MH" value="692">(+692) Marshall Islands </option>
<option data-countrycode="MQ" value="596">(+596) Martinique </option>
<option data-countrycode="MR" value="222">(+222) Mauritania </option>
<option data-countrycode="YT" value="269">(+269) Mayotte </option>
<option data-countrycode="MX" value="52">(+52) Mexico </option>
<option data-countrycode="FM" value="691">(+691) Micronesia </option>
<option data-countrycode="MD" value="373">(+373) Moldova </option>
<option data-countrycode="MC" value="377">(+377) Monaco </option>
<option data-countrycode="MN" value="976">(+976) Mongolia </option>
<option data-countrycode="MS" value="1664">(+1664) Montserrat </option>
<option data-countrycode="MA" value="212">(+212) Morocco </option>
<option data-countrycode="MZ" value="258">(+258) Mozambique </option>
<option data-countrycode="MN" value="95">(+95) Myanmar </option>
<option data-countrycode="NA" value="264">(+264) Namibia </option>
<option data-countrycode="NR" value="674">(+674) Nauru </option>
<option data-countrycode="NP" value="977">(+977) Nepal </option>
<option data-countrycode="NL" value="31">(+31) Netherlands </option>
<option data-countrycode="NC" value="687">(+687) New Caledonia </option>
<option data-countrycode="NZ" value="64">(+64) New Zealand </option>
<option data-countrycode="NI" value="505">(+505) Nicaragua </option>
<option data-countrycode="NE" value="227">(+227) Niger </option>
<option data-countrycode="NG" value="234">(+234) Nigeria </option>
<option data-countrycode="NU" value="683">(+683) Niue </option>
<option data-countrycode="NF" value="672">(+672) Norfolk Islands </option>
<option data-countrycode="NP" value="670">(+670) Northern Marianas </option>
<option data-countrycode="NO" value="47">(+47) Norway </option>
<option data-countrycode="OM" value="968">(+968) Oman </option>
<option data-countrycode="PW" value="680">(+680) Palau </option>
<option data-countrycode="PA" value="507">(+507) Panama </option>
<option data-countrycode="PG" value="675">(+675) Papua New Guinea </option>
<option data-countrycode="PY" value="595">(+595) Paraguay </option>
<option data-countrycode="PE" value="51">(+51) Peru </option>
<option data-countrycode="PH" value="63">(+63) Philippines </option>
<option data-countrycode="PL" value="48">(+48) Poland </option>
<option data-countrycode="PT" value="351">(+351) Portugal </option>
<option data-countrycode="PR" value="1787">(+1787) Puerto Rico </option>
<option data-countrycode="QA" value="974">(+974) Qatar </option>
<option data-countrycode="RE" value="262">(+262) Reunion </option>
<option data-countrycode="RO" value="40">(+40) Romania </option>
<option data-countrycode="RU" value="7">(+7) Russia </option>
<option data-countrycode="RW" value="250">(+250) Rwanda </option>
<option data-countrycode="SM" value="378">(+378) San Marino </option>
<option data-countrycode="ST" value="239">(+239) Sao Tome & Principe </option>
<option data-countrycode="SA" value="966">(+966) Saudi Arabia </option>
<option data-countrycode="SN" value="221">(+221) Senegal </option>
<option data-countrycode="CS" value="381">(+381) Serbia </option>
<option data-countrycode="SC" value="248">(+248) Seychelles </option>
<option data-countrycode="SL" value="232">(+232) Sierra Leone </option>
<option data-countrycode="SG" value="65">(+65) Singapore </option>
<option data-countrycode="SK" value="421">(+421) Slovak Republic </option>
<option data-countrycode="SI" value="386">(+386) Slovenia </option>
<option data-countrycode="SB" value="677">(+677) Solomon Islands </option>
<option data-countrycode="SO" value="252">(+252) Somalia </option>
<option data-countrycode="ZA" value="27">(+27) South Africa </option>
<option data-countrycode="ES" value="34">(+34) Spain </option>
<option data-countrycode="LK" value="94">(+94) Sri Lanka </option>
<option data-countrycode="SH" value="290">(+290) St. Helena </option>
<option data-countrycode="KN" value="1869">(+1869) St. Kitts </option>
<option data-countrycode="SC" value="1758">(+1758) St. Lucia </option>
<option data-countrycode="SD" value="249">(+249) Sudan </option>
<option data-countrycode="SR" value="597">(+597) Suriname </option>
<option data-countrycode="SZ" value="268">(+268) Swaziland </option>
<option data-countrycode="SE" value="46">(+46) Sweden </option>
<option data-countrycode="CH" value="41">(+41) Switzerland </option>
<option data-countrycode="SI" value="963">(+963) Syria </option>
<option data-countrycode="TW" value="886">(+886) Taiwan </option>
<option data-countrycode="TJ" value="7">(+7) Tajikstan </option>
<option data-countrycode="TH" value="66">(+66) Thailand </option>
<option data-countrycode="TG" value="228">(+228) Togo </option>
<option data-countrycode="TO" value="676">(+676) Tonga </option>
<option data-countrycode="TT" value="1868">(+1868) Trinidad & Tobago </option>
<option data-countrycode="TN" value="216">(+216) Tunisia </option>
<option data-countrycode="TR" value="90">(+90) Turkey </option>
<option data-countrycode="TM" value="7">(+7) Turkmenistan </option>
<option data-countrycode="TM" value="993">(+993) Turkmenistan </option>
<option data-countrycode="TC" value="1649">(+1649) Turks & Caicos Islands </option>
<option data-countrycode="TV" value="688">(+688) Tuvalu </option>
<option data-countrycode="UG" value="256">(+256) Uganda </option>
<option data-countrycode="GB" value="44">(+44) United Kingdom</option>
<option data-countrycode="UA" value="380">(+380) Ukraine </option>
<option data-countrycode="AE" value="971">(+971) United Arab Emirates </option>
<option data-countrycode="UY" value="598">(+598) Uruguay </option>
<option data-countrycode="US" value="1">(+1) USA</option>
<option data-countrycode="UZ" value="7">(+7) Uzbekistan </option>
<option data-countrycode="VU" value="678">(+678) Vanuatu </option>
<option data-countrycode="VA" value="379">(+379) Vatican City </option>
<option data-countrycode="VE" value="58">(+58) Venezuela </option>
<option data-countrycode="VN" value="84">(+84) Vietnam </option>
<option data-countrycode="VG" value="84">(+1284) Virgin Islands - British </option>
<option data-countrycode="VI" value="84">(+1340) Virgin Islands - US </option>
<option data-countrycode="WF" value="681">(+681) Wallis & Futuna </option>
<option data-countrycode="YE" value="969">(+969) Yemen (North)</option>
<option data-countrycode="YE" value="967">(+967) Yemen (South)</option>
<option data-countrycode="ZM" value="260">(+260) Zambia </option>
<option data-countrycode="ZW" value="263">(+263) Zimbabwe </option>
</select>
<input type="text" name="phone" id="phone" value="" class="form-control">
</div>
<p class="text-danger p_err fw-bold fst-italic"></p>
</div>
<div class="col-sm-6">
<label class="fs-6"><span class="needed "></span> Phone (re-enter)<span class="needed "></span></label>
<div class="d-flex">
<!--<input type="text" id="dialcode" style="width: 64px;" value="" disabled>-->
<select class="form-control" id="country_code_confirm" name="country_code_confirm" aria-required="true" style="width:35%;">
<option data-countrycode="DZ" value="213">(+213) Algeria </option>
<option data-countrycode="AD" value="376">(+376) Andorra </option>
<option data-countrycode="AO" value="244">(+244) Angola </option>
<option data-countrycode="AI" value="1264">(+1264) Anguilla </option>
<option data-countrycode="AG" value="1268">(+1268) Antigua & Barbuda </option>
<option data-countrycode="AR" value="54">(+54) Argentina </option>
<option data-countrycode="AM" value="374">(+374) Armenia </option>
<option data-countrycode="AW" value="297">(+297) Aruba </option>
<option data-countrycode="AU" value="61">(+61) Australia </option>
<option data-countrycode="AT" value="43">(+43) Austria</option>
<option data-countrycode="AZ" value="994">(+994) Azerbaijan </option>
<option data-countrycode="BS" value="1242">(+1242) Bahamas </option>
<option data-countrycode="BH" value="973">(+973) Bahrain </option>
<option data-countrycode="BD" value="880">(+880) Bangladesh </option>
<option data-countrycode="BB" value="1246">(+1246) Barbados </option>
<option data-countrycode="BY" value="375">(+375) Belarus </option>
<option data-countrycode="BE" value="32">(+32) Belgium </option>
<option data-countrycode="BZ" value="501">(+501) Belize </option>
<option data-countrycode="BJ" value="229">(+229) Benin </option>
<option data-countrycode="BM" value="1441">(+1441) Bermuda </option>
<option data-countrycode="BT" value="975">(+975) Bhutan </option>
<option data-countrycode="BO" value="591">(+591) Bolivia </option>
<option data-countrycode="BA" value="387">(+387) Bosnia Herzegovina </option>
<option data-countrycode="BW" value="267">(+267) Botswana </option>
<option data-countrycode="BR" value="55">(+55) Brazil </option>
<option data-countrycode="BN" value="673">(+673) Brunei </option>
<option data-countrycode="BG" value="359">(+359) Bulgaria </option>
<option data-countrycode="BF" value="226">(+226) Burkina Faso </option>
<option data-countrycode="BI" value="257">(+257) Burundi </option>
<option data-countrycode="KH" value="855">(+855) Cambodia </option>
<option data-countrycode="CM" value="237">(+237) Cameroon </option>
<option data-countrycode="CA" value="1">(+1) Canada </option>
<option data-countrycode="CV" value="238">(+238) Cape Verde Islands </option>
<option data-countrycode="KY" value="1345">(+1345) Cayman Islands </option>
<option data-countrycode="CF" value="236">(+236) Central African Republic </option>
<option data-countrycode="CL" value="56">(+56) Chile </option>
<option data-countrycode="CN" value="86">(+86) China </option>
<option data-countrycode="CO" value="57">(+57) Colombia </option>
<option data-countrycode="KM" value="269">(+269) Comoros </option>
<option data-countrycode="CG" value="242">(+242) Congo </option>
<option data-countrycode="CK" value="682">(+682) Cook Islands </option>
<option data-countrycode="CR" value="506">(+506) Costa Rica </option>
<option data-countrycode="HR" value="385">(+385) Croatia </option>
<option data-countrycode="CU" value="53">(+53) Cuba </option>
<option data-countrycode="CY" value="90392">(+90392) Cyprus North </option>
<option data-countrycode="CY" value="357">(+357) Cyprus South </option>
<option data-countrycode="CZ" value="42">(+42) Czech Republic </option>
<option data-countrycode="DK" value="45">(+45) Denmark </option>
<option data-countrycode="DJ" value="253">(+253) Djibouti </option>
<option data-countrycode="DM" value="1809">(+1809) Dominica </option>
<option data-countrycode="EC" value="593">(+593) Ecuador </option>
<option data-countrycode="EG" value="20">(+20) Egypt </option>
<option data-countrycode="SV" value="503">(+503) El Salvador </option>
<option data-countrycode="GQ" value="240">(+240) Equatorial Guinea </option>
<option data-countrycode="ER" value="291">(+291) Eritrea </option>
<option data-countrycode="EE" value="372">(+372) Estonia </option>
<option data-countrycode="ET" value="251">(+251) Ethiopia </option>
<option data-countrycode="FK" value="500">(+500) Falkland Islands </option>
<option data-countrycode="FO" value="298">(+298) Faroe Islands </option>
<option data-countrycode="FJ" value="679">(+679) Fiji </option>
<option data-countrycode="FI" value="358">(+358) Finland </option>
<option data-countrycode="FR" value="33">(+33) France </option>
<option data-countrycode="GF" value="594">(+594) French Guiana </option>
<option data-countrycode="PF" value="689">(+689) French Polynesia </option>
<option data-countrycode="GA" value="241">(+241) Gabon </option>
<option data-countrycode="GM" value="220">(+220) Gambia </option>
<option data-countrycode="GE" value="7880">(+7880) Georgia </option>
<option data-countrycode="DE" value="49" selected="">(+49) Germany </option>
<option data-countrycode="GH" value="233">(+233) Ghana </option>
<option data-countrycode="GI" value="350">(+350) Gibraltar </option>
<option data-countrycode="GR" value="30">(+30) Greece </option>
<option data-countrycode="GL" value="299">(+299) Greenland </option>
<option data-countrycode="GD" value="1473">(+1473) Grenada </option>
<option data-countrycode="GP" value="590">(+590) Guadeloupe </option>
<option data-countrycode="GU" value="671">(+671) Guam </option>
<option data-countrycode="GT" value="502">(+502) Guatemala </option>
<option data-countrycode="GN" value="224">(+224) Guinea </option>
<option data-countrycode="GW" value="245">(+245) Guinea - Bissau </option>
<option data-countrycode="GY" value="592">(+592) Guyana </option>
<option data-countrycode="HT" value="509">(+509) Haiti </option>
<option data-countrycode="HN" value="504">(+504) Honduras </option>
<option data-countrycode="HK" value="852">(+852) Hong Kong </option>
<option data-countrycode="HU" value="36">(+36) Hungary </option>
<option data-countrycode="IS" value="354">(+354) Iceland </option>
<option data-countrycode="IN" value="91">(+91) India </option>
<option data-countrycode="ID" value="62">(+62) Indonesia </option>
<option data-countrycode="IR" value="98">(+98) Iran </option>
<option data-countrycode="IQ" value="964">(+964) Iraq </option>
<option data-countrycode="IE" value="353">(+353) Ireland </option>
<option data-countrycode="IL" value="972">(+972) Israel </option>
<option data-countrycode="IT" value="39">(+39) Italy </option>
<option data-countrycode="JM" value="1876">(+1876) Jamaica </option>
<option data-countrycode="JP" value="81">(+81) Japan </option>
<option data-countrycode="JO" value="962">(+962) Jordan </option>
<option data-countrycode="KZ" value="7">(+7) Kazakhstan </option>
<option data-countrycode="KE" value="254">(+254) Kenya </option>
<option data-countrycode="KI" value="686">(+686) Kiribati </option>
<option data-countrycode="KP" value="850">(+850) Korea North </option>
<option data-countrycode="KR" value="82">(+82) Korea South </option>
<option data-countrycode="KW" value="965">(+965) Kuwait </option>
<option data-countrycode="KG" value="996">(+996) Kyrgyzstan </option>
<option data-countrycode="LA" value="856">(+856) Laos </option>
<option data-countrycode="LV" value="371">(+371) Latvia </option>
<option data-countrycode="LB" value="961">(+961) Lebanon </option>
<option data-countrycode="LS" value="266">(+266) Lesotho </option>
<option data-countrycode="LR" value="231">(+231) Liberia </option>
<option data-countrycode="LY" value="218">(+218) Libya </option>
<option data-countrycode="LI" value="417">(+417) Liechtenstein </option>
<option data-countrycode="LT" value="370">(+370) Lithuania </option>
<option data-countrycode="LU" value="352">(+352) Luxembourg </option>
<option data-countrycode="MO" value="853">(+853) Macao </option>
<option data-countrycode="MK" value="389">(+389) Macedonia </option>
<option data-countrycode="MG" value="261">(+261) Madagascar </option>
<option data-countrycode="MW" value="265">(+265) Malawi </option>
<option data-countrycode="MY" value="60">(+60) Malaysia </option>
<option data-countrycode="MV" value="960">(+960) Maldives </option>
<option data-countrycode="ML" value="223">(+223) Mali </option>
<option data-countrycode="MT" value="356">(+356) Malta </option>
<option data-countrycode="MH" value="692">(+692) Marshall Islands </option>
<option data-countrycode="MQ" value="596">(+596) Martinique </option>
<option data-countrycode="MR" value="222">(+222) Mauritania </option>
<option data-countrycode="YT" value="269">(+269) Mayotte </option>
<option data-countrycode="MX" value="52">(+52) Mexico </option>
<option data-countrycode="FM" value="691">(+691) Micronesia </option>
<option data-countrycode="MD" value="373">(+373) Moldova </option>
<option data-countrycode="MC" value="377">(+377) Monaco </option>
<option data-countrycode="MN" value="976">(+976) Mongolia </option>
<option data-countrycode="MS" value="1664">(+1664) Montserrat </option>
<option data-countrycode="MA" value="212">(+212) Morocco </option>
<option data-countrycode="MZ" value="258">(+258) Mozambique </option>
<option data-countrycode="MN" value="95">(+95) Myanmar </option>
<option data-countrycode="NA" value="264">(+264) Namibia </option>
<option data-countrycode="NR" value="674">(+674) Nauru </option>
<option data-countrycode="NP" value="977">(+977) Nepal </option>
<option data-countrycode="NL" value="31">(+31) Netherlands </option>
<option data-countrycode="NC" value="687">(+687) New Caledonia </option>
<option data-countrycode="NZ" value="64">(+64) New Zealand </option>
<option data-countrycode="NI" value="505">(+505) Nicaragua </option>
<option data-countrycode="NE" value="227">(+227) Niger </option>
<option data-countrycode="NG" value="234">(+234) Nigeria </option>
<option data-countrycode="NU" value="683">(+683) Niue </option>
<option data-countrycode="NF" value="672">(+672) Norfolk Islands </option>
<option data-countrycode="NP" value="670">(+670) Northern Marianas </option>
<option data-countrycode="NO" value="47">(+47) Norway </option>
<option data-countrycode="OM" value="968">(+968) Oman </option>
<option data-countrycode="PW" value="680">(+680) Palau </option>
<option data-countrycode="PA" value="507">(+507) Panama </option>
<option data-countrycode="PG" value="675">(+675) Papua New Guinea </option>
<option data-countrycode="PY" value="595">(+595) Paraguay </option>
<option data-countrycode="PE" value="51">(+51) Peru </option>
<option data-countrycode="PH" value="63">(+63) Philippines </option>
<option data-countrycode="PL" value="48">(+48) Poland </option>
<option data-countrycode="PT" value="351">(+351) Portugal </option>
<option data-countrycode="PR" value="1787">(+1787) Puerto Rico </option>
<option data-countrycode="QA" value="974">(+974) Qatar </option>
<option data-countrycode="RE" value="262">(+262) Reunion </option>
<option data-countrycode="RO" value="40">(+40) Romania </option>
<option data-countrycode="RU" value="7">(+7) Russia </option>
<option data-countrycode="RW" value="250">(+250) Rwanda </option>
<option data-countrycode="SM" value="378">(+378) San Marino </option>
<option data-countrycode="ST" value="239">(+239) Sao Tome & Principe </option>
<option data-countrycode="SA" value="966">(+966) Saudi Arabia </option>
<option data-countrycode="SN" value="221">(+221) Senegal </option>
<option data-countrycode="CS" value="381">(+381) Serbia </option>
<option data-countrycode="SC" value="248">(+248) Seychelles </option>
<option data-countrycode="SL" value="232">(+232) Sierra Leone </option>
<option data-countrycode="SG" value="65">(+65) Singapore </option>
<option data-countrycode="SK" value="421">(+421) Slovak Republic </option>
<option data-countrycode="SI" value="386">(+386) Slovenia </option>
<option data-countrycode="SB" value="677">(+677) Solomon Islands </option>
<option data-countrycode="SO" value="252">(+252) Somalia </option>
<option data-countrycode="ZA" value="27">(+27) South Africa </option>
<option data-countrycode="ES" value="34">(+34) Spain </option>
<option data-countrycode="LK" value="94">(+94) Sri Lanka </option>
<option data-countrycode="SH" value="290">(+290) St. Helena </option>
<option data-countrycode="KN" value="1869">(+1869) St. Kitts </option>
<option data-countrycode="SC" value="1758">(+1758) St. Lucia </option>
<option data-countrycode="SD" value="249">(+249) Sudan </option>
<option data-countrycode="SR" value="597">(+597) Suriname </option>
<option data-countrycode="SZ" value="268">(+268) Swaziland </option>
<option data-countrycode="SE" value="46">(+46) Sweden </option>
<option data-countrycode="CH" value="41">(+41) Switzerland </option>
<option data-countrycode="SI" value="963">(+963) Syria </option>
<option data-countrycode="TW" value="886">(+886) Taiwan </option>
<option data-countrycode="TJ" value="7">(+7) Tajikstan </option>
<option data-countrycode="TH" value="66">(+66) Thailand </option>
<option data-countrycode="TG" value="228">(+228) Togo </option>
<option data-countrycode="TO" value="676">(+676) Tonga </option>
<option data-countrycode="TT" value="1868">(+1868) Trinidad & Tobago </option>
<option data-countrycode="TN" value="216">(+216) Tunisia </option>
<option data-countrycode="TR" value="90">(+90) Turkey </option>
<option data-countrycode="TM" value="7">(+7) Turkmenistan </option>
<option data-countrycode="TM" value="993">(+993) Turkmenistan </option>
<option data-countrycode="TC" value="1649">(+1649) Turks & Caicos Islands </option>
<option data-countrycode="TV" value="688">(+688) Tuvalu </option>
<option data-countrycode="UG" value="256">(+256) Uganda </option>
<option data-countrycode="GB" value="44">(+44) United Kingdom</option>
<option data-countrycode="UA" value="380">(+380) Ukraine </option>
<option data-countrycode="AE" value="971">(+971) United Arab Emirates </option>
<option data-countrycode="UY" value="598">(+598) Uruguay </option>
<option data-countrycode="US" value="1">(+1) USA</option>
<option data-countrycode="UZ" value="7">(+7) Uzbekistan </option>
<option data-countrycode="VU" value="678">(+678) Vanuatu </option>
<option data-countrycode="VA" value="379">(+379) Vatican City </option>
<option data-countrycode="VE" value="58">(+58) Venezuela </option>
<option data-countrycode="VN" value="84">(+84) Vietnam </option>
<option data-countrycode="VG" value="84">(+1284) Virgin Islands - British </option>
<option data-countrycode="VI" value="84">(+1340) Virgin Islands - US </option>
<option data-countrycode="WF" value="681">(+681) Wallis & Futuna </option>
<option data-countrycode="YE" value="969">(+969) Yemen (North)</option>
<option data-countrycode="YE" value="967">(+967) Yemen (South)</option>
<option data-countrycode="ZM" value="260">(+260) Zambia </option>
<option data-countrycode="ZW" value="263">(+263) Zimbabwe </option>
</select>
<input type="text" id="confirm_phone" value="" class="form-control">
</div>
<p class="text-danger rphone_err fw-bold fst-italic">h</p>
</div>
<input type="hidden" name="dialCode" id="dialCode">
<input type="hidden" name="countryCode" id="countryCode" value="">
</div>
</div>
<div class="form-group form-row mt-3 setpadd">
<div class="row">
<div class="col-sm-3 col-md">
<label class="fs-6"><span class="needed ">*</span> Date of Birth<span class="needed "> (required)</span></label>
<div class="row">
<div class="col">
<select class="form-control birth_year" id="birth_year" name="birth_year" aria-required="true">
<option value="">Year</option>
<option value="2024">2024</option>
<option value="2023">2023</option>
<option value="2022">2022</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
<option value="1924">1924</option>
<option value="1923">1923</option>
<option value="1922">1922</option>
<option value="1921">1921</option>
<option value="1920">1920</option>
</select>
<p class="text-danger dy_err fw-bold fst-italic"></p>
</div>
<div class="col birthmonth">
<select class="form-control birth_month" id="birth_month" name="birth_month" aria-required="true">
<option value="">Month</option>
<option value="January">January</option>
<option value="February">February</option>
<option value="March">March</option>
<option value="April">April</option>
<option value="May">May</option>
<option value="June">June</option>
<option value="July">July</option>
<option value="August">August</option>
<option value="September">September</option>
<option value="October">October</option>
<option value="November">November</option>
<option value="December">December</option>
</select>
<p class="text-danger dm_err fw-bold fst-italic"></p>
</div>
<div class="col">
<select class="form-control birth_date" id="birth_date" name="birth_date" aria-required="true">
<option value="">Day</option>
</select>
<p class="text-danger dd_err fw-bold fst-italic"></p>
</div>
</div>
</div>
<div class="col col-sm-3 f_gender">
<label class="fs-6"><span class="needed ">*</span> Gender <span class="needed "> (required)</span></label>
<select class="form-control required gender" id="gender" name="gender" aria-required="true">
<option value="">Please Select</option>
<option value="Male">Male</option>
<option value="Female">Female</option>
<option value="Another Gender">Another Gender</option>
</select>
<p class="text-danger g_err fw-bold fst-italic"></p>
</div>
</div>
</div>
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-sm-6 ">
<label class="fs-6"><span class="needed ">*</span> Country of birth <span class="needed "> (required)</span></label>
<select class="form-control required country_of_birth" id="country_of_birth" name="country_of_birth" aria-required="true">
<option value="">Please Select</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antigua And Barbuda">Antigua And Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Brazil">Brazil</option>
<option value="British Virgin Islands">British Virgin Islands</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burma (Myanmar)">Burma (Myanmar)</option>
<option value="Burundi">Burundi</option>
<option value="Cabo Verde">Cabo Verde</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="China (Hong Kong SAR)">China (Hong Kong SAR)</option>
<option value="China (Macao SAR)">China (Macao SAR)</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Democratic Rep. of Congo">Democratic Rep. of Congo</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Federated States of Micronesia">Federated States of Micronesia</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany, Federal Republic Of">Germany, Federal Republic Of</option>
<option value="Ghana">Ghana</option>
<option value="Greece">Greece</option>
<option value="Grenada">Grenada</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Honduras">Honduras</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Ivory Coast">Ivory Coast</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, North (DPRK)">Korea, North (DPRK)</option>
<option value="Korea, South">Korea, South</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mexico">Mexico</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands, The">Netherlands, The</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palestinian Authority">Palestinian Authority</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Qatar">Qatar</option>
<option value="Republic of Congo">Republic of Congo</option>
<option value="Republic of Palau">Republic of Palau</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia, Republic Of">Serbia, Republic Of</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa, Republic Of">South Africa, Republic Of</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="St. Vincent and the Grenadines">St. Vincent and the Grenadines</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="UK - Brit. Ntl. Overseas">UK - Brit. Ntl. Overseas</option>
<option value="UK - Brit. overseas citizen">UK - Brit. overseas citizen</option>
<option value="UK - Brit. overseas terr.">UK - Brit. overseas terr.</option>
<option value="UK - Brit. protected person">UK - Brit. protected person</option>
<option value="UK - British citizen">UK - British citizen</option>
<option value="UK - British subject">UK - British subject</option>
<option value="Ukraine">Ukraine</option>
<option value="UN or official">UN or official</option>
<option value="UN specialized agency">UN specialized agency</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United States of America">United States of America</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City State">Vatican City State</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
<p class="text-danger cb_err fw-bold fst-italic"></p>
</div>
<div class="col-sm-6"><label class="fs-6"><span class="needed">*</span> City/town of birth <span class="needed">(required)</span></label>
<input type="text" name="city_of_birth" id="city_of_birth" value="" class="form-control" placeholder="Enter the name of the city/town/village where you were born.">
<p class="text-danger ct_err fw-bold fst-italic"></p>
</div>
</div>
</div>
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-sm-6">
<label class="fs-6"><span class="needed">*</span> Marital status <span class="needed">(required)</span></label><br>
<select class="form-control required maritalsatus" name="maritalsatus" id="maritalsatus" aria-required="true">
<option value="">Please select</option>
<option value="Married">Married</option>
<option value="Legally Separated">Legally Separated</option>
<option value="Divorced">Divorced</option>
<option value="Annulled Marriage">Annulled Marriage</option>
<option value="Widowed">Widowed</option>
<option value="Common-Law">Common-Law</option>
<option value="Never Married/Single">Never Married/Single</option>
</select>
<p class="text-danger ms_err fw-bold fst-italic"></p>
</div>
<div class="col-sm-6">
<label class="fs-6"><span class="needed">*</span> Preferred language to contact you <span class="needed">(required)</span></label><br>
<select class="form-control required preferred_language" name="preferred_language" id="preferred_language" aria-required="true">
<option value="">Please select</option>
<option value="English">English</option>
<option value="French">French</option>
</select>
<p class="text-danger pl_err fw-bold fst-italic"></p>
</div>
</div>
</div>
<div class="form-group form-row">
<div class="d-flex gap-2 justify-content-end">
<button id="first_step_next1" class="accordion-button collapsed btn-primary btn-next me-md-2 mt-2 btn_personal_info" type="button" data-bs-toggle="collapse" aria-expanded="false" aria-controls="collapseTwo"> NEXT </button>
<!--<button id="first_step_next1" class="btn-danger">Submit</button> -->
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</form><form id="upd_application_status" inspfaactive="true">
<div class="accordion-item">
<input type="hidden" name="actionname" id="actionname" value="upd_application_status">
<input type="hidden" name="requestid" id="requestid" value="CAN/9A2/A33">
<h2 class="accordion-header" id="headingTwo">
<button id="collapseTwobtn" class="accordion-button collapsed btn-title aplication_status" type="button" data-bs-toggle="collapse" data-bs-target="#collapseTwo" aria-expanded="false" aria-controls="collapseTwo" disabled=""> Applicant Status
</button>
</h2>
<div id="collapseTwo" class="accordion-collapse collapse" aria-labelledby="headingTwo" data-bs-parent="#accordionExample">
<div class="accordion-body">
<div class="list-group-item py-3" data-acc-step="">
<h5 class="mb-0" data-acc-title="">Applicant Details</h5>
<div data-acc-content="">
<div class="my-3">
<div class="form-group form-row mt-3">
<label class="fs-6"><span class="needed">*</span>
<!--Are you applying for yourself or someone else? --> Are you applying on behalf of someone? <span class="needed">(required)</span></label>
<div class="d-flex">
<div class="form-check">
<input id="applying_for_yourself_yes" class="form-check-input mt-2 ms-2 applying_for_yourself" type="radio" name="applying_for_yourself" value="yes">
<label class="form-check-label" for="appliedd_for_visa_yes">Yes</label>
<p class="text-danger ay_err fw-bold fst-italic"></p>
</div>
<div class="form-check">
<input class="form-check-input mt-2 ms-2 applying_for_yourself" type="radio" name="applying_for_yourself" id="applying_for_yourself" value="no" checked="">
<label class="form-check-label" for="applying_for_yourself"> No</label>
</div>
</div>
</div>
<div id="Guardian" style="display: none;">
<h6 class="mb-3 mt-3" data-acc-title="">You indicated that you want to apply on behalf of someone. Please enter information about yourself first.</h6>
<h5 class="mb-3 " data-acc-title="">Parent/Guardian or Representative Details</h5>
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-md-12">
<label class="fs-6"><span class="needed">*</span> I am? <span class="needed">(required)</span></label><br>
<select class="form-control required i_am" name="i_am" id="i_am" aria-required="true">
<option value="">Please Select</option>
<option value="family_member">A family member or friend</option>
<!--<option value="travel_agent">A travel agent</option>-->
</select>
<p class="text-danger im_err fw-bold fst-italic"></p>
</div>
</div>
</div>
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-sm-6 ">
<label class="fs-6"><span class="needed ">*</span> Surname(s) / last name(s) <span class="needed "> (required)</span></label>
<input id="guardian_l_name" type="text" name="guardian_l_name" value="" class="form-control" placeholder="Please enter your first name.">
<p id="usercheck" class="text-danger sl_err fw-bold fst-italic"></p>
</div>
<div class="col-sm-6">
<label class="fs-6"><span class="needed ">*</span> Given name(s) / first name(s) <span class="needed "> (required)</span></label>
<input id="guardian_f_name" type="text" name="guardian_f_name" value="" class="form-control" placeholder="Please enter your last name.">
<p class="text-danger gf_err fw-bold fst-italic"></p>
</div>
</div>
<!--<div class="col-sm-4 m-1">-->
<!-- <label class="fs-6"><span class="needed ">*</span> Name of firm, organization <span class="needed "> (required)</span></label>-->
<!-- <input id="organization_name" type="text" name="oname" class="form-control" placeholder="Please enter name of organization."/>-->
<!-- <p id="usercheck" class="text-danger f_err fw-bold fst-italic">This field is required</p>-->
<!-- </div>-->
</div>
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-sm-6">
<label class="fs-6"><span class="needed ">*</span> Mailing address <span class="needed "> (required)</span></label><br>
<input id="mailing_address" type="text" name="mailing_address" value="" class="form-control" placeholder="Please enter mailing address.">
<p id="eaddcheck" class="text-danger"></p>
<p class="text-danger mailing_err fw-bold fst-italic"></p>
</div>
<div class="col-sm-6">
<label class="fs-6"><span class="needed ">*</span> Phone <span class="needed "> (required)</span></label><br>
<div class="d-flex">
<select class="form-control" id="country_code2" name="country_code2" aria-required="true" style="width:35%;">
<option data-countrycode="DZ" value="213">(+213) Algeria </option>
<option data-countrycode="AD" value="376">(+376) Andorra </option>
<option data-countrycode="AO" value="244">(+244) Angola </option>
<option data-countrycode="AI" value="1264">(+1264) Anguilla </option>
<option data-countrycode="AG" value="1268">(+1268) Antigua & Barbuda </option>
<option data-countrycode="AR" value="54">(+54) Argentina </option>
<option data-countrycode="AM" value="374">(+374) Armenia </option>
<option data-countrycode="AW" value="297">(+297) Aruba </option>
<option data-countrycode="AU" value="61">(+61) Australia </option>
<option data-countrycode="AT" value="43">(+43) Austria</option>
<option data-countrycode="AZ" value="994">(+994) Azerbaijan </option>
<option data-countrycode="BS" value="1242">(+1242) Bahamas </option>
<option data-countrycode="BH" value="973">(+973) Bahrain </option>
<option data-countrycode="BD" value="880">(+880) Bangladesh </option>
<option data-countrycode="BB" value="1246">(+1246) Barbados </option>
<option data-countrycode="BY" value="375">(+375) Belarus </option>
<option data-countrycode="BE" value="32">(+32) Belgium </option>
<option data-countrycode="BZ" value="501">(+501) Belize </option>
<option data-countrycode="BJ" value="229">(+229) Benin </option>
<option data-countrycode="BM" value="1441">(+1441) Bermuda </option>
<option data-countrycode="BT" value="975">(+975) Bhutan </option>
<option data-countrycode="BO" value="591">(+591) Bolivia </option>
<option data-countrycode="BA" value="387">(+387) Bosnia Herzegovina </option>
<option data-countrycode="BW" value="267">(+267) Botswana </option>
<option data-countrycode="BR" value="55">(+55) Brazil </option>
<option data-countrycode="BN" value="673">(+673) Brunei </option>
<option data-countrycode="BG" value="359">(+359) Bulgaria </option>
<option data-countrycode="BF" value="226">(+226) Burkina Faso </option>
<option data-countrycode="BI" value="257">(+257) Burundi </option>
<option data-countrycode="KH" value="855">(+855) Cambodia </option>
<option data-countrycode="CM" value="237">(+237) Cameroon </option>
<option data-countrycode="CA" value="1">(+1) Canada </option>
<option data-countrycode="CV" value="238">(+238) Cape Verde Islands </option>
<option data-countrycode="KY" value="1345">(+1345) Cayman Islands </option>
<option data-countrycode="CF" value="236">(+236) Central African Republic </option>
<option data-countrycode="CL" value="56">(+56) Chile </option>
<option data-countrycode="CN" value="86">(+86) China </option>
<option data-countrycode="CO" value="57">(+57) Colombia </option>
<option data-countrycode="KM" value="269">(+269) Comoros </option>
<option data-countrycode="CG" value="242">(+242) Congo </option>
<option data-countrycode="CK" value="682">(+682) Cook Islands </option>
<option data-countrycode="CR" value="506">(+506) Costa Rica </option>
<option data-countrycode="HR" value="385">(+385) Croatia </option>
<option data-countrycode="CU" value="53">(+53) Cuba </option>
<option data-countrycode="CY" value="90392">(+90392) Cyprus North </option>
<option data-countrycode="CY" value="357">(+357) Cyprus South </option>
<option data-countrycode="CZ" value="42">(+42) Czech Republic </option>
<option data-countrycode="DK" value="45">(+45) Denmark </option>
<option data-countrycode="DJ" value="253">(+253) Djibouti </option>
<option data-countrycode="DM" value="1809">(+1809) Dominica </option>
<option data-countrycode="EC" value="593">(+593) Ecuador </option>
<option data-countrycode="EG" value="20">(+20) Egypt </option>
<option data-countrycode="SV" value="503">(+503) El Salvador </option>
<option data-countrycode="GQ" value="240">(+240) Equatorial Guinea </option>
<option data-countrycode="ER" value="291">(+291) Eritrea </option>
<option data-countrycode="EE" value="372">(+372) Estonia </option>
<option data-countrycode="ET" value="251">(+251) Ethiopia </option>
<option data-countrycode="FK" value="500">(+500) Falkland Islands </option>
<option data-countrycode="FO" value="298">(+298) Faroe Islands </option>
<option data-countrycode="FJ" value="679">(+679) Fiji </option>
<option data-countrycode="FI" value="358">(+358) Finland </option>
<option data-countrycode="FR" value="33">(+33) France </option>
<option data-countrycode="GF" value="594">(+594) French Guiana </option>
<option data-countrycode="PF" value="689">(+689) French Polynesia </option>
<option data-countrycode="GA" value="241">(+241) Gabon </option>
<option data-countrycode="GM" value="220">(+220) Gambia </option>
<option data-countrycode="GE" value="7880">(+7880) Georgia </option>
<option data-countrycode="DE" value="49" selected="">(+49) Germany </option>
<option data-countrycode="GH" value="233">(+233) Ghana </option>
<option data-countrycode="GI" value="350">(+350) Gibraltar </option>
<option data-countrycode="GR" value="30">(+30) Greece </option>
<option data-countrycode="GL" value="299">(+299) Greenland </option>
<option data-countrycode="GD" value="1473">(+1473) Grenada </option>
<option data-countrycode="GP" value="590">(+590) Guadeloupe </option>
<option data-countrycode="GU" value="671">(+671) Guam </option>
<option data-countrycode="GT" value="502">(+502) Guatemala </option>
<option data-countrycode="GN" value="224">(+224) Guinea </option>
<option data-countrycode="GW" value="245">(+245) Guinea - Bissau </option>
<option data-countrycode="GY" value="592">(+592) Guyana </option>
<option data-countrycode="HT" value="509">(+509) Haiti </option>
<option data-countrycode="HN" value="504">(+504) Honduras </option>
<option data-countrycode="HK" value="852">(+852) Hong Kong </option>
<option data-countrycode="HU" value="36">(+36) Hungary </option>
<option data-countrycode="IS" value="354">(+354) Iceland </option>
<option data-countrycode="IN" value="91">(+91) India </option>
<option data-countrycode="ID" value="62">(+62) Indonesia </option>
<option data-countrycode="IR" value="98">(+98) Iran </option>
<option data-countrycode="IQ" value="964">(+964) Iraq </option>
<option data-countrycode="IE" value="353">(+353) Ireland </option>
<option data-countrycode="IL" value="972">(+972) Israel </option>
<option data-countrycode="IT" value="39">(+39) Italy </option>
<option data-countrycode="JM" value="1876">(+1876) Jamaica </option>
<option data-countrycode="JP" value="81">(+81) Japan </option>
<option data-countrycode="JO" value="962">(+962) Jordan </option>
<option data-countrycode="KZ" value="7">(+7) Kazakhstan </option>
<option data-countrycode="KE" value="254">(+254) Kenya </option>
<option data-countrycode="KI" value="686">(+686) Kiribati </option>
<option data-countrycode="KP" value="850">(+850) Korea North </option>
<option data-countrycode="KR" value="82">(+82) Korea South </option>
<option data-countrycode="KW" value="965">(+965) Kuwait </option>
<option data-countrycode="KG" value="996">(+996) Kyrgyzstan </option>
<option data-countrycode="LA" value="856">(+856) Laos </option>
<option data-countrycode="LV" value="371">(+371) Latvia </option>
<option data-countrycode="LB" value="961">(+961) Lebanon </option>
<option data-countrycode="LS" value="266">(+266) Lesotho </option>
<option data-countrycode="LR" value="231">(+231) Liberia </option>
<option data-countrycode="LY" value="218">(+218) Libya </option>
<option data-countrycode="LI" value="417">(+417) Liechtenstein </option>
<option data-countrycode="LT" value="370">(+370) Lithuania </option>
<option data-countrycode="LU" value="352">(+352) Luxembourg </option>
<option data-countrycode="MO" value="853">(+853) Macao </option>
<option data-countrycode="MK" value="389">(+389) Macedonia </option>
<option data-countrycode="MG" value="261">(+261) Madagascar </option>
<option data-countrycode="MW" value="265">(+265) Malawi </option>
<option data-countrycode="MY" value="60">(+60) Malaysia </option>
<option data-countrycode="MV" value="960">(+960) Maldives </option>
<option data-countrycode="ML" value="223">(+223) Mali </option>
<option data-countrycode="MT" value="356">(+356) Malta </option>
<option data-countrycode="MH" value="692">(+692) Marshall Islands </option>
<option data-countrycode="MQ" value="596">(+596) Martinique </option>
<option data-countrycode="MR" value="222">(+222) Mauritania </option>
<option data-countrycode="YT" value="269">(+269) Mayotte </option>
<option data-countrycode="MX" value="52">(+52) Mexico </option>
<option data-countrycode="FM" value="691">(+691) Micronesia </option>
<option data-countrycode="MD" value="373">(+373) Moldova </option>
<option data-countrycode="MC" value="377">(+377) Monaco </option>
<option data-countrycode="MN" value="976">(+976) Mongolia </option>
<option data-countrycode="MS" value="1664">(+1664) Montserrat </option>
<option data-countrycode="MA" value="212">(+212) Morocco </option>
<option data-countrycode="MZ" value="258">(+258) Mozambique </option>
<option data-countrycode="MN" value="95">(+95) Myanmar </option>
<option data-countrycode="NA" value="264">(+264) Namibia </option>
<option data-countrycode="NR" value="674">(+674) Nauru </option>
<option data-countrycode="NP" value="977">(+977) Nepal </option>
<option data-countrycode="NL" value="31">(+31) Netherlands </option>
<option data-countrycode="NC" value="687">(+687) New Caledonia </option>
<option data-countrycode="NZ" value="64">(+64) New Zealand </option>
<option data-countrycode="NI" value="505">(+505) Nicaragua </option>
<option data-countrycode="NE" value="227">(+227) Niger </option>
<option data-countrycode="NG" value="234">(+234) Nigeria </option>
<option data-countrycode="NU" value="683">(+683) Niue </option>
<option data-countrycode="NF" value="672">(+672) Norfolk Islands </option>
<option data-countrycode="NP" value="670">(+670) Northern Marianas </option>
<option data-countrycode="NO" value="47">(+47) Norway </option>
<option data-countrycode="OM" value="968">(+968) Oman </option>
<option data-countrycode="PW" value="680">(+680) Palau </option>
<option data-countrycode="PA" value="507">(+507) Panama </option>
<option data-countrycode="PG" value="675">(+675) Papua New Guinea </option>
<option data-countrycode="PY" value="595">(+595) Paraguay </option>
<option data-countrycode="PE" value="51">(+51) Peru </option>
<option data-countrycode="PH" value="63">(+63) Philippines </option>
<option data-countrycode="PL" value="48">(+48) Poland </option>
<option data-countrycode="PT" value="351">(+351) Portugal </option>
<option data-countrycode="PR" value="1787">(+1787) Puerto Rico </option>
<option data-countrycode="QA" value="974">(+974) Qatar </option>
<option data-countrycode="RE" value="262">(+262) Reunion </option>
<option data-countrycode="RO" value="40">(+40) Romania </option>
<option data-countrycode="RU" value="7">(+7) Russia </option>
<option data-countrycode="RW" value="250">(+250) Rwanda </option>
<option data-countrycode="SM" value="378">(+378) San Marino </option>
<option data-countrycode="ST" value="239">(+239) Sao Tome & Principe </option>
<option data-countrycode="SA" value="966">(+966) Saudi Arabia </option>
<option data-countrycode="SN" value="221">(+221) Senegal </option>
<option data-countrycode="CS" value="381">(+381) Serbia </option>
<option data-countrycode="SC" value="248">(+248) Seychelles </option>
<option data-countrycode="SL" value="232">(+232) Sierra Leone </option>
<option data-countrycode="SG" value="65">(+65) Singapore </option>
<option data-countrycode="SK" value="421">(+421) Slovak Republic </option>
<option data-countrycode="SI" value="386">(+386) Slovenia </option>
<option data-countrycode="SB" value="677">(+677) Solomon Islands </option>
<option data-countrycode="SO" value="252">(+252) Somalia </option>
<option data-countrycode="ZA" value="27">(+27) South Africa </option>
<option data-countrycode="ES" value="34">(+34) Spain </option>
<option data-countrycode="LK" value="94">(+94) Sri Lanka </option>
<option data-countrycode="SH" value="290">(+290) St. Helena </option>
<option data-countrycode="KN" value="1869">(+1869) St. Kitts </option>
<option data-countrycode="SC" value="1758">(+1758) St. Lucia </option>
<option data-countrycode="SD" value="249">(+249) Sudan </option>
<option data-countrycode="SR" value="597">(+597) Suriname </option>
<option data-countrycode="SZ" value="268">(+268) Swaziland </option>
<option data-countrycode="SE" value="46">(+46) Sweden </option>
<option data-countrycode="CH" value="41">(+41) Switzerland </option>
<option data-countrycode="SI" value="963">(+963) Syria </option>
<option data-countrycode="TW" value="886">(+886) Taiwan </option>
<option data-countrycode="TJ" value="7">(+7) Tajikstan </option>
<option data-countrycode="TH" value="66">(+66) Thailand </option>
<option data-countrycode="TG" value="228">(+228) Togo </option>
<option data-countrycode="TO" value="676">(+676) Tonga </option>
<option data-countrycode="TT" value="1868">(+1868) Trinidad & Tobago </option>
<option data-countrycode="TN" value="216">(+216) Tunisia </option>
<option data-countrycode="TR" value="90">(+90) Turkey </option>
<option data-countrycode="TM" value="7">(+7) Turkmenistan </option>
<option data-countrycode="TM" value="993">(+993) Turkmenistan </option>
<option data-countrycode="TC" value="1649">(+1649) Turks & Caicos Islands </option>
<option data-countrycode="TV" value="688">(+688) Tuvalu </option>
<option data-countrycode="UG" value="256">(+256) Uganda </option>
<option data-countrycode="GB" value="44">(+44) United Kingdom</option>
<option data-countrycode="UA" value="380">(+380) Ukraine </option>
<option data-countrycode="AE" value="971">(+971) United Arab Emirates </option>
<option data-countrycode="UY" value="598">(+598) Uruguay </option>
<option data-countrycode="US" value="1">(+1) USA</option>
<option data-countrycode="UZ" value="7">(+7) Uzbekistan </option>
<option data-countrycode="VU" value="678">(+678) Vanuatu </option>
<option data-countrycode="VA" value="379">(+379) Vatican City </option>
<option data-countrycode="VE" value="58">(+58) Venezuela </option>
<option data-countrycode="VN" value="84">(+84) Vietnam </option>
<option data-countrycode="VG" value="84">(+1284) Virgin Islands - British </option>
<option data-countrycode="VI" value="84">(+1340) Virgin Islands - US </option>
<option data-countrycode="WF" value="681">(+681) Wallis & Futuna </option>
<option data-countrycode="YE" value="969">(+969) Yemen (North)</option>
<option data-countrycode="YE" value="967">(+967) Yemen (South)</option>
<option data-countrycode="ZM" value="260">(+260) Zambia </option>
<option data-countrycode="ZW" value="263">(+263) Zimbabwe </option>
</select>
<input type="text" id="phonetwo" name="guardian_phone" value="" class="form-control">
</div>
<p class="text-danger phone_err fw-bold fst-italic"></p>
</div>
<input type="hidden" name="phonetwo_dialCode" id="phonetwo_dialCode" value="">
</div>
</div>
<!--<div class="form-group form-row d-md-flex mt-3">-->
<!-- <div class="col-sm-6 m-1">-->
<!-- <label class="fs-6"><span class="needed "></span> Fax number <span class="needed "></span></label>-->
<!-- <input type="number" class="form-control required faxno" id="faxno" name="faxno" value="" aria-required="true" placeholder="">-->
<!--<p id="faxcheck" class="text-danger"></p>-->
<!--<p class="text-danger e_err fw-bold fst-italic">This field is required</p>-->
<!--</div>-->
<!--<div class="col-sm-6 m-1">-->
<!-- <label class="fs-6"><span class="needed "></span> Email address <span class="needed "></span></label>-->
<!-- <input type="text" class="form-control required confirm_email" id="confirm_email" name="confirm_email" value="" aria-required="true" placeholder="You cannot copy and paste into this field.">-->
<!--<p class="text-danger err fw-bold fst-italic">This field is required</p>-->
<!--</div>-->
<!--</div>-->
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-md-12">
<label class="fs-6"><span class="needed ">*</span> Representative's declaration<span class="needed "> (required)</span></label>
<div class="">
<input class="form-check-input mt-2 ms-2" type="checkbox" value="1" name="repdChecked" id="repdChecked">
<label class="form-check-label" for="repdChecked">I declare that my contact and personal information above is truthful, complete and correct.</label>
</div>
<p class="text-danger repdChecked_err fw-bold fst-italic"></p>
<!--<p id="faxcheck" class="text-danger"></p>-->
<!--<p class="text-danger e_err fw-bold fst-italic">This field is required</p>-->
</div>
</div>
</div>
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-md-12">
<label class="fs-6"><span class="needed">*</span> Representative's authorization <span class="needed "> (required)</span></label>
<div class="">
<input class="form-check-input mt-2 ms-2" type="checkbox" value="1" name="repauthChecked" id="repauthChecked">
<label class="form-check-label" for="repauthChecked">I understand and accept that I am the person appointed by the applicant to conduct business on the applicant or sponsor's behalf<br>with Immigration, Refugees and
Citizenship Canada and the Canada Border Services Agency.</label>
</div>
<p class="text-danger repauthChecked_err fw-bold fst-italic">hh</p>
<!--<p id="faxcheck" class="text-danger"></p>-->
<!--<p class="text-danger e_err fw-bold fst-italic">This field is required</p>-->
</div>
</div>
</div>
</div>
<div class="d-flex gap-2 justify-content-md-end">
<button class="accordion-button collapsed btn-primary btn-next me-md-2 mt-2 back_btn_application_status" type="button" data-bs-toggle="collapse" data-bs-target="#collapseOne" aria-expanded="false" aria-controls="collapseOne"> BACK
</button>
<button id="second_step_next" class="accordion-button collapsed btn-primary btn-next me-md-2 mt-2 btn_application_status" type="button" data-bs-toggle="collapse" data-bs-target="" aria-expanded="false" aria-controls="collapseThree">
NEXT </button>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</form><form id="upd_passport_details" inspfaactive="true">
<input type="hidden" name="actionname" id="actionname" value="upd_passport_details">
<input type="hidden" name="requestid" id="requestid" value="CAN/9A2/A33">
<div class="accordion-item">
<h2 class="accordion-header" id="headingThree">
<button id="collapseThreebtn" class="accordion-button collapsed btn-title" type="button" data-bs-toggle="collapse" data-bs-target="#collapseThree" aria-expanded="false" aria-controls="collapseThree" disabled=""> Passport Details </button>
</h2>
<div id="collapseThree" class="accordion-collapse collapse" aria-labelledby="headingThree" data-bs-parent="#accordionExample">
<div class="accordion-body">
<div class="list-group-item py-3" data-acc-step="">
<h5 class="mb-0" data-acc-title="">Passport details of applicant</h5>
<div data-acc-content="">
<div class="my-3">
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-sm-6">
<label class="fs-6"><span class="needed ">*</span> Passport number<span class="needed "> (required)</span></label>
<input type="text" name="passport_number" id="passport_number" value="" class="form-control" placeholder="Enter the passport number exactly as it appears on the passport.">
<p class="text-danger pn_err fw-bold fst-italic"></p>
</div>
<div class="col-sm-6">
<label class="fs-6"><span class="needed ">*</span> Passport number (re-enter) <span class="needed "> (required)</span></label>
<input type="text" name="passport" id="passport" value="" class="form-control" placeholder="You cannot copy and paste into this field.">
<p class="text-danger passport_err fw-bold fst-italic"></p>
</div>
</div>
</div>
<div class="row ">
<div class="col-sm-6 mt-3 passportexp">
<label class="fs-6 "><span class="needed ">*</span> Passport Issue Date<span class="needed "> (required)</span></label>
<div class="form-group form-row">
<div class="row">
<div class="col">
<select class="form-control birth_year" name="passport_issue_year" id="passport_issue_year" aria-required="true">
<option value="">Year</option>
<option value="2024">2024</option>
<option value="2023">2023</option>
<option value="2022">2022</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
<option value="1924">1924</option>
<option value="1923">1923</option>
<option value="1922">1922</option>
<option value="1921">1921</option>
<option value="1920">1920</option>
</select>
<p class="text-danger pi_year_err fw-bold fst-italic"></p>
</div>
<div class="col">
<select class="form-control birth_month " name="passport_issue_month" id="passport_issue_month" aria-required="true">
<option value="">Month</option>
<option value="January">January</option>
<option value="February">February</option>
<option value="March">March</option>
<option value="April">April</option>
<option value="May">May</option>
<option value="June">June</option>
<option value="July">July</option>
<option value="August">August</option>
<option value="September">September</option>
<option value="October">October</option>
<option value="November">November</option>
<option value="December">December</option>
</select>
<p class="text-danger pi_month_err fw-bold fst-italic"></p>
</div>
<div class="col">
<select class="form-control birth_date" name="passport_issue_day" id="passport_issue_day" aria-required="true">
<option value="">Day</option>
</select>
<p class="text-danger pi_day_err fw-bold fst-italic"></p>
</div>
</div>
</div>
</div>
<div class="col-sm-6 mt-3 passportexp">
<label class="fs-6"><span class="needed ">*</span> Passport Expiry Date<span class="needed "> (required)</span></label>
<div class="form-group form-row passexp">
<div class="row">
<div class="col">
<select class="form-control birth_year" name="passport_expiry_year" id="passport_expiry_year" aria-required="true">
<option value="">Year</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
<option value="2031">2031</option>
<option value="2032">2032</option>
<option value="2033">2033</option>
<option value="2034">2034</option>
<option value="2035">2035</option>
<option value="2036">2036</option>
<option value="2037">2037</option>
<option value="2038">2038</option>
<option value="2039">2039</option>
<option value="2040">2040</option>
<option value="2041">2041</option>
<option value="2042">2042</option>
<option value="2043">2043</option>
<option value="2044">2044</option>
<option value="2045">2045</option>
<option value="2046">2046</option>
<option value="2047">2047</option>
<option value="2048">2048</option>
<option value="2049">2049</option>
<option value="2050">2050</option>
<option value="2051">2051</option>
<option value="2052">2052</option>
<option value="2053">2053</option>
<option value="2054">2054</option>
<option value="2055">2055</option>
</select>
<p class="text-danger pe_year_err fw-bold fst-italic"></p>
</div>
<div class="col">
<select class="form-control birth_month " name="passport_expiry_month" id="passport_expiry_month" aria-required="true">
<option value="">Month</option>
<option value="January">January</option>
<option value="February">February</option>
<option value="March">March</option>
<option value="April">April</option>
<option value="May">May</option>
<option value="June">June</option>
<option value="July">July</option>
<option value="August">August</option>
<option value="September">September</option>
<option value="October">October</option>
<option value="November">November</option>
<option value="December">December</option>
</select>
<p class="text-danger pe_month_err fw-bold fst-italic"></p>
</div>
<div class="col">
<select class="form-control birth_date" name="passport_expiry_day" id="passport_expiry_day" aria-required="true">
<option value="">Day</option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<p class="text-danger pe_day_err fw-bold fst-italic"></p>
</div>
</div>
</div>
<p class="text-danger exp_date_err fw-bold fst-italic"></p>
</div>
</div>
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-md-12">
<label class="fs-6"><span class="needed ">*</span> Passport Country/Nationality<span class="needed "> (required)</span> </label>
<select name="countryposportnote" id="countryposportnote" class="form-control">
<option value="">Please select</option>
<option value="Andorra">Andorra</option>
<option value="Antigua And Barbuda">Antigua And Barbuda</option>
<option value="Austria">Austria</option>
<option value="Australia">Australia</option>
<option value="Brunei">Brunei</option>
<option value="Belgium">Belgium</option>
<option value="Bahamas">Bahamas</option>
<option value="Bermuda Islands">Bermuda Islands</option>
<option value="Barbados">Barbados</option>
<option value="Switzerland">Switzerland</option>
<option value="Chile">Chile</option>
<option value="Caiman Islands">Caiman Islands</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Enguila">Enguila</option>
<option value="Spain">Spain</option>
<option value="Estonia">Estonia</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Greece">Greece</option>
<option value="Germany">Germany</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Croatia">Croatia</option>
<option value="Hungary">Hungary</option>
<option value="Holy See">Holy See</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Ireland">Ireland</option>
<option value="Iceland">Iceland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Korea">Korea</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Lithuania">Lithuania</option>
<option value="Latvia">Latvia</option>
<option value="Monaco">Monaco</option>
<option value="Mexico">Mexico</option>
<option value="Malta">Malta</option>
<option value="Montserrat">Montserrat</option>
<option value="Norway">Norway</option>
<option value="Netherlands">Netherlands</option>
<option value="New Zealand">New Zealand</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Japan">Japan</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="United Kingdom">United Kingdom</option>
<option value="Singapore">Singapore</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="San Marino">San Marino</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Santa Helena">Santa Helena</option>
<option value="Sweden">Sweden</option>
<option value="Taiwan">Taiwan</option>
<option value="British Virgin Islands">British Virgin Islands</option>
<option value="Samoa">Samoa</option>
</select>
<p class="text-danger pc_err fw-bold fst-italic"></p>
</div>
</div>
</div>
<div class="form-group form-row mt-3" id="personal_identification_number_div" style="display:none">
<div class="row">
<div class="col-md-12">
<label class="fs-6"><span class="needed">*</span> For this trip, will you use a passport issued by the Ministry of Foreign Affairs in Taiwan that includes your personal identification number? <span
class="needed">(required)</span></label>
<div class="d-flex">
<div class="form-check">
<input id="personal_identification_number_yes" class="form-check-input mt-2 ms-2 " type="radio" name="personal_identification_number" value="yes">
<label class="form-check-label" for="personal_identification_number_yes">Yes</label>
</div>
<div class="form-check">
<input class="form-check-input mt-2 ms-2 " type="radio" name="personal_identification_number" id="personal_identification_number_no" value="no" checked="">
<label class="form-check-label" for="personal_identification_number_no"> No</label>
</div>
</div>
</div>
<p class="text-danger personal_identification_number_err fw-bold fst-italic"></p>
</div>
<div class="row" id="personal_identification_number_yes_show" style="display:none">
<div class="col-md-12">
<label class="fs-6 ms-2">Taiwan personal identification number (required)</label>
<input class="form-control required ms-2" name="taiwan_personal_identification_number" id="taiwan_personal_identification_number" value="" aria-required="true">
<p class="text-danger taiwan_personal_identification_number_err fw-bold fst-italic"></p>
<label class="fs-6 ms-2">Taiwan personal identification number (re-enter) (required)</label>
<input class="form-control required ms-2" name="taiwan_personal_identification_number_reenter" id="taiwan_personal_identification_number_reenter" value="" aria-required="true">
<p class="text-danger taiwan_personal_identification_number_reenter_err fw-bold fst-italic"></p>
</div>
</div>
</div>
<div class="d-flex gap-2 justify-content-md-end">
<button class="accordion-button collapsed btn-primary btn-next me-md-2 mt-2 back_btn_passport_details" type="button" data-bs-toggle="collapse" data-bs-target="#collapseTwo" aria-expanded="false" aria-controls="collapseTwo"> BACK
</button>
<button id="third_step_next" class="accordion-button collapsed btn-primary btn-next me-md-2 mt-2 btn_passport_details" type="button" data-bs-toggle="collapse" aria-expanded="false" aria-controls="collapseFour"> NEXT </button>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</form><form id="upd_residential_details" inspfaactive="true">
<input type="hidden" name="actionname" id="actionname" value="upd_residential_details">
<input type="hidden" name="requestid" id="requestid" value="CAN/9A2/A33">
<div class="accordion-item">
<h2 class="accordion-header" id="headingFour">
<button id="collapseFourbtn" class="accordion-button collapsed btn-title" type="button" data-bs-toggle="collapse" data-bs-target="#collapseFour" aria-expanded="false" aria-controls="collapseFour" disabled=""> Residential Address </button>
</h2>
<div id="collapseFour" class="accordion-collapse collapse" aria-labelledby="headingFour" data-bs-parent="#accordionExample">
<div class="accordion-body">
<div class="list-group-item py-3" data-acc-step="">
<h5 class="mb-0" data-acc-title="">Residential details of applicant</h5>
<div data-acc-content="">
<div class="my-3">
<!--<div class="form-group form-row mt-3">-->
<!-- <div class="row">-->
<!-- <div class="col-md-12">-->
<!-- <label class="fs-6"><span class="needed">*</span> Do you have Additional nationalities?<span class="needed">(required)</span></label>-->
<!-- <div class="d-flex">-->
<!-- <div class="form-check">-->
<!-- <input id="additional_nationalities_yes" class="form-check-input mt-2 ms-2 additional_nationalities" type="radio" name="additional_nationalities" value="yes" >-->
<!-- <label class="form-check-label" for="appliedd_for_visa_yes">Yes</label>-->
<!-- </div>-->
<!-- <div class="form-check">-->
<!-- <input class="form-check-input mt-2 ms-2 additional_nationalities" type="radio" name="additional_nationalities" id="additional_nationalities" value="no" checked>-->
<!-- <label class="form-check-label" for="additional_nationalities"> No</label>-->
<!-- </div>-->
<!-- </div> -->
<!-- <div id="additional_show">-->
<!-- <label class="fs-6 ms-0 mt-3">Country/territory <span id="display_country"></span></label>-->
<!-- <h6 class="innerbox">Indicate which countries/territories you are a citizen of.</h6>-->
<!-- <select name="citizencandcounty" id="citizencandcounty" class="form-control">-->
<!-- <option value="">Please select</option>-->
<!-- <option value="Afghanistan" >Afghanistan</option>-->
<!-- <option value="Albania" >Albania</option>-->
<!-- <option value="Algeria" >Algeria</option>-->
<!-- <option value="Andorra" >Andorra</option>-->
<!-- <option value="Angola" >Angola</option>-->
<!-- <option value="Anguilla" >Anguilla</option>-->
<!-- <option value="Antigua And Barbuda" >Antigua And Barbuda</option>-->
<!-- <option value="Argentina" >Argentina</option>-->
<!-- <option value="Armenia" >Armenia</option>-->
<!-- <option value="Australia" >Australia</option>-->
<!-- <option value="Austria" >Austria</option>-->
<!-- <option value="Azerbaijan" >Azerbaijan</option>-->
<!-- <option value="Bahamas" >Bahamas</option>-->
<!-- <option value="Bahrain" >Bahrain</option>-->
<!-- <option value="Bangladesh" >Bangladesh</option>-->
<!-- <option value="Barbados" >Barbados</option>-->
<!-- <option value="Belarus" >Belarus</option>-->
<!-- <option value="Belgium" >Belgium</option>-->
<!-- <option value="Belize" >Belize</option>-->
<!-- <option value="Benin" >Benin</option>-->
<!-- <option value="Bermuda" >Bermuda</option>-->
<!-- <option value="Bhutan" >Bhutan</option>-->
<!-- <option value="Bolivia" >Bolivia</option>-->
<!-- <option value="Bosnia and Herzegovina" >Bosnia and Herzegovina</option>-->
<!-- <option value="Botswana" >Botswana</option>-->
<!-- <option value="Brazil" >Brazil</option>-->
<!-- <option value="British Virgin Islands" >British Virgin Islands</option>-->
<!-- <option value="Brunei Darussalam" >Brunei Darussalam</option>-->
<!-- <option value="Bulgaria" >Bulgaria</option>-->
<!-- <option value="Burkina Faso" >Burkina Faso</option>-->
<!-- <option value="Burma (Myanmar)" >Burma (Myanmar)</option>-->
<!-- <option value="Burundi" >Burundi</option>-->
<!-- <option value="Cabo Verde" >Cabo Verde</option>-->
<!-- <option value="Cambodia" >Cambodia</option>-->
<!-- <option value="Cameroon" >Cameroon</option>-->
<!-- <option value="Canada" >Canada</option>-->
<!-- <option value="Cayman Islands" >Cayman Islands</option>-->
<!-- <option value="Central African Republic" >Central African Republic</option>-->
<!-- <option value="Chad" >Chad</option>-->
<!-- <option value="Chile" >Chile</option>-->
<!-- <option value="China" >China</option>-->
<!-- <option value="China (Hong Kong SAR)" >China (Hong Kong SAR)</option>-->
<!-- <option value="China (Macao SAR)" >China (Macao SAR)</option>-->
<!-- <option value="Colombia" >Colombia</option>-->
<!-- <option value="Comoros" >Comoros</option>-->
<!-- <option value="Costa Rica" >Costa Rica</option>-->
<!-- <option value="Croatia" >Croatia</option>-->
<!-- <option value="Cuba" >Cuba</option>-->
<!-- <option value="Cyprus" >Cyprus</option>-->
<!-- <option value="Czech Republic" >Czech Republic</option>-->
<!-- <option value="Democratic Rep. of Congo" >Democratic Rep. of Congo</option>-->
<!-- <option value="Denmark" >Denmark</option>-->
<!-- <option value="Djibouti" >Djibouti</option>-->
<!-- <option value="Dominica" >Dominica</option>-->
<!-- <option value="Dominican Republic" >Dominican Republic</option>-->
<!-- <option value="East Timor" >East Timor</option>-->
<!-- <option value="Ecuador" >Ecuador</option>-->
<!-- <option value="Egypt" >Egypt</option>-->
<!-- <option value="El Salvador" >El Salvador</option>-->
<!-- <option value="Equatorial Guinea" >Equatorial Guinea</option>-->
<!-- <option value="Eritrea" >Eritrea</option>-->
<!-- <option value="Estonia" >Estonia</option>-->
<!-- <option value="Ethiopia" >Ethiopia</option>-->
<!-- <option value="Federated States of Micronesia" >Federated States of Micronesia</option>-->
<!-- <option value="Fiji" >Fiji</option>-->
<!-- <option value="Finland" >Finland</option>-->
<!-- <option value="France" >France</option>-->
<!-- <option value="Gabon" >Gabon</option>-->
<!-- <option value="Gambia" >Gambia</option>-->
<!-- <option value="Georgia" >Georgia</option>-->
<!-- <option value="Germany, Federal Republic Of" >Germany, Federal Republic Of</option>-->
<!-- <option value="Ghana" >Ghana</option>-->
<!-- <option value="Greece" >Greece</option>-->
<!-- <option value="Grenada" >Grenada</option>-->
<!-- <option value="Guatemala" >Guatemala</option>-->
<!-- <option value="Guinea" >Guinea</option>-->
<!-- <option value="Guinea-Bissau" >Guinea-Bissau</option>-->
<!-- <option value="Guyana" >Guyana</option>-->
<!-- <option value="Haiti" >Haiti</option>-->
<!-- <option value="Honduras" >Honduras</option>-->
<!-- <option value="Hungary" >Hungary</option>-->
<!-- <option value="Iceland" >Iceland</option>-->
<!-- <option value="India" >India</option>-->
<!-- <option value="Indonesia" >Indonesia</option>-->
<!-- <option value="Iran" >Iran</option>-->
<!-- <option value="Iraq" >Iraq</option>-->
<!-- <option value="Ireland" >Ireland</option>-->
<!-- <option value="Israel" >Israel</option>-->
<!-- <option value="Italy" >Italy</option>-->
<!-- <option value="Ivory Coast" >Ivory Coast</option>-->
<!-- <option value="Jamaica" >Jamaica</option>-->
<!-- <option value="Japan" >Japan</option>-->
<!-- <option value="Jordan" >Jordan</option>-->
<!-- <option value="Kazakhstan" >Kazakhstan</option>-->
<!-- <option value="Kenya" >Kenya</option>-->
<!-- <option value="Kiribati" >Kiribati</option>-->
<!-- <option value="Korea, North (DPRK)" >Korea, North (DPRK)</option>-->
<!-- <option value="Korea, South" >Korea, South</option>-->
<!-- <option value="Kosovo" >Kosovo</option>-->
<!-- <option value="Kuwait" >Kuwait</option>-->
<!-- <option value="Kyrgyzstan" >Kyrgyzstan</option>-->
<!-- <option value="Laos" >Laos</option>-->
<!-- <option value="Latvia" >Latvia</option>-->
<!-- <option value="Lebanon" >Lebanon</option>-->
<!-- <option value="Lesotho" >Lesotho</option>-->
<!-- <option value="Liberia" >Liberia</option>-->
<!-- <option value="Libya" >Libya</option>-->
<!-- <option value="Liechtenstein" >Liechtenstein</option>-->
<!-- <option value="Lithuania" >Lithuania</option>-->
<!-- <option value="Luxembourg" >Luxembourg</option>-->
<!-- <option value="Macedonia" >Macedonia</option>-->
<!-- <option value="Madagascar" >Madagascar</option>-->
<!-- <option value="Malawi" >Malawi</option>-->
<!-- <option value="Malaysia" >Malaysia</option>-->
<!-- <option value="Maldives" >Maldives</option>-->
<!-- <option value="Mali" >Mali</option>-->
<!-- <option value="Malta" >Malta</option>-->
<!-- <option value="Marshall Islands" >Marshall Islands</option>-->
<!-- <option value="Mauritania" >Mauritania</option>-->
<!-- <option value="Mauritius" >Mauritius</option>-->
<!-- <option value="Mexico" >Mexico</option>-->
<!-- <option value="Moldova" >Moldova</option>-->
<!-- <option value="Monaco" >Monaco</option>-->
<!-- <option value="Mongolia" >Mongolia</option>-->
<!-- <option value="Montenegro" >Montenegro</option>-->
<!-- <option value="Montserrat" >Montserrat</option>-->
<!-- <option value="Morocco" >Morocco</option>-->
<!-- <option value="Mozambique" >Mozambique</option>-->
<!-- <option value="Namibia" >Namibia</option>-->
<!-- <option value="Nauru" >Nauru</option>-->
<!-- <option value="Nepal" >Nepal</option>-->
<!-- <option value="Netherlands, The" >Netherlands, The</option>-->
<!-- <option value="New Zealand" >New Zealand</option>-->
<!-- <option value="Nicaragua" >Nicaragua</option>-->
<!-- <option value="Niger" >Niger</option>-->
<!-- <option value="Nigeria" >Nigeria</option>-->
<!-- <option value="Norway" >Norway</option>-->
<!-- <option value="Oman" >Oman</option>-->
<!-- <option value="Pakistan" >Pakistan</option>-->
<!-- <option value="Palestinian Authority" >Palestinian Authority</option>-->
<!-- <option value="Panama" >Panama</option>-->
<!-- <option value="Papua New Guinea" >Papua New Guinea</option>-->
<!-- <option value="Paraguay" >Paraguay</option>-->
<!-- <option value="Peru" >Peru</option>-->
<!-- <option value="Philippines" >Philippines</option>-->
<!-- <option value="Poland" >Poland</option>-->
<!-- <option value="Portugal" >Portugal</option>-->
<!-- <option value="Qatar" >Qatar</option>-->
<!-- <option value="Republic of Congo" >Republic of Congo</option>-->
<!-- <option value="Republic of Palau" >Republic of Palau</option>-->
<!-- <option value="Romania" >Romania</option>-->
<!-- <option value="Russia" >Russia</option>-->
<!-- <option value="Rwanda" >Rwanda</option>-->
<!-- <option value="Saint Helena" >Saint Helena</option>-->
<!-- <option value="Saint Kitts and Nevis" >Saint Kitts and Nevis</option>-->
<!-- <option value="Saint Lucia" >Saint Lucia</option>-->
<!-- <option value="Samoa" >Samoa</option>-->
<!-- <option value="San Marino" >San Marino</option>-->
<!-- <option value="Sao Tome and Principe" >Sao Tome and Principe</option>-->
<!-- <option value="Saudi Arabia" >Saudi Arabia</option>-->
<!-- <option value="Senegal" >Senegal</option>-->
<!-- <option value="Serbia, Republic Of" >Serbia, Republic Of</option>-->
<!-- <option value="Seychelles" >Seychelles</option>-->
<!-- <option value="Sierra Leone" >Sierra Leone</option>-->
<!-- <option value="Singapore" >Singapore</option>-->
<!-- <option value="Slovakia" >Slovakia</option>-->
<!-- <option value="Slovenia" >Slovenia</option>-->
<!-- <option value="Solomon Islands" >Solomon Islands</option>-->
<!-- <option value="Somalia" >Somalia</option>-->
<!-- <option value="South Africa, Republic Of" >South Africa, Republic Of</option>-->
<!-- <option value="South Sudan" >South Sudan</option>-->
<!-- <option value="Spain" >Spain</option>-->
<!-- <option value="Sri Lanka" >Sri Lanka</option>-->
<!-- <option value="St. Vincent and the Grenadines" >St. Vincent and the Grenadines</option>-->
<!-- <option value="Sudan" >Sudan</option>-->
<!-- <option value="Suriname" >Suriname</option>-->
<!-- <option value="Swaziland" >Swaziland</option>-->
<!-- <option value="Sweden" >Sweden</option>-->
<!-- <option value="Switzerland" >Switzerland</option>-->
<!-- <option value="Syria" >Syria</option>-->
<!-- <option value="Taiwan" >Taiwan</option>-->
<!-- <option value="Tajikistan" >Tajikistan</option>-->
<!-- <option value="Tanzania" >Tanzania</option>-->
<!-- <option value="Thailand" >Thailand</option>-->
<!-- <option value="Togo" >Togo</option>-->
<!-- <option value="Tonga" >Tonga</option>-->
<!-- <option value="Trinidad and Tobago" >Trinidad and Tobago</option>-->
<!-- <option value="Tunisia" >Tunisia</option>-->
<!-- <option value="Turkey" >Turkey</option>-->
<!-- <option value="Turkmenistan" >Turkmenistan</option>-->
<!-- <option value="Turks and Caicos Islands" >Turks and Caicos Islands</option>-->
<!-- <option value="Tuvalu" >Tuvalu</option>-->
<!-- <option value="Uganda" >Uganda</option>-->
<!-- <option value="UK - Brit. Ntl. Overseas" >UK - Brit. Ntl. Overseas</option>-->
<!-- <option value="UK - Brit. overseas citizen" >UK - Brit. overseas citizen</option>-->
<!-- <option value="UK - Brit. overseas terr." >UK - Brit. overseas terr.</option>-->
<!-- <option value="UK - Brit. protected person" >UK - Brit. protected person</option>-->
<!-- <option value="UK - British citizen" >UK - British citizen</option>-->
<!-- <option value="UK - British subject" >UK - British subject</option>-->
<!-- <option value="Ukraine" >Ukraine</option>-->
<!-- <option value="UN or official" >UN or official</option>-->
<!-- <option value="UN specialized agency" >UN specialized agency</option>-->
<!-- <option value="United Arab Emirates" >United Arab Emirates</option>-->
<!-- <option value="United States of America" >United States of America</option>-->
<!-- <option value="Uruguay" >Uruguay</option>-->
<!-- <option value="Uzbekistan" >Uzbekistan</option>-->
<!-- <option value="Vanuatu" >Vanuatu</option>-->
<!-- <option value="Vatican City State" >Vatican City State</option>-->
<!-- <option value="Venezuela" >Venezuela</option>-->
<!-- <option value="Vietnam" >Vietnam</option>-->
<!-- <option value="Yemen" >Yemen</option>-->
<!-- <option value="Zambia" >Zambia</option>-->
<!-- <option value="Zimbabwe" >Zimbabwe</option>-->
<!-- </select>-->
<!-- <p class="text-danger citizencandcounty_err fw-bold fst-italic"></p>-->
<!-- </div>-->
<!-- </div>-->
<!-- </div>-->
<!--</div>-->
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-sm-6">
<label class="fs-6"><span class="needed ">*</span> Street address/name <span class="needed "> (required)</span></label>
<input type="text" class="form-control required street_name" name="street_name" id="street_name" value="" aria-required="true">
<p class="text-danger street_name_err fw-bold fst-italic"></p>
</div>
<div class="col-sm-6">
<label class="fs-6"><span class="needed ">*</span> Street/civic no. or house name<span class="needed "> (required)</span></label>
<input type="text" class="form-control required house_name" name="house_name" id="house_name" value="" aria-required="true">
<p class="text-danger house_name_err fw-bold fst-italic"></p>
</div>
</div>
</div>
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-sm-6">
<label class="fs-6"><span class="needed "></span> Apartment/unit number <span class="needed1 "> (optional)</span></label>
<input type="text" class="form-control required Apartment_number" name="Apartment_number" id="Apartment_number" value="" aria-required="true">
<p class="text-danger Apartment_number_err fw-bold fst-italic"></p>
</div>
<div class="col-sm-6">
<label class="fs-6"><span class="needed ">*</span> City/town<span class="needed "> (required)</span></label>
<input type="text" class="form-control required city" name="city" id="city" value="" aria-required="true">
<p class="text-danger city_err fw-bold fst-italic"></p>
</div>
</div>
</div>
<div class="form-group form-row mt-3">
<div class="row">
<div class="col-sm-6">
<label class="fs-6"><span class="needed "></span> District/region<span class="needed1 "> (optional)</span></label>
<input type="text" class="form-control" name="district" id="district_or_region" value="">
<p class="text-danger district_or_region_err fw-bold fst-italic"></p>
</div>
<div class="col-sm-6">
<label class="fs-6"><span class="needed ">*</span> Country <span class="needed "> (required)</span></label>
<select class="form-control required res_country country" name="country" id="country" aria-required="true">
<option value="">Please select</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antigua And Barbuda">Antigua And Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Brazil">Brazil</option>
<option value="British Virgin Islands">British Virgin Islands</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burma (Myanmar)">Burma (Myanmar)</option>
<option value="Burundi">Burundi</option>
<option value="Cabo Verde">Cabo Verde</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="China (Hong Kong SAR)">China (Hong Kong SAR)</option>
<option value="China (Macao SAR)">China (Macao SAR)</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Democratic Rep. of Congo">Democratic Rep. of Congo</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Federated States of Micronesia">Federated States of Micronesia</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany, Federal Republic Of">Germany, Federal Republic Of</option>
<option value="Ghana">Ghana</option>
<option value="Greece">Greece</option>
<option value="Grenada">Grenada</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Honduras">Honduras</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Ivory Coast">Ivory Coast</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, North (DPRK)">Korea, North (DPRK)</option>
<option value="Korea, South">Korea, South</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mexico">Mexico</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands, The">Netherlands, The</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palestinian Authority">Palestinian Authority</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Qatar">Qatar</option>
<option value="Republic of Congo">Republic of Congo</option>
<option value="Republic of Palau">Republic of Palau</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia, Republic Of">Serbia, Republic Of</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa, Republic Of">South Africa, Republic Of</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="St. Vincent and the Grenadines">St. Vincent and the Grenadines</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="UK - Brit. Ntl. Overseas">UK - Brit. Ntl. Overseas</option>
<option value="UK - Brit. overseas citizen">UK - Brit. overseas citizen</option>
<option value="UK - Brit. overseas terr.">UK - Brit. overseas terr.</option>
<option value="UK - Brit. protected person">UK - Brit. protected person</option>
<option value="UK - British citizen">UK - British citizen</option>
<option value="UK - British subject">UK - British subject</option>
<option value="Ukraine">Ukraine</option>
<option value="UN or official">UN or official</option>
<option value="UN specialized agency">UN specialized agency</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United States of America">United States of America</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City State">Vatican City State</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
<p class="text-danger country_err fw-bold fst-italic"></p>
</div>
</div>
</div>
<div class="d-flex gap-2 justify-content-md-end">
<button class="accordion-button collapsed btn-primary btn-next me-md-2 mt-2 back_btn_residential_details" type="button" data-bs-toggle="collapse" data-bs-target="#collapseThree" aria-expanded="false" aria-controls="collapseThree">
BACK </button>
<button id="fourth_step_next" class="accordion-button collapsed btn-primary btn-next me-md-2 mt-2 btn_residential_details" type="button" data-bs-toggle="collapse" aria-expanded="false" aria-controls="collapseFive"> NEXT </button>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</form><form id="upd_employment_info" inspfaactive="true">
<input type="hidden" name="actionname" id="actionname" value="upd_employment_info">
<input type="hidden" name="requestid" id="requestid" value="CAN/9A2/A33">
<div class="accordion-item">
<h2 class="accordion-header" id="headingFive">
<button id="collapseFivebtn" class="accordion-button btn-title collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#collapseFive" aria-expanded="false" aria-controls="collapseFive" disabled=""> Employment Information </button>
</h2>
<div id="collapseFive" class="accordion-collapse collapse" aria-labelledby="headingFive" data-bs-parent="#accordionExample">
<div class="accordion-body">
<div class="list-group-item py-3" data-acc-step="">
<div data-acc-content="">
<div class="my-3">
<div class="form-group mt-3">
<div class="row">
<div class="col-md-12">
<label class="fs-6"><span class="needed ">*</span> Occupation <span class="needed "> (required)</span></label>
<select id="select_occupation" class="form-control required occupation" name="occupation" aria-required="true">
<option value="">Please Select</option>
<option value="Art, culture, recreation and sport occupations" id="Art_culture">Art, culture, recreation and sport occupations</option>
<option value="Business, finance">Business, finance and administration occupations</option>
<option value="Education, law and social">Education, law and social, community and government services occupations</option>
<option value="Health occupations">Health occupations</option>
<option value="Homemaker">Homemaker</option>
<option value="Management occupations">Management occupations</option>
<option value="Manufacturing and utilities occupations">Manufacturing and utilities occupations</option>
<option value="Military/armed forces">Military/armed forces</option>
<option value="Natural and applied">Natural and applied sciences and related occupations</option>
<option value="Natural resources">Natural resources, agriculture and related production occupations</option>
<option value="Retired">Retired</option>
<option value="Sales and service occupations">Sales and service occupations</option>
<option value="Student">Student</option>
<option value="Trades, transport">Trades, transport and equipment operators and related occupations</option>
<option value="Unemployed">Unemployed</option>
</select>
<p class="text-danger occupation_err fw-bold fst-italic"></p>
</div>
</div>
<div id="form-row">
<div class="form-group mt-3 occu_title">
<div class="row">
<div class="col-md-12">
<!--<div id="job_title" class="col m-1" >-->
<!-- <label class="fs-6"><span class="needed ">*</span> Job Title <span class="needed "> (required)</span></label> -->
<!-- <input type="text" class="form-control required job_title" name="job_title" value="" aria-required="true">-->
<!--</div>-->
<div id="title_job" class="col m-1" style="display: none;">
<label class="fs-6"><span class="needed ">*</span> Job Title <span class="needed "> (required)</span></label>
<h6>Select the option that best describes your job.</h6>
<select name="jobtitleAnnouncers" id="jobtitleAnnouncers" class="form-control" style="display: none;">
<option value="Announcers and other performers">Announcers and other performers</option>
<option value="Athletes, coaches, referees and related occupations">Athletes, coaches, referees and related occupations</option>
<option value="Creative and performing artists">Creative and performing artists</option>
<option value="Creative designers and craftspersons">Creative designers and craftspersons</option>
<option value="Librarian, archivist, conservator or curator">Librarian, archivist, conservator or curator</option>
<option value="Photographers, graphic arts technicians, technical and coordinating occupations in motion pictures, broadcasting and the performing arts"> Photographers,graphic arts technicians,technical and coordinating
occupations in motion pictures,broadcasting and the performing arts</option>
<option value="Technical occupations in libraries, public archives, museums and art galleries">Technical occupations in libraries, public archives, museums and art galleries</option>
<option value="Writing, translating and related communications professionals">Writing, translating and related communications professionals</option>
</select>
<select name="jobtitleAdministrative" id="jobtitleAdministrative" class="form-control " style="display: none;">
<option value="Administrative and regulatory occupations">Administrative and regulatory occupations</option>
<option value="Administrative services supervisors">Administrative services supervisors</option>
<option value="Auditors, accountants and investment professionals">Auditors, accountants and investment professionals</option>
<option value="Court reporters, transcriptionists, records management technicians and statistical officers">Court reporters, transcriptionists, records management technicians and statistical officers</option>
<option value="Finance, insurance and related business administrative occupations">Finance, insurance and related business administrative occupations</option>
<option value="Financial, insurance and related administrative support workers">Financial, insurance and related administrative support workers</option>
<option value="General office workers">General office workers</option>
<option value="Human resources and business service professionals">Human resources and business service professionals</option>
<option value="Library, correspondence and other clerks">Library, correspondence and other clerks</option>
<option value="Mail and message distribution occupations">Mail and message distribution occupations</option>
<option value="Office administrative assistants general, legal and medical">Office administrative assistants - general, legal and medical</option>
<option value="Office equipment operators">Office equipment operators</option>
<option value="Supply chain logistics, tracking and scheduling coordination occupations">Supply chain logistics, tracking and scheduling coordination occupations</option>
</select>
<select name="jobtitleCollege" id="jobtitleCollege" class="form-control " style="display: none;">
<option value="College and other vocational instructors">College and other vocational instructors</option>
<option value="Home care providers and educational support occupations">Home care providers and educational support occupations</option>
<option value="Judges, lawyers and notaries">Judges, lawyers and notaries</option>
<option value="Legal and public protection support occupations">Legal and public protection support occupations </option>
<option value="Occupations in front line public protection services">Occupations in front-line public protection services</option>
<option value="Paraprofessional occupations in legal, social, community and education services">Paraprofessional occupations in legal, social, community and education services</option>
<option value="Policy and program researchers, consultants and officers">Policy and program researchers, consultants and officers</option>
<option value="Secondary and elementary school teachers and educational counsellors">Secondary and elementary school teachers and educational counsellors</option>
<option value="Social and community service professionals">Social and community service professionals</option>
<option value="University professors and post-secondary assistants">University professors and post-secondary assistants</option>
</select>
<select name="jobtitleAssisting" id="jobtitleAssisting" class="form-control" style="display: none;">
<option value="Assisting occupations in support of health services">Assisting occupations in support of health services</option>
<option value="Medical technologists and technicians">Medical technologists and technicians</option>
<option value="Optometrists, chiropractors, other health diagnosing and treating professionals">Optometrists, chiropractors, other health diagnosing and treating professionals</option>
<option value="Other technical occupations in health care">Other technical occupations in health care</option>
<option value="Pharmacists, dieticians and nutritionists">Pharmacists, dieticians and nutritionists</option>
<option value="Physicians, dentists and veterinarians">Physicians, dentists and veterinarians</option>
<option value="Professional occupations in nursing">Professional occupations in nursing</option>
<option value="Technical occupations in dental health care">Technical occupations in dental health care</option>
<option value="Therapy and assessment professionals">Therapy and assessment professionals</option>
</select>
<select name="jobtitlemanagers" id="jobtitlemanagers" class="form-control " style="display: none;">
<option value="Administrative services managers">Administrative services managers</option>
<option value="Corporate sales managers">Corporate sales managers</option>
<option value="Legislators and senior management, including political officials">Legislators and senior management, including political officials</option>
<option value="Managers in agriculture, horticulture and aquaculture">Managers in agriculture, horticulture and aquaculture</option>
<option value="Managers in art, culture, recreation and sport">Managers in art, culture, recreation and sport </option>
<option value="Managers in communication">Managers in communication</option>
<option value="Managers in construction, facility operation and maintenance">Managers in construction, facility operation and maintenance</option>
<option value="Managers in customer and personal services">Managers in customer and personal services</option>
<option value="Managers in education and social and community services">Managers in education and social and community services</option>
<option value="Managers in engineering, architecture, science and information systems">Managers in engineering, architecture, science and information systems</option>
<option value="Managers in financial and business services">Managers in financial and business services</option>
<option value="Managers in food service and accommodation">Managers in food service and accommodation</option>
<option value="Managers in health care">Managers in health care</option>
<option value="Managers in manufacturing and utilities">Managers in manufacturing and utilities</option>
<option value="Managers in natural resources production and fishing">Managers in natural resources production and fishing</option>
<option value="Managers in public administration">Managers in public administration</option>
<option value="Managers in public protection services">Managers in public protection services</option>
<option value="Managers in transportation">Managers in transportation</option>
<option value="Retail and wholesale trade managers">Retail and wholesale trade managers</option>
</select>
<select name="jobtitleCentral" id="jobtitleCentral" class="form-control " style="display: none;">
<option value="Central control and process operators in processing and manufacturing">Central control and process operators in processing and manufacturing</option>
<option value="Labourers in processing, manufacturing and utilities">Labourers in processing, manufacturing and utilities</option>
<option value="Machine operators and related workers in chemical, plastic and rubber processing">Machine operators and related workers in chemical, plastic and rubber processing</option>
<option value="Machine operators and related workers in food, beverage and associated products processing">Machine operators and related workers in food, beverage and associated products processing</option>
<option value="Machine operators and related workers in mineral and metal products processing and manufacturing"> Machine operators and related workers in mineral and metal products processing and manufacturing</option>
<option value="Machine operators and related workers in pulp and paper production and wood processing and manufacturing"> Machine operators and related workers in pulp and paper production and wood processing and
manufacturing </option>
<option value="Machine operators and related workers in textile, fabric, fur and leather products processing and manufacturing"> Machine operators and related workers in textile, fabric, fur and leather products processing
and manufacturing </option>
<option value="Mechanical, electrical and electronics assemblers">Mechanical, electrical and electronics assemblers </option>
<option value="Other assembly and related occupations">Other assembly and related occupations</option>
<option value="Printing equipment operators and related occupations">Printing equipment operators and related occupations</option>
<option value="Supervisors in assembly and fabrication">Supervisors in assembly and fabrication</option>
<option value="Supervisors in processing and manufacturing occupations">Supervisors in processing and manufacturing occupations</option>
<option value="Utilities equipment operators and controllers">Utilities equipment operators and controllers</option>
</select>
<select name="jobtitleAerospace" id="jobtitleAerospace" class="form-control " style="display: none;">
<option value="Aerospace Control Officer">Aerospace Control Officer</option>
<option value="Aerospace Control Operator">Aerospace Control Operator</option>
<option value="Aerospace Engineering Officer">Aerospace Engineering Officer</option>
<option value="Aerospace Telecommunication and Information Systems Technician">Aerospace Telecommunication and Information Systems Technician</option>
<option value="Air Combat Systems Officer">Air Combat Systems Officer</option>
<option value="Aircraft Structures Technician">Aircraft Structures Technician</option>
<option value="Armour Officer">Armour Officer</option>
<option value="Armoured Soldier">Armoured Soldier</option>
<option value="Artillery Officer">Artillery Officer</option>
<option value="Artillery Soldier Field">Artillery Soldier - Field</option>
<option value="Artillery Soldier Air Defence">Artillery Soldier Air Defence</option>
<option value="Aviation Systems Technician">Aviation Systems Technician</option>
<option value="Avionics Systems Technician">Avionics Systems Technician</option>
<option value="Biomedical Electronics Technologist">Biomedical Electronics Technologist</option>
<option value="Boatswain">Boatswain</option>
<option value="Chaplain">Chaplain</option>
<option value="Combat Engineer">Combat Engineer</option>
<option value="Communications and Electronics Engineering Air Officer">Communications and Electronics Engineering (Air) Officer</option>
<option value="Communicator Research Operator">Communicator Research Operator</option>
<option value="Construction Technician">Construction Technician</option>
<option value="Cook">Cook</option>
<option value="Dental Officer">Dental Officer</option>
<option value="Electrical and Mechanical Engineering Officer">Electrical and Mechanical Engineering Officer</option>
<option value="Electrical Distribution Technician">Electrical Distribution Technician</option>
<option value="Electrical Generating Systems Technician">Electrical Generating Systems Technician</option>
<option value="Engineering Officer">Engineering Officer</option>
<option value="Fire Fighter">Fire Fighter</option>
<option value="Geomatics Technician">Geomatics Technician</option>
<option value="Health Care Administration Officer">Health Care Administration Officer</option>
<option value="Imagery Technician">Imagery Technician</option>
<option value="Infantry Officer">Infantry Officer</option>
<option value="Infantry Soldier">Infantry Soldier</option>
<option value="Intelligence Officer Naval Reserve">Intelligence Officer, Naval Reserve</option>
<option value="Intelligence Operator">Intelligence Operator</option>
<option value="Land Communications and Information Systems Technician">Land Communications and Information Systems Technician</option>
<option value="Legal Officer">Legal Officer</option>
<option value="Line Technician">Line Technician</option>
<option value="Logistics Support, Naval Reserve Officer">Logistics (Support), Naval Reserve Officer</option>
<option value="Logistics Officer">Logistics Officer</option>
<option value="Maritime Surface and Sub-surface Officer">Maritime Surface and Sub-surface Officer</option>
<option value="Medical Officer">Medical Officer</option>
<option value="Medical Technician">Medical Technician</option>
<option value="Military Police">Military Police</option>
<option value="Military Police Officer">Military Police Officer</option>
<option value="Mobile Support Equipment Operator">Mobile Support Equipment Operator</option>
<option value="Musician">Musician</option>
<option value="Naval Combat Information Operator">Naval Combat Information Operator</option>
<option value="Naval Communicator">Naval Communicator</option>
<option value="Nursing Officer">Nursing Officer</option>
<option value="Personnel Selection Officer">Personnel Selection Officer</option>
<option value="Pharmacy Officer">Pharmacy Officer</option>
<option value="Pilot">Pilot</option>
<option value="Plumbing and Heating Technician">Plumbing and Heating Technician</option>
<option value="Port Inspection Diver">Port Inspection Diver</option>
<option value="Public Affairs Officer">Public Affairs Officer</option>
<option value="Refrigeration and Mechanical Systems Technician">Refrigeration and Mechanical Systems Technician</option>
<option value="Resource Management Support Clerk, Air Reserve">Resource Management Support Clerk, Air Reserve</option>
<option value="Resource Management Support Clerk, Army Reserve">Resource Management Support Clerk, Army Reserve</option>
<option value="Resource Management Support Clerk, Naval Reserve">Resource Management Support Clerk, Naval Reserve</option>
<option value="Signal Operator">Signal Operator</option>
<option value="Signals Officer">Signals (Officer)</option>
<option value="Supply Technician, Air Reserve">Supply Technician, Air Reserve</option>
<option value="Supply Technician, Army Reserve">Supply Technician, Army Reserve</option>
<option value="Supply Technician, Naval Reserve">Supply Technician, Naval Reserve</option>
<option value="Traffic Technician">Traffic Technician</option>
<option value="Vehicle Technician, Army Reserve">Vehicle Technician, Army Reserve</option>
<option value="Water, Fuels and Environmental Technician">Water, Fuels and Environmental Technician</option>
<option value="Weapons Technician Land">Weapons Technician / Land</option>
</select>
<select name="jobtitleArchitects" id="jobtitleArchitects" class="form-control " style="display: none;">
<option value="Architects, urban planners and land surveyors">Architects, urban planners and land surveyors</option>
<option value="Civil, mechanical, electrical and chemical engineers">Civil, mechanical, electrical and chemical engineers</option>
<option value="Computer and information systems professionals">Computer and information systems professionals </option>
<option value="Life science professionals">Life science professionals</option>
<option value="Mathematicians, statisticians and actuaries">Mathematicians, statisticians and actuaries</option>
<option value="Other engineers">Other engineers</option>
<option value="Other technical inspectors and regulatory officers">Other technical inspectors and regulatory officers</option>
<option value="Physical science professionals">Physical science professionals</option>
<option value="Technical occupations in architecture, drafting, surveying, geomatics and meteorology">Technical occupations in architecture, drafting, surveying, geomatics and meteorology</option>
<option value="Technical occupations in civil, mechanical and industrial engineering">Technical occupations in civil, mechanical and industrial engineering</option>
<option value="Technical occupations in computer and information systems">Technical occupations in computer and information systems</option>
<option value="Technical occupations in electronics and electrical engineering">Technical occupations in electronics and electrical engineering</option>
<option value="Technical occupations in life sciences">Technical occupations in life sciences</option>
<option value="Technical occupations in physical science">Technical occupations in physical science</option>
<option value="Transportation officers and controllers">Transportation officers and controllers</option>
</select>
<select name="jobtitleAgriculture" id="jobtitleAgriculture" class="form-control" style="display: none;">
<option value="Agriculture and horticulture workers">Agriculture and horticulture workers</option>
<option value="Contractors and supervisors in agriculture, horticulture and related operations and services"> Contractors and supervisors in agriculture, horticulture and related operations and services</option>
<option value="Contractors and supervisors in mining, oil and gas">Contractors and supervisors in mining, oil and gas</option>
<option value="Fishing vessel masters and fishermen fisherwomen">Fishing vessel masters and fishermen/fisherwomen </option>
<option value="Harvesting, landscaping and natural resources labourers">Harvesting, landscaping and natural resources labourers</option>
<option value="Logging and forestry workers">Logging and forestry workers</option>
<option value="Logging machinery operators">Logging machinery operators</option>
<option value="Mine service workers and operators in oil and gas drilling">Mine service workers and operators in oil and gas drilling</option>
<option value="Other workers in fishing and trapping and hunting occupations">Other workers in fishing and trapping and hunting occupations</option>
<option value="Supervisors, logging and forestry">Supervisors, logging and forestry</option>
<option value="Underground miners, oil and gas drillers and related occupations">Underground miners, oil and gas drillers and related occupations</option>
</select>
<select name="jobtitleButchers" id="jobtitleButchers" class="form-control " style="display: none;">
<option value="Butchers and bakers">Butchers and bakers</option>
<option value="Cashiers">Cashiers</option>
<option value="Chefs and cooks">Chefs and cooks</option>
<option value="Cleaners">Cleaners</option>
<option value="Customer and information services representatives">Customer and information services representatives </option>
<option value="Food counter attendants, kitchen helpers and related support occupations">Food counter attendants, kitchen helpers and related support occupations</option>
<option value="Insurance, real estate and financial sales occupations">Insurance, real estate and financial sales occupations</option>
<option value="Occupations in food and beverage services">Occupations in food and beverage services</option>
<option value="Occupations in travel and accommodation">Occupations in travel and accommodation</option>
<option value="Other occupations in personal services">Other occupations in personal services</option>
<option value="Other sales support and related occupations">Other sales support and related occupations</option>
<option value="Other service support and related occupations">Other service support and related occupations</option>
<option value="Retail sales supervisors">Retail sales supervisors</option>
<option value="Retail salespersons">Retail salespersons</option>
<option value="Sales and account representatives">Sales and account representatives</option>
<option value="Security guards and related security service occupations">Security guards and related security service occupations</option>
<option value="Service supervisors">Service supervisors</option>
<option value="Specialized occupations in personal and customer services">Specialized occupations in personal and customer services</option>
<option value="Support occupations in accommodation, travel and amusement services">Support occupations in accommodation, travel and amusement services</option>
<option value="Technical sales specialists in wholesale trade and retail and wholesale buyers">Technical sales specialists in wholesale trade and retail and wholesale buyers</option>
<option value="Tourism and amusement services occupations">Tourism and amusement services occupations</option>
</select>
<select name="jobtitleAutomotive" id="jobtitleAutomotive" class="form-control " style="display: none;">
<option value="Automotive service technicians">Automotive service technicians</option>
<option value="Carpenters and cabinetmakers">Carpenters and cabinetmakers</option>
<option value="Contractors and supervisors in industrial, electrical and construction trades and related workers"> Contractors and supervisors in industrial, electrical and construction trades and related workers</option>
<option value="Contractors and supervisors in maintenance trades and heavy equipment and transport operators"> Contractors and supervisors in maintenance trades and heavy equipment and transport operators</option>
<option value="Crane operators, drillers and blasters">Crane operators, drillers and blasters</option>
<option value="Electrical trades and electrical power line and telecommunications workers">Electrical trades and electrical power line and telecommunications workers</option>
<option value="Heavy equipment operators">Heavy equipment operators</option>
<option value="Longshore workers and material handlers">Longshore workers and material handlers</option>
<option value="Machinery and transportation equipment mechanics">Machinery and transportation equipment mechanics </option>
<option value="Machining, metal forming, shaping and erecting trades">Machining, metal forming, shaping and erecting trades</option>
<option value="Masonry and plastering trades">Masonry and plastering trades</option>
<option value="Motor vehicle and transit drivers">Motor vehicle and transit drivers</option>
<option value="Other construction trades">Other construction trades</option>
<option value="Other installers, repairers and servicers">Other installers, repairers and servicers</option>
<option value="Other mechanics and related repairers">Other mechanics and related repairers</option>
<option value="Other transport equipment operators and related maintenance workers">Other transport equipment operators and related maintenance workers</option>
<option value="Plumbers, pipefitters and gas fitters">Plumbers, pipefitters and gas fitters</option>
<option value="Printing press operators, other trades and related occupations">Printing press operators, other trades and related occupations</option>
<option value="Public works and other labourers">Public works and other labourers</option>
<option value="Trades helpers and labourers">Trades helpers and labourers</option>
<option value="Train crew operating occupations">Train crew operating occupations </option>
</select>
</div>
</div>
</div>
</div>
<div class="form-group form-row mt-3">
<div class="row">
<div id="name_of_employer" class="col-sm-6 " style="display: none;">
<label class="fs-6"><span class="needed ">*</span> Name of Employer/School <span class="needed "> (required)</span></label>
<input type="text" class="form-control required name_of_employer" name="name_of_employer" id="nameof_employer" value="" aria-required="true" placeholder="Enter the name of your employer or school ">
<p class="text-danger nameof_employer_err fw-bold fst-italic"></p>
</div>
<div id="occu_country" class="col-sm-6">
<label class="fs-6"><span class="needed ">*</span>Country <span class="needed "> (required)</span></label>
<select name="countrynamelistone" id="countrynamelistone" class="form-control">
<option value="">Please select</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antigua And Barbuda">Antigua And Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Brazil">Brazil</option>
<option value="British Virgin Islands">British Virgin Islands</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burma (Myanmar)">Burma (Myanmar)</option>
<option value="Burundi">Burundi</option>
<option value="Cabo Verde">Cabo Verde</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="China (Hong Kong SAR)">China (Hong Kong SAR)</option>
<option value="China (Macao SAR)">China (Macao SAR)</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Democratic Rep. of Congo">Democratic Rep. of Congo</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Federated States of Micronesia">Federated States of Micronesia</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany, Federal Republic Of">Germany, Federal Republic Of</option>
<option value="Ghana">Ghana</option>
<option value="Greece">Greece</option>
<option value="Grenada">Grenada</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Honduras">Honduras</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Ivory Coast">Ivory Coast</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, North (DPRK)">Korea, North (DPRK)</option>
<option value="Korea, South">Korea, South</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mexico">Mexico</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands, The">Netherlands, The</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palestinian Authority">Palestinian Authority</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Qatar">Qatar</option>
<option value="Republic of Congo">Republic of Congo</option>
<option value="Republic of Palau">Republic of Palau</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia, Republic Of">Serbia, Republic Of</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa, Republic Of">South Africa, Republic Of</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="St. Vincent and the Grenadines">St. Vincent and the Grenadines</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="UK - Brit. Ntl. Overseas">UK - Brit. Ntl. Overseas</option>
<option value="UK - Brit. overseas citizen">UK - Brit. overseas citizen</option>
<option value="UK - Brit. overseas terr.">UK - Brit. overseas terr.</option>
<option value="UK - Brit. protected person">UK - Brit. protected person</option>
<option value="UK - British citizen">UK - British citizen</option>
<option value="UK - British subject">UK - British subject</option>
<option value="Ukraine">Ukraine</option>
<option value="UN or official">UN or official</option>
<option value="UN specialized agency">UN specialized agency</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United States of America">United States of America</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City State">Vatican City State</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
<p class="text-danger countrynamelistone_err fw-bold fst-italic"></p>
</div>
</div>
</div>
<div class="form-group form-row mt-3">
<div class="row">
<div id="occu_city" class="col-sm-4">
<label class="fs-6"><span class="needed ">*</span> City <span class="needed "> (required)</span></label>
<input type="text" class="form-control required occu_city" name="employer_city" id="employer_city" value="" aria-required="true" placeholder="Enter the name of your employer or school ">
<p class="text-danger employer_city_err fw-bold fst-italic"></p>
</div>
<div id="district" class="col-sm-4">
<label class="fs-6"><span class="needed "></span> District/region<span class="needed "></span></label>
<input type="text" class="form-control" name="employer_district" id="employer_district" value="">
<p class="text-danger employer_district_err fw-bold fst-italic"></p>
</div>
<div id="since_what_year" class="col-sm-4">
<label class="fs-6"><span class="needed ">*</span>Since What Year? <span class="needed " id="sincewhatyear"> (required)</span></label>
<select name="sinceyeardate" id="sinceyeardate" class="form-control">
<option value="">Select Year</option>
<option value="2024">2024</option>
<option value="2023">2023</option>
<option value="2022">2022</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
</select>
<p class="text-danger sinceyeardate_err fw-bold fst-italic"></p>
</div>
</div>
</div>
</div>
<div class=" d-flex gap-2 justify-content-md-end">
<button class="accordion-button collapsed btn-primary btn-next me-md-2 mt-2 back_btn_employment_info" type="button" data-bs-toggle="collapse" data-bs-target="#collapseFour" aria-expanded="false" aria-controls="collapseFour"> BACK
</button>
<button id="fifth_step_next" class="accordion-button collapsed btn-primary btn-next me-md-2 mt-2 btn_employment_info" type="button" data-bs-toggle="collapse" aria-expanded="false" aria-controls="collapseSix"> NEXT </button>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</form><form id="upd_eligibility_questions" inspfaactive="true">
<input type="hidden" name="actionname" id="actionname" value="upd_eligibility_questions">
<input type="hidden" name="requestid" id="requestid" value="CAN/9A2/A33">
<div class="accordion-item">
<h2 class="accordion-header" id="headingSix">
<button id="collapseSixbtn" class="accordion-button btn-title collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#collapseSix" aria-expanded="false" aria-controls="collapseSix" disabled=""> Eligiblity Questions </button>
</h2>
<div id="collapseSix" class="accordion-collapse collapse" aria-labelledby="headingSix" data-bs-parent="#accordionExample">
<div class="accordion-body">
<div class="list-group-item py-3" data-acc-step="">
<div data-acc-content="">
<div class="my-3">
<div class="form-group mt-3">
<div class="row">
<div class="col-md-12">
<label class="fs-6"><span class="needed">*</span> Have you ever been refused a visa or permit, denied entry to, or ordered to leave Canada or any other country/territory? <span class="needed">(required)</span></label>
<div class="d-flex">
<div class="form-check">
<input id="visa_or_permit_yes" class="form-check-input mt-2 ms-2 visa_or_permit" type="radio" name="visa_or_permit" value="yes">
<label class="form-check-label" for="visa_or_permit_yes">Yes</label>
</div>
<div class="form-check">
<input class="form-check-input mt-2 ms-2 visa_or_permit" type="radio" name="visa_or_permit" id="visa_or_permit" value="no" checked="">
<label class="form-check-label" for="visa_or_permit"> No</label>
</div>
</div>
</div>
<div class="col-md-12">
<div id="permit_show" style="display: none;">
<label class="fs-6 ms-2"><span class="needed">*</span> For each refusal, please indicate the country that refused you a visa or permit, or denied you entry, as well as the reasons provided to you by the country. <span
class="needed">(required)</span></label>
<textarea class="form-control" name="refusal" id="refusal" row="3" cols="3"></textarea>
<p class="text-danger refusal_err fw-bold fst-italic"></p>
</div>
</div>
<div class="col-md-12">
<label class="fs-6 mt-3"><span class="needed">*</span> Have you ever committed, been arrested for, been charged with or convicted of any criminal offence in any country/territory? <span class="needed">(required)</span></label>
<div class="d-flex">
<div class="form-check">
<input id="ever_committed_yes" class="form-check-input mt-2 ms-2 ever_committed" type="radio" name="ever_committed" value="yes">
<label class="form-check-label" for="ever_committed_yes">Yes</label>
</div>
<div class="form-check">
<input id="ever_committed" class="form-check-input mt-2 ms-2 ever_committed" type="radio" name="ever_committed" value="no" checked="">
<label class="form-check-label" for="ever_committed"> No</label>
</div>
</div>
</div>
<div class="col-md-12">
<div id="ever_committed_show" class="mt-3" style="display: none;">
<label class="fs-6"><span class="needed ">*</span> For each arrest, charge, or conviction, please indicate where (city, country), when (month/year), the nature of the offence, and the sentence. <span class="needed ">
(required)</span></label>
<textarea class="form-control" name="backquestwo" id="backquestwo" row="3" cols="3"></textarea>
<p class="text-danger backquestwo_err fw-bold fst-italic"></p>
</div>
</div>
<div class="col-md-12">
<label class="fs-6 mt-3"><span class="needed">*</span> In the past two years, were you diagnosed with tuberculosis or have you been in close contact with a person with tuberculosis? <span class="needed">(required)</span></label>
<div class="d-flex">
<div class="form-check">
<input id="past_two_yes" class="form-check-input mt-2 ms-2 past_two" type="radio" name="past_two" value="yes">
<label class="form-check-label" for="past_two_yes">Yes</label>
</div>
<div class="form-check">
<input id="past_two" class="form-check-input mt-2 ms-2 past_two" type="radio" name="past_two" value="no" checked="">
<label class="form-check-label" for="past_two"> No</label>
</div>
</div>
</div>
<div class="col-md-12">
<div id="past_two_show" class="mt-3" style="display: none;">
<label class="fs-6"><span class="needed">*</span>Is your contact with tuberculosis the result of being a health care worker?<span class="needed">(required)</span></label>
<div class="d-flex">
<div class="form-check">
<input id="care_worker_yes" class="form-check-input mt-2 ms-2 care_worker" type="radio" name="care_worker" value="yes">
<label class="form-check-label" for="care_worker_yes">Yes</label>
</div>
<div class="form-check">
<input id="past_two" class="form-check-input mt-2 ms-2 care_worker" type="radio" name="care_worker" value="no" checked="">
<label class="form-check-label" for="care_worker"> No</label>
</div>
</div>
</div>
</div>
<div class="col-md-12">
<div id="tuberculosis_show" class="mt-3" style="display: none;">
<label class="fs-6"><span class="needed">*</span> Have you ever been diagnosed with tuberculosis?<span class="needed">(required)</span></label>
<div class="d-flex">
<div class="form-check">
<input id="tuberculosis_yes" class="form-check-input mt-2 ms-2 tuberculosis" type="radio" name="tuberculosis" value="yes">
<label class="form-check-label" for="tuberculosis">Yes</label>
</div>
<div class="form-check">
<input id="past_two" class="form-check-input mt-2 ms-2 tuberculosis" type="radio" name="tuberculosis" value="no" checked="">
<label class="form-check-label" for="tuberculosis"> No</label>
</div>
</div>
</div>
</div>
<div class="col-md-12">
<label class="fs-6 mt-3"><span class="needed">*</span> Do you have one of these conditions? <span class="needed">(required)</span></label>
<div class="d-flex conditions_list">
<input id="past_two" class="form-check-input mt-2 ms-2 conditions" type="radio" name="conditions" value="Untreated syphilis">
<label class="form-check-label" for="conditions"> Untreated syphilis</label>
<input id="drug_or_alcohol" class="form-check-input mt-2 ms-2 conditions" type="radio" name="conditions" value="Untreated drug or alcohol addiction">
<label class="form-check-label" for="conditions"> Untreated drug or alcohol addiction</label>
<input id="health_condition" class="form-check-input mt-2 ms-2 conditions" type="radio" name="conditions" value="Untreated mental health condition with psychosis">
<label class="form-check-label" for="conditions"> Untreated mental health condition with psychosis</label>
<input id="none_of_the_above" class="form-check-input mt-2 ms-2 conditions" type="radio" name="conditions" value="None of the above" checked="">
<label class="form-check-label" for="conditions"> None of these</label>
</div>
</div>
</div>
</div>
<div class=" d-flex gap-2 justify-content-md-end">
<button class="accordion-button collapsed btn-primary btn-next me-md-2 mt-2 back_btn_eligibility_questions" type="button" data-bs-toggle="collapse" data-bs-target="#collapseFive" aria-expanded="false" aria-controls="collapseFive">
BACK </button>
<button id="sixth_step_next" class="accordion-button collapsed btn-primary btn-next me-md-2 mt-2 btn_eligibility_questions" type="button" data-bs-toggle="collapse" aria-expanded="false" aria-controls="collapseSeven"> NEXT </button>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</form><form id="upd_travel_info" inspfaactive="true">
<input type="hidden" name="actionname" id="actionname" value="upd_travel_info">
<input type="hidden" name="requestid" id="requestid" value="CAN/9A2/A33">
<div class="accordion-item">
<h2 class="accordion-header" id="headingSeven">
<button id="collapseSevenbtn" class="accordion-button btn-title collapsed" type="button" data-bs-toggle="collapse" data-bs-target="#collapseSeven" aria-expanded="false" aria-controls="collapseSeven" disabled=""> Travel Information </button>
</h2>
<div id="collapseSeven" class="accordion-collapse collapse" aria-labelledby="headingSeven" data-bs-parent="#accordionExample">
<div class="accordion-body">
<div class="list-group-item py-3" data-acc-step="">
<div data-acc-content="">
<div class="my-3">
<div class="form-group mt-3">
<div class="row">
<div class="col-md-12">
<label class="fs-6"><span class="needed">*</span> Have you ever applied for or obtained a visa, an eTA or a permit to visit, live, work or study in Canada? <span class="needed">(required)</span></label>--> <div class="d-flex">
<div class="form-check">
<input id="appliedd_for_visa_yes" class="form-check-input mt-2 ms-2 ever_applied" type="radio" name="ever_applied" value="yes">
<label class="form-check-label" for="appliedd_for_visa_yes">Yes</label>
</div>
<div class="form-check">
<input class="form-check-input mt-2 ms-2 ever_applied" type="radio" name="ever_applied" id="ever_applied" value="no" checked="">
<label class="form-check-label" for="ever_applied"> No</label>
</div>
</div>
</div>
<div class="col-md-12">
<div id="appliedd_show" style="display: none;">
<label class="fs-6 ms-2">Unique client identifier (UCI) / Previous Canadian visa, eTA or permit number(optional)</label>
<input class="form-control required additional_details ms-2" name="unique_client_identifier" id="unique_client_identifier" value="" aria-required="true">
<p class="text-danger uci_err fw-bold fst-italic"></p>
<label class="fs-6 ms-2">Unique client identifier (UCI) / Previous Canadian visa, eTA or permit number(re-enter)</label>
<input class="form-control required identifier_details ms-2" name="identifier" id="identifier" value="" aria-required="true">
<p class="text-danger uci_reenter_err fw-bold fst-italic"></p>
</div>
</div>
<div class="col-md-12">
<label class="fs-6"><span class="needed">*</span> Do you know when you will travel to Canada? <span class="needed">(required)</span></label>
<h6 class="innerbox ms-3">This information may help us to process your application. If you do not know when you will travel to Canada, please select "no".</h6>
<div class="d-flex">
<div class="form-check">
<input id="travel_to_Canada_yes" class="form-check-input mt-2 ms-2 travel_to_Canada" type="radio" name="travel_to_Canada" value="yes">
<label class="form-check-label" for="travel_to_Canada_yes">Yes</label>
</div>
<div class="form-check">
<input class="form-check-input mt-2 ms-2 travel_to_Canada" type="radio" name="travel_to_Canada" id="travel_to_Canada" value="no" checked="">
<label class="form-check-label" for="travel_to_Canada"> No</label>
</div>
</div>
</div>
<div class="col-md-12">
<div id="canada_show" style="display: none;">
<label class="fs-6">When do you plan to travel to Canada?</label>
<h6 class="innerbox ms-3">If you don't know, you may enter an approximate date.</h6>
<div class="row">
<div class="col">
<select class="form-control birth_year" id="travel_to_canada_year" name="travel_to_canada_year" aria-required="true">
<option value="">Year</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
<option value="2031">2031</option>
<option value="2032">2032</option>
<option value="2033">2033</option>
<option value="2034">2034</option>
<option value="2035">2035</option>
<option value="2036">2036</option>
<option value="2037">2037</option>
<option value="2038">2038</option>
<option value="2039">2039</option>
<option value="2040">2040</option>
<option value="2041">2041</option>
<option value="2042">2042</option>
<option value="2043">2043</option>
<option value="2044">2044</option>
<option value="2045">2045</option>
<option value="2046">2046</option>
<option value="2047">2047</option>
<option value="2048">2048</option>
<option value="2049">2049</option>
<option value="2050">2050</option>
</select>
<p class="text-danger travel_to_canada_year_err fw-bold fst-italic"></p>
</div>
<div class="col birthmonth">
<select class="form-control birth_month" id="travel_to_canada_month" name="travel_to_canada_month" aria-required="true">
<option value="">Month</option>
<option value="January">January</option>
<option value="February">February</option>
<option value="March">March</option>
<option value="April">April</option>
<option value="May">May</option>
<option value="June">June</option>
<option value="July">July</option>
<option value="August">August</option>
<option value="September">September</option>
<option value="October">October</option>
<option value="November">November</option>
<option value="December">December</option>
</select>
<p class="text-danger travel_to_canada_month_err fw-bold fst-italic"></p>
</div>
<div class="col">
<select class="form-control birth_date" id="travel_to_canada_date" name="travel_to_canada_date" aria-required="true">
<option value="">Day</option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<p class="text-danger travel_to_canada_date_err fw-bold fst-italic"></p>
</div>
</div>
<!--<input type="date" name="travel_to_canada_date" id="travel_to_canada_date" value="" placeholder="Select Date" onfocus="(this.type='date')" class="form-control">-->
<!--<p class="text-danger travel_to_canada_date_err fw-bold fst-italic"></p>-->
<label class="fs-6 mt-3"><span class="needed">*</span> Please enter the time your flight to Canada will depart<span class="needed">(required)</span></label>
<h6 class="innerbox ms-3">If you don't know, you may enter an approximate time.</h6>
<div class="form-group form-row mt-3">
<div class="row">
<div id="canadahour" class="col-sm-4">
<select name="timeknowcanadahour" id="timeknowcanadahour" class="form-control">
<option value="">Select Hour</option>
<option value="00">00</option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
</select>
<p class="text-danger timeknowcanadahour_err fw-bold fst-italic"></p>
</div>
<div id="canadamint" class="col-sm-4">
<select name="timeknowcanadamint" id="timeknowcanadamint" class="form-control">
<option value="">Select Minute</option>
<option value="00">00</option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="35">35</option>
<option value="36">36</option>
<option value="37">37</option>
<option value="38">38</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="42">42</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
<option value="48">48</option>
<option value="49">49</option>
<option value="50">50</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="55">55</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="59">59</option>
</select>
<p class="text-danger timeknowcanadamint_err fw-bold fst-italic"></p>
</div>
<div id="canadazone" class="col-sm-4">
<select name="timeknowcanadazone" id="timeknowcanadazone" class="form-control">
<option value="">Select Time zone</option>
<option value="Acre Time">Acre Time</option>
<option value="Afghanistan Time">Afghanistan Time</option>
<option value="Alaska Time">Alaska Time</option>
<option value="Alma-Ata Time">Alma-Ata Time</option>
<option value="Amazon Time">Amazon Time</option>
<option value="Anadyr Time">Anadyr Time</option>
<option value="Aqtau Time">Aqtau Time</option>
<option value="Aqtobe Time">Aqtobe Time</option>
<option value="Arabia Time">Arabia Time</option>
<option value="Argentine Time">Argentine Time</option>
<option value="Armenia Time">Armenia Time</option>
<option value="Atlantic Time">Atlantic Time</option>
<option value="Australian Central Time (Northern Territory)">Australian Central Time (Northern Territory)</option>
<option value="Australian Central Time (South Australia)">Australian Central Time (South Australia)</option>
<option value="Australian Central Time (South Australia New South Wales)">Australian Central Time (South Australia New South Wales)</option>
<option value="Australian Central Western Time">Australian Central Western Time</option>
<option value="Australian Eastern Time (New South Wales)">Australian Eastern Time (New South Wales)</option>
<option value="Australian Eastern Time (Queensland)">Australian Eastern Time (Queensland)</option>
<option value="Australian Eastern Time (Tasmania)">Australian Eastern Time (Tasmania)</option>
<option value="Australian Eastern Time (Victoria)">Australian Eastern Time (Victoria)</option>
<option value="Australian Western Time">Australian Western Time</option>
<option value="Azerbaijan Time">Azerbaijan Time</option>
<option value="Azores Time">Azores Time</option>
<option value="Bangladesh Time">Bangladesh Time</option>
<option value="Bhutan Time">Bhutan Time</option>
<option value="Bolivia Time">Bolivia Time</option>
<option value="Bougainville Time">Bougainville Time</option>
<option value="Brasilia Time">Brasilia Time</option>
<option value="British Time">British Time</option>
<option value="Brunei Time">Brunei Time</option>
<option value="Cape Verde Time">Cape Verde Time</option>
<option value="Central Africa Time">Central Africa Time</option>
<option value="Central European Time">Central European Time</option>
<option value="Central Indonesia Time">Central Indonesia Time</option>
<option value="Central Time">Central Time</option>
<option value="Chamorro Time">Chamorro Time</option>
<option value="Chatham Time">Chatham Time</option>
<option value="Chile Time">Chile Time</option>
<option value="China Time">China Time</option>
<option value="Choibalsan Time">Choibalsan Time</option>
<option value="Christmas Island Time">Christmas Island Time</option>
<option value="Chuuk Time">Chuuk Time</option>
<option value="Cocos Islands Time">Cocos Islands Time</option>
<option value="Colombia Time">Colombia Time</option>
<option value="Cook Is. Time">Cook Is. Time</option>
<option value="Coordinated Universal Time">Coordinated Universal Time</option>
<option value="Cuba Time">Cuba Time</option>
<option value="Davis Time">Davis Time</option>
<option value="Dumont-d Urville Time">Dumont-d Urville Time</option>
<option value="East Indonesia Time">East Indonesia Time</option>
<option value="Easter Is. Time">Easter Is. Time</option>
<option value="Eastern Africa Time">Eastern Africa Time</option>
<option value="Eastern European Time">Eastern European Time</option>
<option value="Eastern Greenland Time">Eastern Greenland Time</option>
<option value="Eastern Time">Eastern Time</option>
<option value="Ecuador Time">Ecuador Time</option>
<option value="Falkland Is. Time">Falkland Is. Time</option>
<option value="Fernando de Noronha Time">Fernando de Noronha Time</option>
<option value="Fiji Time">Fiji Time</option>
<option value="French Guiana Time">French Guiana Time</option>
<option value="French Southern Antarctic Lands Time">French Southern Antarctic Lands Time</option>
<option value="Galapagos Time">Galapagos Time</option>
<option value="Gambier Time">Gambier Time</option>
<option value="Georgia Time">Georgia Time</option>
<option value="Ghana Mean Time">Ghana Mean Time</option>
<option value="Gilbert Is. Time">Gilbert Is. Time</option>
<option value="Greenwich Mean Time">Greenwich Mean Time</option>
<option value="Gulf Time">Gulf Time</option>
<option value="Guyana Time">Guyana Time</option>
<option value="Hawaii Time">Hawaii Time</option>
<option value="Hong Kong Time">Hong Kong Time</option>
<option value="Hovd Time">Hovd Time</option>
<option value="India Time">India Time</option>
<option value="Indian Ocean Territory Time">Indian Ocean Territory Time</option>
<option value="Indochina Time">Indochina Time</option>
<option value="Iran Time">Iran Time</option>
<option value="Irish Time">Irish Time</option>
<option value="Irkutsk Time">Irkutsk Time</option>
<option value="Israel Time">Israel Time</option>
<option value="Japan Time">Japan Time</option>
<option value="Kirgizstan Time">Kirgizstan Time</option>
<option value="Kiribati Time">Kiribati Time</option>
<option value="Korea Time">Korea Time</option>
<option value="Kosrae Time">Kosrae Time</option>
<option value="Krasnoyarsk Time">Krasnoyarsk Time</option>
<option value="Line Is. Time">Line Is. Time</option>
<option value="Lord Howe Time">Lord Howe Time</option>
<option value="Macquarie Island Time">Macquarie Island Time</option>
<option value="Magadan Time">Magadan Time</option>
<option value="Malaysia Time">Malaysia Time</option>
<option value="Maldives Time">Maldives Time</option>
<option value="Marquesas Time">Marquesas Time</option>
<option value="Marshall Islands Time">Marshall Islands Time</option>
<option value="Mauritius Time">Mauritius Time</option>
<option value="Mawson Time">Mawson Time</option>
<option value="Moscow Time">Moscow Time</option>
<option value="Mountain Time">Mountain Time</option>
<option value="Myanmar Time">Myanmar Time</option>
<option value="Nauru Time">Nauru Time</option>
<option value="Nepal Time">Nepal Time</option>
<option value="New Caledonia Time">New Caledonia Time</option>
<option value="New Zealand Time">New Zealand Time</option>
<option value="Newfoundland Time">Newfoundland Time</option>
<option value="Niue Time">Niue Time</option>
<option value="Norfolk Time">Norfolk Time</option>
<option value="Novosibirsk Time">Novosibirsk Time</option>
<option value="Omsk Time">Omsk Time</option>
<option value="Oral Time">Oral Time</option>
<option value="Pakistan Time">Pakistan Time</option>
<option value="Palau Time">Palau Time</option>
<option value="Papua New Guinea Time">Papua New Guinea Time</option>
<option value="Paraguay Time">Paraguay Time</option>
<option value="Peru Time">Peru Time</option>
<option value="Petropavlovsk-Kamchatski Time">Petropavlovsk-Kamchatski Time</option>
<option value="Philippines Time">Philippines Time</option>
<option value="Phoenix Is. Time">Phoenix Is. Time</option>
<option value="Pierre Miquelon Time">Pierre Miquelon Time</option>
<option value="Pitcairn Time">Pitcairn Time</option>
<option value="Ponape Time">Ponape Time</option>
<option value="Qyzylorda Time">Qyzylorda Time</option>
<option value="Reunion Time">Reunion Time</option>
<option value="Rothera Time">Rothera Time</option>
<option value="Sakhalin Time">Sakhalin Time</option>
<option value="Samara Time">Samara Time</option>
<option value="Samoa Time">Samoa Time</option>
<option value="Seychelles Time">Seychelles Time</option>
<option value="Singapore Time">Singapore Time</option>
<option value="Solomon Is. Time">Solomon Is. Time</option>
<option value="South Africa Time">South Africa Time</option>
<option value="South Georgia Time">South Georgia Time</option>
<option value="Srednekolymsk Time">Srednekolymsk Time</option>
<option value="Suriname Time">Suriname Time</option>
<option value="Syowa Time">Syowa Time</option>
<option value="Tahiti Time">Tahiti Time</option>
<option value="Tajikistan Time">Tajikistan Time</option>
<option value="Timor-Leste Time">Timor-Leste Time</option>
<option value="Tokelau Time">Tokelau Time</option>
<option value="Tonga Time">Tonga Time</option>
<option value="Troll Time">Troll Time</option>
<option value="Turkmenistan Time">Turkmenistan Time</option>
<option value="Tuvalu Time">Tuvalu Time</option>
<option value="Ulaanbaatar Time">Ulaanbaatar Time</option>
<option value="Uruguay Time">Uruguay Time</option>
<option value="Ust-Nera Time">Ust-Nera Time</option>
<option value="Uzbekistan Time">Uzbekistan Time</option>
<option value="Vanuatu Time">Vanuatu Time</option>
<option value="Venezuela Time">Venezuela Time</option>
<option value="Vladivostok Time">Vladivostok Time</option>
<option value="Vostok Time">Vostok Time</option>
<option value="Wake Time">Wake Time</option>
<option value="Wallis Futuna Time">Wallis Futuna Time</option>
<option value="West Indonesia Time">West Indonesia Time</option>
<option value="West Samoa Time">West Samoa Time</option>
<option value="Western African Time">Western African Time</option>
<option value="Western European Time">Western European Time</option>
<option value="Western Greenland Time">Western Greenland Time</option>
<option value="Xinjiang Time">Xinjiang Time</option>
<option value="Yakutsk Time">Yakutsk Time</option>
<option value="Yekaterinburg Time">Yekaterinburg Time</option>
</select>
<p class="text-danger timeknowcanadazone_err fw-bold fst-italic"></p>
</div>
</div>
</div>
</div>
</div>
<div class="col-md-12">
<label class="fs-6 mt-3"><span class="needed">*</span> Are you traveling alone? <span class="needed">(required)</span></label>
<div class="d-flex">
<div class="form-check">
<input id="traveling_alone_yes" class="form-check-input mt-2 ms-2 traveling_alone" type="radio" name="traveling_alone" value="yes" checked="">
<label class="form-check-label" for="traveling_alone_yes">Yes</label>
</div>
<div class="form-check">
<input id="traveling_alone" class="form-check-input mt-2 ms-2 traveling_alone" type="radio" name="traveling_alone" value="no">
<label class="form-check-label" for="traveling_alone"> No</label>
</div>
</div>
</div>
<div class="col-md-12">
<div id="traveling_alone_show" class="" style="display: none;">
<label class="fs-6 mt-3"><span class="needed">*</span> How many members traveling with you? <span class="needed">(required)</span></label>
<select name="tarvelcandatwoval" id="tarvelcandatwoval" class="form-control">
<option value="">Select one</option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
</select>
<p class="text-danger tarvelcandatwoval_err fw-bold fst-italic"></p>
</div>
</div>
<div class="col-md-12">
<label class="fs-6"><span class="needed">*</span> Do you have Additional nationalities?<span class="needed">(required)</span></label>
<div class="d-flex">
<div class="form-check">
<input id="additional_nationalities_yes" class="form-check-input mt-2 ms-2 additional_nationalities" type="radio" name="additional_nationalities" value="yes">
<label class="form-check-label" for="appliedd_for_visa_yes">Yes</label>
</div>
<div class="form-check">
<input class="form-check-input mt-2 ms-2 additional_nationalities" type="radio" name="additional_nationalities" id="additional_nationalities" value="no" checked="">
<label class="form-check-label" for="additional_nationalities"> No</label>
</div>
</div>
<div id="additional_show" style="display: none;">
<label class="fs-6 ms-0 mt-3">Country/territory <span id="display_country"></span></label>
<h6 class="innerbox">Indicate which countries/territories you are a citizen of.</h6>
<select name="citizencandcounty" id="citizencandcounty" class="form-control">
<option value="">Please select</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antigua And Barbuda">Antigua And Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Brazil">Brazil</option>
<option value="British Virgin Islands">British Virgin Islands</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burma (Myanmar)">Burma (Myanmar)</option>
<option value="Burundi">Burundi</option>
<option value="Cabo Verde">Cabo Verde</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="China (Hong Kong SAR)">China (Hong Kong SAR)</option>
<option value="China (Macao SAR)">China (Macao SAR)</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Democratic Rep. of Congo">Democratic Rep. of Congo</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Federated States of Micronesia">Federated States of Micronesia</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany, Federal Republic Of">Germany, Federal Republic Of</option>
<option value="Ghana">Ghana</option>
<option value="Greece">Greece</option>
<option value="Grenada">Grenada</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Honduras">Honduras</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Ivory Coast">Ivory Coast</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, North (DPRK)">Korea, North (DPRK)</option>
<option value="Korea, South">Korea, South</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mexico">Mexico</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands, The">Netherlands, The</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palestinian Authority">Palestinian Authority</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Qatar">Qatar</option>
<option value="Republic of Congo">Republic of Congo</option>
<option value="Republic of Palau">Republic of Palau</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia, Republic Of">Serbia, Republic Of</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa, Republic Of">South Africa, Republic Of</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="St. Vincent and the Grenadines">St. Vincent and the Grenadines</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="UK - Brit. Ntl. Overseas">UK - Brit. Ntl. Overseas</option>
<option value="UK - Brit. overseas citizen">UK - Brit. overseas citizen</option>
<option value="UK - Brit. overseas terr.">UK - Brit. overseas terr.</option>
<option value="UK - Brit. protected person">UK - Brit. protected person</option>
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Information Act. Further details on the PIBs pertaining to IRCC's line of business and services and the Government of Canada's access to information and privacy programs are available at the Infosource website and through the IRCC
Call Centre. Info Source is also available at public libraries across Canada.<br><br> Declaration of Applicant<br><br> I have read and understand the above declaration.<br><br> I declare that the information I have given in this
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ENGLISH APPLICATION FOR AN ELECTRONIC TRAVEL AUTHORIZATION (ETA) CAN/9A2/A33 -------------------------------------------------------------------------------- PERSONAL INFORMATION PERSONAL DETAILS * First name (required) This field is required Middle name (optional) * Last name (required) * Email address (required) * Email address (re-enter) (required) * Phone (required) (+213) Algeria (+376) Andorra (+244) Angola (+1264) Anguilla (+1268) Antigua & Barbuda (+54) Argentina (+374) Armenia (+297) Aruba (+61) Australia (+43) Austria (+994) Azerbaijan (+1242) Bahamas (+973) Bahrain (+880) Bangladesh (+1246) Barbados (+375) Belarus (+32) Belgium (+501) Belize (+229) Benin (+1441) Bermuda (+975) Bhutan (+591) Bolivia (+387) Bosnia Herzegovina (+267) Botswana (+55) Brazil (+673) Brunei (+359) Bulgaria (+226) Burkina Faso (+257) Burundi (+855) Cambodia (+237) Cameroon (+1) Canada (+238) Cape Verde Islands (+1345) Cayman Islands (+236) Central African Republic (+56) Chile (+86) China (+57) Colombia (+269) Comoros (+242) Congo (+682) Cook Islands (+506) Costa Rica (+385) Croatia (+53) Cuba (+90392) Cyprus North (+357) Cyprus South (+42) Czech Republic (+45) Denmark (+253) Djibouti (+1809) Dominica (+593) Ecuador (+20) Egypt (+503) El Salvador (+240) Equatorial Guinea (+291) Eritrea (+372) Estonia (+251) Ethiopia (+500) Falkland Islands (+298) Faroe Islands (+679) Fiji (+358) Finland (+33) France (+594) French Guiana (+689) French Polynesia (+241) Gabon (+220) Gambia (+7880) Georgia (+49) Germany (+233) Ghana (+350) Gibraltar (+30) Greece (+299) Greenland (+1473) Grenada (+590) Guadeloupe (+671) Guam (+502) Guatemala (+224) Guinea (+245) Guinea - Bissau (+592) Guyana (+509) Haiti (+504) Honduras (+852) Hong Kong (+36) Hungary (+354) Iceland (+91) India (+62) Indonesia (+98) Iran (+964) Iraq (+353) Ireland (+972) Israel (+39) Italy (+1876) Jamaica (+81) Japan (+962) Jordan (+7) Kazakhstan (+254) Kenya (+686) Kiribati (+850) Korea North (+82) Korea South (+965) Kuwait (+996) Kyrgyzstan (+856) Laos (+371) Latvia (+961) Lebanon (+266) Lesotho (+231) Liberia (+218) Libya (+417) Liechtenstein (+370) Lithuania (+352) Luxembourg (+853) Macao (+389) Macedonia (+261) Madagascar (+265) Malawi (+60) Malaysia (+960) Maldives (+223) Mali (+356) Malta (+692) Marshall Islands (+596) Martinique (+222) Mauritania (+269) Mayotte (+52) Mexico (+691) Micronesia (+373) Moldova (+377) Monaco (+976) Mongolia (+1664) Montserrat (+212) Morocco (+258) Mozambique (+95) Myanmar (+264) Namibia (+674) Nauru (+977) Nepal (+31) Netherlands (+687) New Caledonia (+64) New Zealand (+505) Nicaragua (+227) Niger (+234) Nigeria (+683) Niue (+672) Norfolk Islands (+670) Northern Marianas (+47) Norway (+968) Oman (+680) Palau (+507) Panama (+675) Papua New Guinea (+595) Paraguay (+51) Peru (+63) Philippines (+48) Poland (+351) Portugal (+1787) Puerto Rico (+974) Qatar (+262) Reunion (+40) Romania (+7) Russia (+250) Rwanda (+378) San Marino (+239) Sao Tome & Principe (+966) Saudi Arabia (+221) Senegal (+381) Serbia (+248) Seychelles (+232) Sierra Leone (+65) Singapore (+421) Slovak Republic (+386) Slovenia (+677) Solomon Islands (+252) Somalia (+27) South Africa (+34) Spain (+94) Sri Lanka (+290) St. Helena (+1869) St. Kitts (+1758) St. Lucia (+249) Sudan (+597) Suriname (+268) Swaziland (+46) Sweden (+41) Switzerland (+963) Syria (+886) Taiwan (+7) Tajikstan (+66) Thailand (+228) Togo (+676) Tonga (+1868) Trinidad & Tobago (+216) Tunisia (+90) Turkey (+7) Turkmenistan (+993) Turkmenistan (+1649) Turks & Caicos Islands (+688) Tuvalu (+256) Uganda (+44) United Kingdom (+380) Ukraine (+971) United Arab Emirates (+598) Uruguay (+1) USA (+7) Uzbekistan (+678) Vanuatu (+379) Vatican City (+58) Venezuela (+84) Vietnam (+1284) Virgin Islands - British (+1340) Virgin Islands - US (+681) Wallis & Futuna (+969) Yemen (North) (+967) Yemen (South) (+260) Zambia (+263) Zimbabwe Phone (re-enter) (+213) Algeria (+376) Andorra (+244) Angola (+1264) Anguilla (+1268) Antigua & Barbuda (+54) Argentina (+374) Armenia (+297) Aruba (+61) Australia (+43) Austria (+994) Azerbaijan (+1242) Bahamas (+973) Bahrain (+880) Bangladesh (+1246) Barbados (+375) Belarus (+32) Belgium (+501) Belize (+229) Benin (+1441) Bermuda (+975) Bhutan (+591) Bolivia (+387) Bosnia Herzegovina (+267) Botswana (+55) Brazil (+673) Brunei (+359) Bulgaria (+226) Burkina Faso (+257) Burundi (+855) Cambodia (+237) Cameroon (+1) Canada (+238) Cape Verde Islands (+1345) Cayman Islands (+236) Central African Republic (+56) Chile (+86) China (+57) Colombia (+269) Comoros (+242) Congo (+682) Cook Islands (+506) Costa Rica (+385) Croatia (+53) Cuba (+90392) Cyprus North (+357) Cyprus South (+42) Czech Republic (+45) Denmark (+253) Djibouti (+1809) Dominica (+593) Ecuador (+20) Egypt (+503) El Salvador (+240) Equatorial Guinea (+291) Eritrea (+372) Estonia (+251) Ethiopia (+500) Falkland Islands (+298) Faroe Islands (+679) Fiji (+358) Finland (+33) France (+594) French Guiana (+689) French Polynesia (+241) Gabon (+220) Gambia (+7880) Georgia (+49) Germany (+233) Ghana (+350) Gibraltar (+30) Greece (+299) Greenland (+1473) Grenada (+590) Guadeloupe (+671) Guam (+502) Guatemala (+224) Guinea (+245) Guinea - Bissau (+592) Guyana (+509) Haiti (+504) Honduras (+852) Hong Kong (+36) Hungary (+354) Iceland (+91) India (+62) Indonesia (+98) Iran (+964) Iraq (+353) Ireland (+972) Israel (+39) Italy (+1876) Jamaica (+81) Japan (+962) Jordan (+7) Kazakhstan (+254) Kenya (+686) Kiribati (+850) Korea North (+82) Korea South (+965) Kuwait (+996) Kyrgyzstan (+856) Laos (+371) Latvia (+961) Lebanon (+266) Lesotho (+231) Liberia (+218) Libya (+417) Liechtenstein (+370) Lithuania (+352) Luxembourg (+853) Macao (+389) Macedonia (+261) Madagascar (+265) Malawi (+60) Malaysia (+960) Maldives (+223) Mali (+356) Malta (+692) Marshall Islands (+596) Martinique (+222) Mauritania (+269) Mayotte (+52) Mexico (+691) Micronesia (+373) Moldova (+377) Monaco (+976) Mongolia (+1664) Montserrat (+212) Morocco (+258) Mozambique (+95) Myanmar (+264) Namibia (+674) Nauru (+977) Nepal (+31) Netherlands (+687) New Caledonia (+64) New Zealand (+505) Nicaragua (+227) Niger (+234) Nigeria (+683) Niue (+672) Norfolk Islands (+670) Northern Marianas (+47) Norway (+968) Oman (+680) Palau (+507) Panama (+675) Papua New Guinea (+595) Paraguay (+51) Peru (+63) Philippines (+48) Poland (+351) Portugal (+1787) Puerto Rico (+974) Qatar (+262) Reunion (+40) Romania (+7) Russia (+250) Rwanda (+378) San Marino (+239) Sao Tome & Principe (+966) Saudi Arabia (+221) Senegal (+381) Serbia (+248) Seychelles (+232) Sierra Leone (+65) Singapore (+421) Slovak Republic (+386) Slovenia (+677) Solomon Islands (+252) Somalia (+27) South Africa (+34) Spain (+94) Sri Lanka (+290) St. Helena (+1869) St. Kitts (+1758) St. Lucia (+249) Sudan (+597) Suriname (+268) Swaziland (+46) Sweden (+41) Switzerland (+963) Syria (+886) Taiwan (+7) Tajikstan (+66) Thailand (+228) Togo (+676) Tonga (+1868) Trinidad & Tobago (+216) Tunisia (+90) Turkey (+7) Turkmenistan (+993) Turkmenistan (+1649) Turks & Caicos Islands (+688) Tuvalu (+256) Uganda (+44) United Kingdom (+380) Ukraine (+971) United Arab Emirates (+598) Uruguay (+1) USA (+7) Uzbekistan (+678) Vanuatu (+379) Vatican City (+58) Venezuela (+84) Vietnam (+1284) Virgin Islands - British (+1340) Virgin Islands - US (+681) Wallis & Futuna (+969) Yemen (North) (+967) Yemen (South) (+260) Zambia (+263) Zimbabwe h * Date of Birth (required) Year 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day * Gender (required) Please Select Male Female Another Gender * Country of birth (required) Please Select Afghanistan Albania Algeria Andorra Angola Anguilla Antigua And Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burma (Myanmar) Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China China (Hong Kong SAR) China (Macao SAR) Colombia Comoros Costa Rica Croatia Cuba Cyprus Czech Republic Democratic Rep. of Congo Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Federated States of Micronesia Fiji Finland France Gabon Gambia Georgia Germany, Federal Republic Of Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North (DPRK) Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands, The New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palestinian Authority Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Congo Republic of Palau Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia, Republic Of Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa, Republic Of South Sudan Spain Sri Lanka St. Vincent and the Grenadines Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda UK - Brit. Ntl. Overseas UK - Brit. overseas citizen UK - Brit. overseas terr. UK - Brit. protected person UK - British citizen UK - British subject Ukraine UN or official UN specialized agency United Arab Emirates United States of America Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Yemen Zambia Zimbabwe * City/town of birth (required) * Marital status (required) Please select Married Legally Separated Divorced Annulled Marriage Widowed Common-Law Never Married/Single * Preferred language to contact you (required) Please select English French NEXT APPLICANT STATUS APPLICANT DETAILS * Are you applying on behalf of someone? (required) Yes No YOU INDICATED THAT YOU WANT TO APPLY ON BEHALF OF SOMEONE. PLEASE ENTER INFORMATION ABOUT YOURSELF FIRST. PARENT/GUARDIAN OR REPRESENTATIVE DETAILS * I am? (required) Please Select A family member or friend * Surname(s) / last name(s) (required) * Given name(s) / first name(s) (required) * Mailing address (required) * Phone (required) (+213) Algeria (+376) Andorra (+244) Angola (+1264) Anguilla (+1268) Antigua & Barbuda (+54) Argentina (+374) Armenia (+297) Aruba (+61) Australia (+43) Austria (+994) Azerbaijan (+1242) Bahamas (+973) Bahrain (+880) Bangladesh (+1246) Barbados (+375) Belarus (+32) Belgium (+501) Belize (+229) Benin (+1441) Bermuda (+975) Bhutan (+591) Bolivia (+387) Bosnia Herzegovina (+267) Botswana (+55) Brazil (+673) Brunei (+359) Bulgaria (+226) Burkina Faso (+257) Burundi (+855) Cambodia (+237) Cameroon (+1) Canada (+238) Cape Verde Islands (+1345) Cayman Islands (+236) Central African Republic (+56) Chile (+86) China (+57) Colombia (+269) Comoros (+242) Congo (+682) Cook Islands (+506) Costa Rica (+385) Croatia (+53) Cuba (+90392) Cyprus North (+357) Cyprus South (+42) Czech Republic (+45) Denmark (+253) Djibouti (+1809) Dominica (+593) Ecuador (+20) Egypt (+503) El Salvador (+240) Equatorial Guinea (+291) Eritrea (+372) Estonia (+251) Ethiopia (+500) Falkland Islands (+298) Faroe Islands (+679) Fiji (+358) Finland (+33) France (+594) French Guiana (+689) French Polynesia (+241) Gabon (+220) Gambia (+7880) Georgia (+49) Germany (+233) Ghana (+350) Gibraltar (+30) Greece (+299) Greenland (+1473) Grenada (+590) Guadeloupe (+671) Guam (+502) Guatemala (+224) Guinea (+245) Guinea - Bissau (+592) Guyana (+509) Haiti (+504) Honduras (+852) Hong Kong (+36) Hungary (+354) Iceland (+91) India (+62) Indonesia (+98) Iran (+964) Iraq (+353) Ireland (+972) Israel (+39) Italy (+1876) Jamaica (+81) Japan (+962) Jordan (+7) Kazakhstan (+254) Kenya (+686) Kiribati (+850) Korea North (+82) Korea South (+965) Kuwait (+996) Kyrgyzstan (+856) Laos (+371) Latvia (+961) Lebanon (+266) Lesotho (+231) Liberia (+218) Libya (+417) Liechtenstein (+370) Lithuania (+352) Luxembourg (+853) Macao (+389) Macedonia (+261) Madagascar (+265) Malawi (+60) Malaysia (+960) Maldives (+223) Mali (+356) Malta (+692) Marshall Islands (+596) Martinique (+222) Mauritania (+269) Mayotte (+52) Mexico (+691) Micronesia (+373) Moldova (+377) Monaco (+976) Mongolia (+1664) Montserrat (+212) Morocco (+258) Mozambique (+95) Myanmar (+264) Namibia (+674) Nauru (+977) Nepal (+31) Netherlands (+687) New Caledonia (+64) New Zealand (+505) Nicaragua (+227) Niger (+234) Nigeria (+683) Niue (+672) Norfolk Islands (+670) Northern Marianas (+47) Norway (+968) Oman (+680) Palau (+507) Panama (+675) Papua New Guinea (+595) Paraguay (+51) Peru (+63) Philippines (+48) Poland (+351) Portugal (+1787) Puerto Rico (+974) Qatar (+262) Reunion (+40) Romania (+7) Russia (+250) Rwanda (+378) San Marino (+239) Sao Tome & Principe (+966) Saudi Arabia (+221) Senegal (+381) Serbia (+248) Seychelles (+232) Sierra Leone (+65) Singapore (+421) Slovak Republic (+386) Slovenia (+677) Solomon Islands (+252) Somalia (+27) South Africa (+34) Spain (+94) Sri Lanka (+290) St. Helena (+1869) St. Kitts (+1758) St. Lucia (+249) Sudan (+597) Suriname (+268) Swaziland (+46) Sweden (+41) Switzerland (+963) Syria (+886) Taiwan (+7) Tajikstan (+66) Thailand (+228) Togo (+676) Tonga (+1868) Trinidad & Tobago (+216) Tunisia (+90) Turkey (+7) Turkmenistan (+993) Turkmenistan (+1649) Turks & Caicos Islands (+688) Tuvalu (+256) Uganda (+44) United Kingdom (+380) Ukraine (+971) United Arab Emirates (+598) Uruguay (+1) USA (+7) Uzbekistan (+678) Vanuatu (+379) Vatican City (+58) Venezuela (+84) Vietnam (+1284) Virgin Islands - British (+1340) Virgin Islands - US (+681) Wallis & Futuna (+969) Yemen (North) (+967) Yemen (South) (+260) Zambia (+263) Zimbabwe * Representative's declaration (required) I declare that my contact and personal information above is truthful, complete and correct. * Representative's authorization (required) I understand and accept that I am the person appointed by the applicant to conduct business on the applicant or sponsor's behalf with Immigration, Refugees and Citizenship Canada and the Canada Border Services Agency. hh BACK NEXT PASSPORT DETAILS PASSPORT DETAILS OF APPLICANT * Passport number (required) * Passport number (re-enter) (required) * Passport Issue Date (required) Year 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day * Passport Expiry Date (required) Year 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050 2051 2052 2053 2054 2055 Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 * Passport Country/Nationality (required) Please select Andorra Antigua And Barbuda Austria Australia Brunei Belgium Bahamas Bermuda Islands Barbados Switzerland Chile Caiman Islands Cyprus Czech Republic Denmark Enguila Spain Estonia Finland France Falkland Islands Greece Germany Gibraltar Croatia Hungary Holy See Hong Kong Ireland Iceland Israel Italy Liechtenstein Korea Luxembourg Lithuania Latvia Monaco Mexico Malta Montserrat Norway Netherlands New Zealand Pitcairn Papua New Guinea Japan Poland Portugal United Kingdom Singapore Solomon Islands San Marino Slovakia Slovenia Santa Helena Sweden Taiwan British Virgin Islands Samoa * For this trip, will you use a passport issued by the Ministry of Foreign Affairs in Taiwan that includes your personal identification number? (required) Yes No Taiwan personal identification number (required) Taiwan personal identification number (re-enter) (required) BACK NEXT RESIDENTIAL ADDRESS RESIDENTIAL DETAILS OF APPLICANT * Street address/name (required) * Street/civic no. or house name (required) Apartment/unit number (optional) * City/town (required) District/region (optional) * Country (required) Please select Afghanistan Albania Algeria Andorra Angola Anguilla Antigua And Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burma (Myanmar) Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China China (Hong Kong SAR) China (Macao SAR) Colombia Comoros Costa Rica Croatia Cuba Cyprus Czech Republic Democratic Rep. of Congo Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Federated States of Micronesia Fiji Finland France Gabon Gambia Georgia Germany, Federal Republic Of Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North (DPRK) Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands, The New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palestinian Authority Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Congo Republic of Palau Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia, Republic Of Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa, Republic Of South Sudan Spain Sri Lanka St. Vincent and the Grenadines Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda UK - Brit. Ntl. Overseas UK - Brit. overseas citizen UK - Brit. overseas terr. UK - Brit. protected person UK - British citizen UK - British subject Ukraine UN or official UN specialized agency United Arab Emirates United States of America Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Yemen Zambia Zimbabwe BACK NEXT EMPLOYMENT INFORMATION * Occupation (required) Please Select Art, culture, recreation and sport occupations Business, finance and administration occupations Education, law and social, community and government services occupations Health occupations Homemaker Management occupations Manufacturing and utilities occupations Military/armed forces Natural and applied sciences and related occupations Natural resources, agriculture and related production occupations Retired Sales and service occupations Student Trades, transport and equipment operators and related occupations Unemployed * Job Title (required) SELECT THE OPTION THAT BEST DESCRIBES YOUR JOB. Announcers and other performers Athletes, coaches, referees and related occupations Creative and performing artists Creative designers and craftspersons Librarian, archivist, conservator or curator Photographers,graphic arts technicians,technical and coordinating occupations in motion pictures,broadcasting and the performing arts Technical occupations in libraries, public archives, museums and art galleries Writing, translating and related communications professionals Administrative and regulatory occupations Administrative services supervisors Auditors, accountants and investment professionals Court reporters, transcriptionists, records management technicians and statistical officers Finance, insurance and related business administrative occupations Financial, insurance and related administrative support workers General office workers Human resources and business service professionals Library, correspondence and other clerks Mail and message distribution occupations Office administrative assistants - general, legal and medical Office equipment operators Supply chain logistics, tracking and scheduling coordination occupations College and other vocational instructors Home care providers and educational support occupations Judges, lawyers and notaries Legal and public protection support occupations Occupations in front-line public protection services Paraprofessional occupations in legal, social, community and education services Policy and program researchers, consultants and officers Secondary and elementary school teachers and educational counsellors Social and community service professionals University professors and post-secondary assistants Assisting occupations in support of health services Medical technologists and technicians Optometrists, chiropractors, other health diagnosing and treating professionals Other technical occupations in health care Pharmacists, dieticians and nutritionists Physicians, dentists and veterinarians Professional occupations in nursing Technical occupations in dental health care Therapy and assessment professionals Administrative services managers Corporate sales managers Legislators and senior management, including political officials Managers in agriculture, horticulture and aquaculture Managers in art, culture, recreation and sport Managers in communication Managers in construction, facility operation and maintenance Managers in customer and personal services Managers in education and social and community services Managers in engineering, architecture, science and information systems Managers in financial and business services Managers in food service and accommodation Managers in health care Managers in manufacturing and utilities Managers in natural resources production and fishing Managers in public administration Managers in public protection services Managers in transportation Retail and wholesale trade managers Central control and process operators in processing and manufacturing Labourers in processing, manufacturing and utilities Machine operators and related workers in chemical, plastic and rubber processing Machine operators and related workers in food, beverage and associated products processing Machine operators and related workers in mineral and metal products processing and manufacturing Machine operators and related workers in pulp and paper production and wood processing and manufacturing Machine operators and related workers in textile, fabric, fur and leather products processing and manufacturing Mechanical, electrical and electronics assemblers Other assembly and related occupations Printing equipment operators and related occupations Supervisors in assembly and fabrication Supervisors in processing and manufacturing occupations Utilities equipment operators and controllers Aerospace Control Officer Aerospace Control Operator Aerospace Engineering Officer Aerospace Telecommunication and Information Systems Technician Air Combat Systems Officer Aircraft Structures Technician Armour Officer Armoured Soldier Artillery Officer Artillery Soldier - Field Artillery Soldier Air Defence Aviation Systems Technician Avionics Systems Technician Biomedical Electronics Technologist Boatswain Chaplain Combat Engineer Communications and Electronics Engineering (Air) Officer Communicator Research Operator Construction Technician Cook Dental Officer Electrical and Mechanical Engineering Officer Electrical Distribution Technician Electrical Generating Systems Technician Engineering Officer Fire Fighter Geomatics Technician Health Care Administration Officer Imagery Technician Infantry Officer Infantry Soldier Intelligence Officer, Naval Reserve Intelligence Operator Land Communications and Information Systems Technician Legal Officer Line Technician Logistics (Support), Naval Reserve Officer Logistics Officer Maritime Surface and Sub-surface Officer Medical Officer Medical Technician Military Police Military Police Officer Mobile Support Equipment Operator Musician Naval Combat Information Operator Naval Communicator Nursing Officer Personnel Selection Officer Pharmacy Officer Pilot Plumbing and Heating Technician Port Inspection Diver Public Affairs Officer Refrigeration and Mechanical Systems Technician Resource Management Support Clerk, Air Reserve Resource Management Support Clerk, Army Reserve Resource Management Support Clerk, Naval Reserve Signal Operator Signals (Officer) Supply Technician, Air Reserve Supply Technician, Army Reserve Supply Technician, Naval Reserve Traffic Technician Vehicle Technician, Army Reserve Water, Fuels and Environmental Technician Weapons Technician / Land Architects, urban planners and land surveyors Civil, mechanical, electrical and chemical engineers Computer and information systems professionals Life science professionals Mathematicians, statisticians and actuaries Other engineers Other technical inspectors and regulatory officers Physical science professionals Technical occupations in architecture, drafting, surveying, geomatics and meteorology Technical occupations in civil, mechanical and industrial engineering Technical occupations in computer and information systems Technical occupations in electronics and electrical engineering Technical occupations in life sciences Technical occupations in physical science Transportation officers and controllers Agriculture and horticulture workers Contractors and supervisors in agriculture, horticulture and related operations and services Contractors and supervisors in mining, oil and gas Fishing vessel masters and fishermen/fisherwomen Harvesting, landscaping and natural resources labourers Logging and forestry workers Logging machinery operators Mine service workers and operators in oil and gas drilling Other workers in fishing and trapping and hunting occupations Supervisors, logging and forestry Underground miners, oil and gas drillers and related occupations Butchers and bakers Cashiers Chefs and cooks Cleaners Customer and information services representatives Food counter attendants, kitchen helpers and related support occupations Insurance, real estate and financial sales occupations Occupations in food and beverage services Occupations in travel and accommodation Other occupations in personal services Other sales support and related occupations Other service support and related occupations Retail sales supervisors Retail salespersons Sales and account representatives Security guards and related security service occupations Service supervisors Specialized occupations in personal and customer services Support occupations in accommodation, travel and amusement services Technical sales specialists in wholesale trade and retail and wholesale buyers Tourism and amusement services occupations Automotive service technicians Carpenters and cabinetmakers Contractors and supervisors in industrial, electrical and construction trades and related workers Contractors and supervisors in maintenance trades and heavy equipment and transport operators Crane operators, drillers and blasters Electrical trades and electrical power line and telecommunications workers Heavy equipment operators Longshore workers and material handlers Machinery and transportation equipment mechanics Machining, metal forming, shaping and erecting trades Masonry and plastering trades Motor vehicle and transit drivers Other construction trades Other installers, repairers and servicers Other mechanics and related repairers Other transport equipment operators and related maintenance workers Plumbers, pipefitters and gas fitters Printing press operators, other trades and related occupations Public works and other labourers Trades helpers and labourers Train crew operating occupations * Name of Employer/School (required) *Country (required) Please select Afghanistan Albania Algeria Andorra Angola Anguilla Antigua And Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burma (Myanmar) Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China China (Hong Kong SAR) China (Macao SAR) Colombia Comoros Costa Rica Croatia Cuba Cyprus Czech Republic Democratic Rep. of Congo Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Federated States of Micronesia Fiji Finland France Gabon Gambia Georgia Germany, Federal Republic Of Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North (DPRK) Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands, The New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palestinian Authority Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Congo Republic of Palau Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia, Republic Of Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa, Republic Of South Sudan Spain Sri Lanka St. Vincent and the Grenadines Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda UK - Brit. Ntl. Overseas UK - Brit. overseas citizen UK - Brit. overseas terr. UK - Brit. protected person UK - British citizen UK - British subject Ukraine UN or official UN specialized agency United Arab Emirates United States of America Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Yemen Zambia Zimbabwe * City (required) District/region *Since What Year? (required) Select Year 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 BACK NEXT ELIGIBLITY QUESTIONS * Have you ever been refused a visa or permit, denied entry to, or ordered to leave Canada or any other country/territory? (required) Yes No * For each refusal, please indicate the country that refused you a visa or permit, or denied you entry, as well as the reasons provided to you by the country. (required) * Have you ever committed, been arrested for, been charged with or convicted of any criminal offence in any country/territory? (required) Yes No * For each arrest, charge, or conviction, please indicate where (city, country), when (month/year), the nature of the offence, and the sentence. (required) * In the past two years, were you diagnosed with tuberculosis or have you been in close contact with a person with tuberculosis? (required) Yes No *Is your contact with tuberculosis the result of being a health care worker?(required) Yes No * Have you ever been diagnosed with tuberculosis?(required) Yes No * Do you have one of these conditions? (required) Untreated syphilis Untreated drug or alcohol addiction Untreated mental health condition with psychosis None of these BACK NEXT TRAVEL INFORMATION * Have you ever applied for or obtained a visa, an eTA or a permit to visit, live, work or study in Canada? (required)--> Yes No Unique client identifier (UCI) / Previous Canadian visa, eTA or permit number(optional) Unique client identifier (UCI) / Previous Canadian visa, eTA or permit number(re-enter) * Do you know when you will travel to Canada? (required) THIS INFORMATION MAY HELP US TO PROCESS YOUR APPLICATION. IF YOU DO NOT KNOW WHEN YOU WILL TRAVEL TO CANADA, PLEASE SELECT "NO". Yes No When do you plan to travel to Canada? IF YOU DON'T KNOW, YOU MAY ENTER AN APPROXIMATE DATE. Year 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050 Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 * Please enter the time your flight to Canada will depart(required) IF YOU DON'T KNOW, YOU MAY ENTER AN APPROXIMATE TIME. Select Hour 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Select Minute 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 Select Time zone Acre Time Afghanistan Time Alaska Time Alma-Ata Time Amazon Time Anadyr Time Aqtau Time Aqtobe Time Arabia Time Argentine Time Armenia Time Atlantic Time Australian Central Time (Northern Territory) Australian Central Time (South Australia) Australian Central Time (South Australia New South Wales) Australian Central Western Time Australian Eastern Time (New South Wales) Australian Eastern Time (Queensland) Australian Eastern Time (Tasmania) Australian Eastern Time (Victoria) Australian Western Time Azerbaijan Time Azores Time Bangladesh Time Bhutan Time Bolivia Time Bougainville Time Brasilia Time British Time Brunei Time Cape Verde Time Central Africa Time Central European Time Central Indonesia Time Central Time Chamorro Time Chatham Time Chile Time China Time Choibalsan Time Christmas Island Time Chuuk Time Cocos Islands Time Colombia Time Cook Is. Time Coordinated Universal Time Cuba Time Davis Time Dumont-d Urville Time East Indonesia Time Easter Is. Time Eastern Africa Time Eastern European Time Eastern Greenland Time Eastern Time Ecuador Time Falkland Is. Time Fernando de Noronha Time Fiji Time French Guiana Time French Southern Antarctic Lands Time Galapagos Time Gambier Time Georgia Time Ghana Mean Time Gilbert Is. Time Greenwich Mean Time Gulf Time Guyana Time Hawaii Time Hong Kong Time Hovd Time India Time Indian Ocean Territory Time Indochina Time Iran Time Irish Time Irkutsk Time Israel Time Japan Time Kirgizstan Time Kiribati Time Korea Time Kosrae Time Krasnoyarsk Time Line Is. Time Lord Howe Time Macquarie Island Time Magadan Time Malaysia Time Maldives Time Marquesas Time Marshall Islands Time Mauritius Time Mawson Time Moscow Time Mountain Time Myanmar Time Nauru Time Nepal Time New Caledonia Time New Zealand Time Newfoundland Time Niue Time Norfolk Time Novosibirsk Time Omsk Time Oral Time Pakistan Time Palau Time Papua New Guinea Time Paraguay Time Peru Time Petropavlovsk-Kamchatski Time Philippines Time Phoenix Is. Time Pierre Miquelon Time Pitcairn Time Ponape Time Qyzylorda Time Reunion Time Rothera Time Sakhalin Time Samara Time Samoa Time Seychelles Time Singapore Time Solomon Is. Time South Africa Time South Georgia Time Srednekolymsk Time Suriname Time Syowa Time Tahiti Time Tajikistan Time Timor-Leste Time Tokelau Time Tonga Time Troll Time Turkmenistan Time Tuvalu Time Ulaanbaatar Time Uruguay Time Ust-Nera Time Uzbekistan Time Vanuatu Time Venezuela Time Vladivostok Time Vostok Time Wake Time Wallis Futuna Time West Indonesia Time West Samoa Time Western African Time Western European Time Western Greenland Time Xinjiang Time Yakutsk Time Yekaterinburg Time * Are you traveling alone? (required) Yes No * How many members traveling with you? (required) Select one 01 02 03 04 05 06 07 08 09 10 * Do you have Additional nationalities?(required) Yes No Country/territory INDICATE WHICH COUNTRIES/TERRITORIES YOU ARE A CITIZEN OF. Please select Afghanistan Albania Algeria Andorra Angola Anguilla Antigua And Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burma (Myanmar) Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China China (Hong Kong SAR) China (Macao SAR) Colombia Comoros Costa Rica Croatia Cuba Cyprus Czech Republic Democratic Rep. of Congo Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Federated States of Micronesia Fiji Finland France Gabon Gambia Georgia Germany, Federal Republic Of Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North (DPRK) Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands, The New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palestinian Authority Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Congo Republic of Palau Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia, Republic Of Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa, Republic Of South Sudan Spain Sri Lanka St. Vincent and the Grenadines Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda UK - Brit. Ntl. Overseas UK - Brit. overseas citizen UK - Brit. overseas terr. UK - Brit. protected person UK - British citizen UK - British subject Ukraine UN or official UN specialized agency United Arab Emirates United States of America Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Yemen Zambia Zimbabwe BACK NEXT CONSENT AND DECLARATION Please briefly indicate if there are additional details pertinent to your application. For example, an urgent need to travel to Canada. Provide relevant details to avoid delays in the processing of your application. * Signature of Applicant (required) * Consent and Declaration (required) Information provided to IRCC is collected under the authority of the Immigration and Refugee Protection Act (IRPA) to determine admissibility to Canada. Information provided may be shared with other Canadian government institutions such as, but not limited to, the Canada Border Services Agency (CBSA), the Royal Canadian Mounted Police (RCMP), the Canadian Security Intelligence Service (CSIS), the Department of Foreign Affairs, Trade and Development (DFATD), Employment and Social Development Canada (ESDC), the Canada Revenue Agency (CRA), provincial and territorial governments and foreign governments in accordance with subsection 8(2) of the Privacy Act. Information may be disclosed to or validated with foreign governments, law enforcement bodies and detaining authorities with respect to the administration and enforcement of immigration legislation where such sharing of information may not put the individual and or his/her family at risk. Information may also be systematically validated by other Canadian government institutions for the purposes of validating status and identity to administer their programs. Where biometrics are provided as part of an application, the fingerprints collected will be stored and shared with the RCMP. The fingerprint record may also be disclosed to law enforcement agencies in Canada in accordance with subsection 13.11(1) of the Immigration and Refugee Protection Regulations. The information may be used to establish or verify the identity of a person in order to prevent, investigate or prosecute an offence under any law of Canada or a province. This information may also be used to establish or verify the identity of an individual whose identity cannot reasonably be otherwise established or verified because of physical or mental condition. Canada may also share immigration information related to biometric records with foreign governments with whom Canada has an agreement or arrangement. Depending on the type of application made, the information you provided will be stored in one or more Personal Information Banks (PIB) pursuant to section 10(1) of Canada's Privacy Act. Individuals also have a right to protection and access to their personal information stored in each corresponding PIB under the Access to Information Act. Further details on the PIBs pertaining to IRCC's line of business and services and the Government of Canada's access to information and privacy programs are available at the Infosource website and through the IRCC Call Centre. Info Source is also available at public libraries across Canada. Declaration of Applicant I have read and understand the above declaration. I declare that the information I have given in this application is truthful, complete and correct. I understand that misrepresentation is an offence under section 127 of the Immigration and Refugee Protection Act and may result in a finding of inadmissibility to Canada or removal from Canada. I agree that by typing my name and clicking sign, I am electronically signing my application. I Agree Privacy Policy , Terms and Conditions & Refund Policy Add Another Applicant Next PRIVACY POLICY PRIVACY POLICY Our policy is designed to be consumer friendly. Our company is transparent about its approach to data acquisition. We are honest about the fact that we gather personal data and how it is gathered and utilized. Until a person's visa application is finished and the conclusion is revealed, we do not recognize them using the individual data we gather. You accept the Privacy Policy's terms and conditions by accessing this website. Your information is protected by us using the highest industry standards; it is never shared, sold, or given to a third party. DATA ABOUT INDIVIDUALS THAT WE COLLECT WE MUST GATHER THE FOLLOWING DATA AT THE MOMENT THE APPLICATION IS SUBMITTED: * Info that appears on your passport's biographical page * data about your job history and age PERSONAL INFORMATION WAS GIVEN BY YOU You give us this data so that we can process the correctly. This information is needed by the immigration agents appointed by the Canadian government to conduct background checks and decide whether to grant you the appropriate ETA to enter Canada. Keep in mind that only the appropriate agencies and the Government of Canada have the authority to decide on the application. No one, not even us, can predict how your Canada ETA application will turn out. Our data is stored in a security-hardened encrypted database that is kept up to the highest standards and in a state-of-the-art, secure data center when applicants submit it on this website's Canada ETA Application Form. To safeguard the personal data you give, we take care to follow the most recent industry standards. You provide us with the following personal details, which we treat in the highest confidence. We also think that this categorization of data is quite delicate. Your criminal history, initial name, surname, family name, parents' names, partner info, relationship status, face photography, a copy of your passport's scan, references in your home nation, and references in Canada are among the information of this type. After completing the Canada ETA application on this site, you will also be asked for your travel information, arrival and departure dates from Canada, sex, nationality, and other miscellaneous information as requested by the Immigration Officers of the Government of Canada. NECESSARY REQUIRED DOCUMENTS: In order to help you acquire an ETA to Canada, we may require the following documentation at the Government of Canada's request. For your Canadian ETA to be approved, you absolutely must have this documentation. The following documentation may be needed and requested but is not limited to: your regular travel document or valid passport, any valid Id, your resident card, a birth certificate as proof of date of birth, your visiting card, a letter of invitation, proof of funds, a police report for passport loss, and any letters from your parents delegating authority. The purpose of requesting this documentation is to ensure that your trip to Canada goes well. The Canadian government asks for this data to allow informed decision-making regarding your Canada ETA and to prevent you from being turned away at the time of board or entry into Canada. ENTERPRISE ANALYTICS We are entitled to use data from our online analytics platform, which can gather data about the browser being used so we can offer the best possible service for the most popular browsers, and the location you came from so we can create content specifically for your interests, and the kind of gadget being used to guide our technology’s strategic policy. In order to improve our webpage, we also gather data such as your operating system and IP address. This safeguards us from cybercrime and denial-of-service attacks. In order to provide a superior and more enhanced user experience on the eTA Official website, we keep the user at the center of our insights policy. THE "HOW" OF USING THE PERSONAL DATA THAT WAS GATHERED The following uses, among others, will be made of the sensitive data mentioned in this privacy statement for the Canada ETA Form ETA PROCESSING FOR CANADA The main goal of gathering this data is to enable the processing of your Canada ETA Application. For them to be able to decide and determine an outcome for your Canada ETA Request, this data is provided to the appropriate Official Canada Government authorities. The Canadian government's officials have complete authority and final say over whether to accept or reject your application. FOR COMMUNICATING WITH APPLICANTS We utilize the data we gather to be able to inform applicants of Canada's ETA status and to be able to interact with them. Throughout the Canada ETA Application Process, we must also keep you informed of any further data needed by the Canadian government to conclude. Checking who is your primary contact in Canada, the hotel where you'll lodge there, the people who will be traveling with you, and the main cause for your travel are some of the factors. We must communicate effectively with you about the result of your entry and any update, as well as address any questions and provide clarifications as necessary. Please be aware that we do not provide your contact information to any of our sibling agencies or for any kind of marketing. THE ETA APPLICATION PROCESS IN CANADA We make a concerted effort to satisfy customers, thus all data that is gathered that is not individually identifiable is handled with an eye on enhancing the client’s experience and providing customers with better products. To enhance the client's experience, we must gather specific data, evaluate it using different technologies, and make better decisions on how to distribute the software and web channel to our clients. The gathering of this data is essential to our online presence, services, and dedication to our clients. We take pride in offering consumers from around the globe the most simple and straightforward Canadian ETA Online service. The way Canadian ETA is distributed around the globe has changed because of this worldwide network. We have a huge duty to live up to the expectations of the clients nearby because we are the global leaders in offering ETA applications for Canada to the world. RESPECT FOR THE LAW We must abide by a variety of rules, laws, statutes, and regulations to function inside the regulatory framework established by various governmental entities. We could face an audit, a court case, or an investigation. As a result, we might have to provide this data to satisfy a court order or other legal requirements. ANOTHER REASON FOR USING THIS DATA This data can be used to enforce our cookie policy and check for compliance with our terms & conditions. We can utilize this information to safeguard ourselves against any unethical activities. THE DISCLOSURE OF PRIVATE INFORMATION Your data is not given to any 3rd parties, affiliate companies, middlemen, or marketers. Only under the following conditions may this identifying data be shared: WITH THE CANADIAN GOVERNMENT OR OTHER GOVERNMENTS In order for the Canadian Immigration Officer to decide on your Canadian ETA Application, we must give him or her your details. Without this exchange of information, your Canada ETA won't result in anything. The Canada Government must handle Canada ETAs, and it will decide whether to accept or deny your application for a Canada ETA most frequently within 72 hours of your application's submission, or three business days. THE LEGAL REQUIREMENT FOR SHARING DATA When you submit your application for Canada on https://travel-eta-canada.com, you understand that we will be bound by the law whenever a legal requirement necessitates that we share your personal data with the appropriate authority. These laws and regulations may be found in Canada or in other nations where the ETA applicant does not currently reside. We may need to use this confidential info to safeguard our rights, respond to public figures of different governmental agencies, comply with court procedures, follow legal processes, protect our IP rights, safeguard our rights, pursue legal action, and limit or minimize any damages that we may have to suffer in order to enact our Terms & Conditions. MANAGEMENT AND REMOVAL OF PRIVATE DETAILS In accordance with GDPR compliance, you have the right to request that we erase your data. We reserve the right to delete any data that we have electronically collected about you at your request. You may have noticed that we are unable to erase data that is required by law to be kept on file for any reason without disclosing those reasons, or that we are compelled to keep by law. DATA STORAGE BY THIS SYSTEM We employ data encryption, cryptographic keys, and best-in-class security procedures, such as OWASP's Top 10 Web Application Firewall, to reduce the likelihood that your data will be stolen, lost, or mistreated. Strong security measures are in place to guarantee the integrity, verifiability, and traceability of your private data. We have multiple layers of security procedures in place from the application to the data center to make sure that your data cannot be altered without leaving a trace and that only authorized security employees are granted access to it. We have both physical and software-based security measures in place to safeguard sensitive data. We remove any data that is no longer pertinent in accordance with our software's retention schedule. Our data retention policy is available upon request. According to the records-keeping legislation and archive policy, your data may be retained for up to 5 years. We must comply with several regulations and function inside a legal framework. Please be aware that it is your responsibility to make sure your computer or mobile device is secure before submitting an online application for a Canada ETA. We won't be able to protect your data if the harmful program is already on your device. We make sure that your data is transported securely. Your ETA for Canada's data is protected both when it's at rest and while it's being transferred from one software component to another, including from your computer to our site https://travel-eta-canada.com and from there. MODIFICATIONS TO THIS PRIVACY POLICY Changes to this Privacy Policy may be required by law, our terms & conditions, our response to governmental legislation, and other considerations. This privacy policy is a living, evolving document, and we reserve the right to make changes to it at any time. We might or might not inform you of any changes. The modifications to this privacy policy take effect immediately after this document is published, and they are instantaneous. The clients are in charge of making sure they are aware of this privacy policy. We asked you to accept our Terms & Conditions and Privacy Policy when you completed the eTA application process. Before submitting your application and paying us, you have the chance to read, evaluate, and give us comments on our Privacy Policy. YOU CAN CONTACT US Visit our contact page to get in touch with us. Customers' comments, opinions, and enhancement suggestions are all appreciated. We are eager to make improvements to the platform, which is already the most effective in the world for obtaining a Canada ETA. NO IMMIGRATION ADVICE IS GIVEN. Please be aware that giving immigration advice needs permission or authorization from the appropriate authorities. We represent you and submit your application after professional review; we do not offer you immigration advice for any nation, including Canada, in connection with an ETA application. Close TERMS AND CONDITIONS TERMS AND CONDITIONS The foregoing terms and conditions are intended to safeguard everyone's legal rights. "The candidate" and "you" refer to the eTA candidate wanting to fill out their eTA application process utilizing this site, and "we," "us," "our," and "this site" refer to https://travel-eta-canada.com. By reading and utilizing this site, you acknowledge that you have read, comprehended, and agreed to the terms and conditions. In order to access our website and receive our service, you must comply with this requirement. You should be aware that everyone's legal concerns are safeguarded and that our collaboration with you is based on mutual trust. Please be advised that in order to use our website and the services we provide, you must agree to these terms of service. PERSONAL INFORMATION Names, dates of birth, passport information, expiration dates, kinds of proper documents, phone numbers, email addresses, permanent addresses, cookies, technical computer information, payment history, etc. are among the personal data that users provide to this official site and are stored in a secure database. APART FROM THE CASES DESCRIBED BELOW, NONE OF THIS PERSONAL INFORMATION IS DISCLOSED TO OR SHARED WITH THIRD PARTIES WITHOUT THE USER'S EXPRESS CONSENT. * when it is necessary for the operation and upkeep of the website * when a court order or a statute requires the disclosure of the information. * when it is informed without the possibility of discrimination is possible with personal information. * when processing an application requires the company to use the submitted information. The website disclaims all liability for inaccurate information. For additional details on our rules governing confidentiality, read our Privacy Policy WEBSITE UTILIZES This website is privately owned, all of its information and materials are licensed, and it has no affiliation whatsoever with the Canadian government. This site and all of its contents are only intended for individual use. The user agrees not to alter, copy, republish, or transfer any part of this webpage for commercial purposes by viewing and utilizing it. This website's information and contents are all protected by copyright. * Legal Entity Name: TRAVEL AND VISA SERVICES PTY LTD RESTRICTION THE FOLLOWING GUIDELINES FOR USING THE WEBSITE MUST BE OBSERVED BY VISITORS: * A visitor is not permitted to post any comments that could be seen as being disrespectful or degrading to this webpage, other users, or other 3rd parties. * Anything that might offend the public or morality may not be published, shared, or copied by the users. * The visitor is not permitted to take any action that would impact the IP rights or reserved rights of this website. * The visitor is not permitted to indulge in any illegal or criminal activity. The users will be made responsible for any violations of the mentioned rules or harm to a 3rd party that occurs while utilizing our facilities and will be required to pay all associated fees. In this scenario, we won't be held accountable for the visitor's activities. If a user violates our Terms & Conditions, we have the authority to file a lawsuit to hold the offender accountable. REJECTION OR WITHDRAWAL OF AN ETA APPLICATION THE FOLLOWING ACTIONS BY THE CLIENT ARE NOT PERMITTED: * Enter fake personal data. * Hide or neglect any necessary data for Canada registration ETA * During the eTA application, overlook, skip, or modify any required information fields. If a visitor participates in any of the prohibited actions listed above, we reserved the right to revoke any pending visa applications, reject their registration, and delete their account and personal information from the webpage. We have the right to remove an applicant's data from this site if their ETA has already been accepted. REGARDING OUR SERVICES We are an online registration service provider situated in Asia & Oceania, and part of our services includes assisting foreign nationals who want to explore Canada with the ETA application process. The Government of Canada can help our agencies get you an electronic travel authorization, or e-Visa, which we will then give you. We will assist you in completing your application, appropriately evaluating your responses, translating material, and proofreading the text for accuracy, thoroughness, and grammatical and spelling mistakes. If we require any more details from you to fulfill your request, we may get in touch with you by phone or email. You will have the opportunity to examine the data you have supplied and, if required, make changes after completing the application form on our site. Following that, you will be asked to pay for our service. The Government of Canada will then be asked to approve your application for the ETA after an expert has evaluated it. Most of the time, your application will be reviewed and issued in less than 24 hours if it is accepted. However, if any information is incomplete or wrong, the request may be postponed. TEMPORARY TERMINATION OF WORK THE FOLLOWING FACTORS COULD LEAD TO A TEMPORARY SUSPENSION OF THE WEBSITE: * Maintainance of the system. * Factors beyond our control that prevent the site from operating properly, such as natural calamities, protests, software upgrades, etc. * Fire or an unexpected loss of electricity. * Service must be suspended due to modifications to the processing system, technical issues, upgrades, or other similar causes. Visitors of the site will always be given a warning before any such temporary suspensions take place, and they will not be held liable for any potential losses as a result of the suspension. ABSENCE OF RESPONSIBILITY The only services offered by this website are the verification, evaluation, and submission of the individual's Canada ETA application form. The Canadian government alone will decide whether to accept or reject the application. The site or its providers are not liable for the application's outcome, including rejection or refusal due to incomplete, inaccurate, or misleading statements. MISCELLANEOUS We retain the right to modify or amend the terms & conditions as well as the information on this site at any time. Any modifications will take effect right away. By accessing this website, you acknowledge that you have read, understood, and agree to be bound by the rules and limitations set out therein. You also acknowledge and accept that you have to review the Terms & Conditions and the content periodically for changes. LAW AND JURISDICTION THAT APPLIES The terms & conditions set out herein are governed by Australian law. All entities will be governed by the jurisdiction of the court in any legal actions. NOT ADVICE ON IMMIGRATION We assist applicants with submitting their Canada eTA applications. This excludes any suggestions for immigration from any nation. Close REFUND POLICY OUR REFUND POLICY Customers are not eligible for any refund if * Their application has already been submitted to the Government website. * Their application has been rejected, on hold, or taking longer than expected time to process. * Customer’s change of mind. * The information provided by the applicant is incorrect. From our side, we make sure that your application is filled out correctly and that all the translation to English is done without any mistakes. We also make sure your photos and documents will be submitted in an acceptable format and guidelines. Please note the following points: * Application approval or rejection is the respective government's sole decision, and we have no control over the outcome. * Immigration office normally take 48-72 hours in processing applications (in some circumstances it can take longer as well) * We are not immigration agents and do not provide any immigration advice. * Our agents provide language translation services for applications submitted in languages other than English. We make sure this is done error-free. If you have any questions, please feel free to fill out our contact form and we will make sure you will be looked after properly. Close © canadaetaportal, All Rights Reserved. * Visa Exempt Travellers * How Apply An Eta * Application After You Apply * Eta Travel Authorization * Terms & Condition * Privacy Policy