CANADA VISA PROCESSSING FORM Recent

Passport

APPLICANT PERSONAL INFORMATION

MESHACK OLUWAJUWON FOLARIN

First Name Maiden Name Surname (Family Name)

17/05/2001
Date of Birth: ……………………..…………………… MALE
Sex (Male or Female):…………………………………………………….
Day/Month/Year
LAGOS STATE
Place of Birth: ………………………………………………………………………………………………………………….

SINGLE
Marital Status :( Single /Married/Divorced/widow) ……………………………………………………………………………….
B02433801
PASPORT NO:
JEBUTU STREET AGODO – LAGOS…………………………………….
STATE LAGOS, NIGERIA
Postal Address: …………………………………………………………………………………………………………………………….
Address Town/State State/Country
Note: Address, Town and State for Address while Address, State and Country for Address outside Nigeria

FOLARINOLUWAJUWON17@GMAIL.COM
Email: ………………………………….……………………………………….. 08181136483
Mobile No: …………………………………………..
NIGERIAN
Nationality: (Nigerian/Non Nigerian): …………………………………………………………………………………………………………………….
LAGOS STATE
State of Origin: ……………………………………. ALIMOSHO
Local Govt. Area: ……………………………………….........................
OGBOMOSHO
Home Town: ………………………………………………………………………………………………………………………………
SELF EMPLOYED
Present occupation: …………………………………………………………………………………………………….....................
12, JEBUTU STREET, AGODO-EGBE, LAGOS STATE
House Address: …………………………………………………………………………………………………………………………..

MOTHERS PERSONAL INFORMATION

MOSUNMOLA BOSED FOLARIN

First Name Maiden Name Surname (Family Name)

30/01/1962
Date of Birth: ………………………………………………………. (Day/Month/Year)

OGBOMOSHO
Place of Birth: ……………………………………………………………………………………………………………………………

OYO STATE
State of Origin: …………………………………………………………………………………………………………………………...

OGBOMOSHO
Home Town: ………………………………………………………………………………………………………………………………
12, JEBUTU STREET, AGODO-EGBE, LAGOS STATE
Address: ………………………………………………………………………………………………………………………….................

If she is Alive:
Yes No

If No: Give year of Death: ………………………………………………………………………………………………………………

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 FATHERS PERSONAL INFORMATION

SHEDRACK ADEBOLA FOLARIN

First Name Maiden Name Surname (Family Name)

04/04/1958
Date of Birth: ……………………………………………….. (Day/Month/Year)

OGBOMOSHO
Place of Birth: ………………………………………………………………………………………………………………………….

OYO STATE
State of Origin: …………………………………………………………………………………………………………………

OGBOMOSHO
Home Town: ……………………………………………………………………………………………………………………………….

12, JEBUTU STREET, AGODO-EGBE, LAGOS STATE

Address: ……………………………………………………………………………………………………………………………………
If Alive:
Yes No

14/10/2021
If No: Give year of Death: ……………………………………………………………………………………………………………..

IF MARRIED GIVE SPOUSE’S INFORMATION

Full Name: ……………………………………………………………………………………………………………………………………

Date of Birth:
………………………………………………………………………………………………………………………………

Place of Birth: ……………………………………………………………………………………………………………………………

Local Govt. Area: ………………………...………………………………………………………………………………………………

State of Origin: ………………………….………………………………………………………………………………………………

Home Town: Address: …………………….…………………………………………………………………………………………

Telephone: …………………………………………………………………………………………………………………………………

CHILD/CHILDREN FULL INFORMATION

Number of Children: Identify by marking the box

1 2 3 4 5 6 7 8 9 10 OTHER

Full Name: ……………………………………………………………………………………………...………………………..

Date of Birth: …………………………………………………………………………………………………………………...

Place of Birth: …………………………………………………………………………………………………………………..

Local Govt. Area: ……………………..……………………………………...………………………………………………..

State of Origin: ………………………………………………………………………………….………………………………………

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 EDUCATIONAL BACKGROUND
LIVING FLOCP NURSERY & PRIMARY SCHOOL
Primary School name: ………………………………………………………………………………………………………………

2003
Year: From: ………………………………………………. 2013
to …………….…………………………………………………..

DISTINCTION GATE PREVERSITY

Secondary school name: …………………………………………………………………….………………………………………

2017
Year: From: ……………………………………….……… 2019
to ………………………………………………………………

Additional Qualification: OND/NCE/BSC/MSC

The School name: The course of study: ……………………………………………………………………………………

The year of study: ………………………………………………………………………………………………………………………

The year Started: ………………….…………….. And Finished: …………………………………………………….

WORKING EXPRIENCE

8 YEARS
How many years experience …………………………………………………………………………………………………………

1 COMPANY
How many companies have you worked for……………………………………………………………………………………

TOP JO ALUMINIUM WORKS

Name of the company……………………………………………………………………………………………………………………

1, BIG MUMMY STREET, ARIGBAJO, OGUN STATE

Address of the company…………………………………………………………………………………………………………….......

STAFF
Position in the company……………………………………………………………………………………………............................

N20,000.00
Your basic salary…………………………………………………………………………………………………………………………

2013
The year you started……………………………………………..and 2021
stopped……………………….
……………………………

HAVE YOU EVER BEEN REFUSED VISA IN ANY COUNTRY BEFORE If Yes:
Yes No

Mention the country’s name, give the month and year………………………………………………………………….

……………………………………………………………………………………………………………………………………………………..

HAVE YOU EVER BEEN DEPORTED FROM ANY COUNTRY BEFORE If Yes:

Yes No

Give the name of the country and the year………………………………………………………..……………………….……

APPLICANT SIGNATURE: ……………………………………….

19/02/2024
DATE: ………………………………….…………………………………

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