MD ZAKIR HOSSAIN (V402095297) Protected B
Application Summary
Group information
Do you want to apply for more than 1 person at the same time? No
Apply to visit, study or work in Canada as a temporary resident
I want to apply for a: visitor visa or super visa
Why do you need a visa? To visit Canada as a tourist
Canada is a country of contrasts, where
multiculturalism flourishes alongside
indigenous traditions, and where four
distinct seasons offer endless
possibilities for adventure. I am going to
explore the stunning landscapes of the
Tell us more about what you'll do in Canada. Include dates.
Rocky Mountains, the Canadian Arctic,
the Great Lakes, or the Atlantic coast,
where I can enjoy activities such as
hiking, skiing, canoeing, kayaking,
wildlife watching, or camping from 18 th
April to 03 rd may .
When will you enter Canada? 2024-05-01
When will you leave Canada? 2024-05-15
Representative
Are you applying on behalf of someone else? No
Travel document of the applicant
Surname or last name HOSSAIN
Given name or first name MD ZAKIR
Date of birth 1996-02-15
Gender Male
Date modified: 2024-01-20 08:04:18 UTCZ Page 1 of 12
MD ZAKIR HOSSAIN (V402095297) Protected B
Travel document information of the applicant
What document are you travelling with? Passport
What kind of passport? Diplomatic
Select the country code that matches the one on your passport BGD (Bangladesh)
What's the nationality on your passport? Bangladesh
What's your passport or travel document number? A02552829
Confirm your passport or travel document number A02552829
When was the passport issued? 2022-01-02
Date of expiry of the passport 2032-01-01
Are you a lawful permanent resident of the United States with a valid Green Card
No
(alien registration card)?
Have you held a Canadian visitor visa in the past 10 years? No
Do you currently hold a valid U.S. nonimmigrant visa? No
Are you travelling to Canada by air? Yes
Citizenship and places where the applicant has lived
Country or territory where you were born Bangladesh
City or town where you were born SUNAMGANJ
Are you a citizen of more than one country or territory ? No
Which country or territory are you a citizen of?
Country/territory of issue Bangladesh
I am a citizen of this country or territory since birth
From 1996-02-15
National identity document of the applicant
Do you have a valid national identity document? Yes
Document number 9014719094775
Confirm your document number 9014719094775
Date of issue 2008-08-23
Select the country or territory that issued this document Bangladesh
Names used in the past
Have you used another name in the past? No
Date modified: 2024-01-20 08:04:18 UTCZ Page 2 of 12
MD ZAKIR HOSSAIN (V402095297) Protected B
Contact information of the applicant
Manually input address
SHAL DHIGA, JAGANNATHPUR,
Address BAUDHARAN
SUNAMGANJ 3060
Bangladesh
Is your mailing address the same as your residential address? Yes
List your current country or territory of residence, then add all other countries or territories where you've lived for the past five
years, for more than 6 months.
Country/territory Bangladesh
Status Citizen
From 1986-02-15
This is where I currently live.
Biometrics (fingerprints and photo) of the applicant
Do we already have your fingerprints and photo (biometrics), and are they still
No
valid?
Finances
How much money do you have for your stay in Canada? (In Canadian dollars -
1500
CAD)
Is someone else giving you money for your stay in Canada? No
Information about education, work and other activities
Date modified: 2024-01-20 08:04:18 UTCZ Page 3 of 12
MD ZAKIR HOSSAIN (V402095297) Protected B
Post-secondary education history
Have you ever studied at a post-secondary school (university, college or
Yes
vocational school)? You don't need to have completed a degree or diploma.
Give details of each program you have studied and are currently studying. SYLHET GOVT COLLEGE
From 2002-05
Level of study College - Certificate
Field of study Business/Commerce
To 2004-06
Manually input address
TILAGOR,SYLHET
Address
SYLHET
Bangladesh
Give details of each program you have studied and are currently studying. SYLHET COMMERCE COLLEGE
From 2004-07
Level of study College - Diploma
Field of study Business/Commerce
To 2006-05
Manually input address
KEWAPARA P1 ROAD
Address
SYLHET
Bangladesh
Give details of each program you have studied and are currently studying. SCHOLARSHOME SYLHET
From 2000-01
Level of study Secondary School
Field of study Business/Commerce
To 2002-03
Manually input address
PATANTULA,SYLHET
Address
SYLHET
Bangladesh
Work/activities history
Military/police history
Did you serve in any military, militia, civil defence unit, security organization or
No
police force (including non-obligatory service, reserve or voluntary units)?
Give details of all your employment and activities since the age of 18.
Date modified: 2024-01-20 08:04:18 UTCZ Page 4 of 12
MD ZAKIR HOSSAIN (V402095297) Protected B
From 2009-12
To 2014-07
Business, finance and administration
Work/Activity
occupations
Contractors and supervisors in
Job title industrial, electrical and construction
trades and related workers
Company/employer SHAH ALOM ENGINEERING
Main duties of the job FINANCIAL ADVISOR
Manually input address
BONDOR BAZAR, SYLHET
Address
SYLHET
Bangladesh
From 2016-04
Ongoing
Business, finance and administration
Work/Activity
occupations
Contractors and supervisors in
Job title industrial, electrical and construction
trades and related workers
Company/employer SYL TRADE ENGINEERING SERVICE
Main duties of the job FINANCIAL ADVISOR
Manually input address
NOBARON , SUNAPARA, SHIBGANJ
Address
SYLHET
Bangladesh
From 2017-07
Ongoing
Business, finance and administration
Work/Activity
occupations
Contractors and supervisors in
Job title industrial, electrical and construction
trades and related workers
Company/employer T.Z ENGINEERING WORKS
Main duties of the job FINANCIAL ADVISOR
Manually input address
DHANUHATAR PAR, AKHALIYA
Address
SYLHET
Bangladesh
Date modified: 2024-01-20 08:04:18 UTCZ Page 5 of 12
MD ZAKIR HOSSAIN (V402095297) Protected B
From 2006-06
To 2009-11
Business, finance and administration
Work/Activity
occupations
Contractors and supervisors in
Job title industrial, electrical and construction
trades and related workers
Company/employer SE ENGINEERING LTD
Main duties of the job FINANCIAL ADVISOR
Manually input address
ZINDABAZAR, SYLHET
Address
SYLHET
Bangladesh
From 2014-08
Ongoing
Business, finance and administration
Work/Activity
occupations
Contractors and supervisors in
Job title industrial, electrical and construction
trades and related workers
Company/employer SYLTECH SCAFFOLD
Main duties of the job FINANCIAL ADVISOR
Manually input address
3 GOLDEN TOWER (2ND FLOOR),
Address AIRPORT ROAD, AMBARKHANA
SYLHET
Bangladesh
Date modified: 2024-01-20 08:04:18 UTCZ Page 6 of 12
MD ZAKIR HOSSAIN (V402095297) Protected B
Travel history
During the past 5 years have you travelled to a country or territory other than the
Yes
one where you're a citizen or where you live now?
From 2023-11
To 2023-12
Country/territory Qatar
Location/place where stationed DHOA
Purpose of travel VISIT
From 2023-10
To 2023-11
Country/territory United Arab Emirates
Location/place where stationed ADU DHABI
Purpose of travel VISIT
From 2023-05
To 2023-06
Country/territory India
Location/place where stationed DELHI
Purpose of travel VISIT
From 2017-11
To 2017-12
Country/territory Malaysia
Location/place where stationed KUALA LUMPUR
Purpose of travel VISIT
Have you ever stayed in Canada beyond the validity of your status, attended
school in Canada without authorization, or worked without authorization in No
Canada?
Have you ever been refused a visa or permit, denied entry to, or ordered to leave
No
any country or territory?
Date modified: 2024-01-20 08:04:18 UTCZ Page 7 of 12
MD ZAKIR HOSSAIN (V402095297) Protected B
Criminality and security
Have you ever committed any crime in any country or territory (this includes
No
driving under the influence of alcohol or drugs)?
Have you ever been arrested for any criminal offence in any country or territory
No
(this includes driving under the influence of alcohol or drugs)?
Have you ever been charged for any criminal offence in any country or territory
No
(this includes driving under the influence of alcohol or drugs)?
Have you ever been convicted for any criminal offence in any country or territory
No
(this includes driving under the influence of alcohol or drugs)?
Criminality and security questions
Are you or have you ever been a member associated with any political party, or
other group or organization which has engaged in or advanced violence as a
No
means to achieving a political or religious objective, or which has been
associated with criminal activity at any time?
Have you ever witnessed or participated in the ill treatment of prisoners or
No
civilians, looting or desecration of religious buildings?
Medical background questions
Have you had a medical exam performed by an IRCC authorized panel physician
No
(doctor) within the last 12 months?
Medical background questions- Tuberculosis
In the last 2 years, were you diagnosed with tuberculosis? No
In the last 5 years, have you been in close contact with a person with
No
tuberculosis?
Medical background questions
Are you currently receiving dialysis treatment? No
Have you had a drug or alcohol addiction causing you to be a threat to yourself or
No
others, or to be hospitalized?
Have you had a mental health condition causing you to be a threat to yourself or
No
others, or to be hospitalized?
Have you ever been diagnosed with syphilis? No
Date modified: 2024-01-20 08:04:18 UTCZ Page 8 of 12
MD ZAKIR HOSSAIN (V402095297) Protected B
Family information
What is your current marital status? Married
Date of marriage or start of common-law relationship 2018-09-16
Name of spouse/common-law partner
Surname or last name SUMA
Given name or first name TASLIMA JAHAN
Date of birth 1990-10-25
Country or territory of birth Bangladesh
Present occupation Homemaker
Is their address the same as yours? Yes
Will your spouse/common-law partner accompany you to Canada? No
Children
Do you have any biological, adopted or step-children? Yes
Surname or last name UMOR
Given name or first name MD ZAHID HOSSAIN
Date of birth 2009-12-04
Relationship Son
Country or territory of birth Bangladesh
Does this child have the same address as you? Yes
If the child is not in Canada, will they accompany you to Canada? No
Surname or last name MUAZ
Given name or first name MD ENAYET HOSSAIN
Date of birth 2023-12-09
Relationship Son
Country or territory of birth Bangladesh
Does this child have the same address as you? Yes
If the child is not in Canada, will they accompany you to Canada? No
Date modified: 2024-01-20 08:04:18 UTCZ Page 9 of 12
MD ZAKIR HOSSAIN (V402095297) Protected B
Tell us about your parents
Surname or last name YAHIA
Given name or first name MD ABU SUFIAN
Relationship Father
Date of birth 1956-07-02
Country or territory of birth Bangladesh
Present occupation RETIRED
Does this parent have the same address as you? Yes
Will this parent come with you to Canada? No
Surname or last name NESSA
Given name or first name MST RAHIMUN
Relationship Mother
Date of birth 1960-03-05
Country or territory of birth Bangladesh
Present occupation RETIRED
Does this parent have the same address as you? Yes
Will this parent come with you to Canada? No
Language of the applicant
What is your native language or mother tongue? Bengali Sylhetti
Can you communicate in English and/or French? English
What language do you want us to use to contact you? English
Email address of applicant
Telephone number of the applicant
Telephone type Cellular
Select telephone number country or territory Other
Telephone number +880 1301877244
Date modified: 2024-01-20 08:04:18 UTCZ Page 10 of 12
MD ZAKIR HOSSAIN (V402095297) Protected B
Documents to support your application
Document name National identity document
File name nid.pdf
Size of the Document 163.00 KB
Date/time uploaded 2024-01-03 08:04:17 UTCZ
Document name Passport/travel document
File name passport (1).pdf
Size of the Document 1,961.00 KB
Date/time uploaded 2024-01-03 08:04:17 UTCZ
Document name Funds (proof)
File name finance (1).pdf
Size of the Document 1,996.00 KB
Date/time uploaded 2024-01-03 08:04:17 UTCZ
Document name Additional documents
File name additional.pdf
Size of the Document 1,769.00 KB
Date/time uploaded 2024-01-03 08:04:17 UTCZ
Fees
Fee Quantity Price Total
Biometrics 1 CAN$85 CAN$85
Visitor visa 1 CAN$100 CAN$100
Total CAN$185
Date modified: 2024-01-20 08:04:18 UTCZ Page 11 of 12
MD ZAKIR HOSSAIN (V402095297) Protected B
Consent and declaration
Citizenship and Immigration Canada (CIC), or an organization at CIC's request, may want to contact you in the future to ask you about any services you
received from CIC prior to the application process (such as participation in an information forum), during the application process (including the
application process itself as well as orientation or accreditation services), and services received after arriving in Canada (including settlement,
integration and citizenship). CIC will use this information, along with the information provided by other individuals, for research, performance
measurement or evaluation purposes. CIC will not use this information to make any decisions about you personally.
Do you consent to be contacted by CIC, or an organization at CIC's request, in the future? No
I consent to the release to Citizenship and Immigration Canada (CIC) and Canada Border Services Agency (CBSA) of all records and information for the
purpose of processing my request that any government authority, including police, judicial and state authorities in all countries in which I have lived may
possess about me. This information will be used to evaluate my suitability for admission to Canada or to remain in Canada pursuant to Canadian
legislation.
I declare that I have answered all questions in this application fully and truthfully.
Surname or last name HOSSAIN
Given name or first name MD ZAKIR
Privacy Notice
Personal information provided on this form is collected and will be used, disclosed, and retained by Immigration, Refugees and Citizenship Canada
(IRCC) under the authority of the Immigration and Refugee Protection Act (IRPA). The personal information provided will be used for the purpose of
processing applications. The personal information provided may be disclosed to other federal government institutions and third parties including law
enforcement bodies, provincial/territorial governments and/or foreign governments for the purpose of validating identity, eligibility and admissibility.
The personal information collected on an application, and other information collected in support of an application, may be used for advanced analytics,
automation, and other technologies to support processing of applications and decision making, including your application. Personal information,
including from advanced analytics, automation, and other technologies, may also be used for purposes including research, statistics, program and
policy evaluation, internal audit, compliance, risk management, strategy development and reporting.
Where biometrics are provided in support 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.
Failure to complete the form in full may result in a delay or the application not being processed. The Privacy Act gives individuals the right of access to,
protection, and correction of their personal information. Further details are available in Info Source. If you are not satisfied with the manner in which
IRCC handles your personal information, you may exercise your right to file a complaint to the Office of the Privacy Commissioner of Canada. The
collection, use, disclosure and retention of your personal information is further described in IRCC's Personal Information Bank – IRCC PPU 068.
Date modified: 2024-01-20 08:04:18 UTCZ Page 12 of 12
