Visitor Record Extension · JSR Immigration Ltd.

Please complete these before submitting:

Extend your visitor status

This form takes about 10–15 minutes. Your answers save automatically as you type. All information is sent securely to JSR Immigration Ltd. for your Visitor Record extension application.

* marks a required field. Have your passport, current/previous status document, and bank statement ready before you start.

Estimated cost

IRCC fee: $100 (+ $246.25 restoration if your status has already expired)
Payment: e-transfer to info@jsrimmigration.com

1Personal information

Copy your name exactly as it appears on your passport. If the full name (e.g., "Sandeep Singh") is in one field on your passport, put it in that same field here and leave the other blank.

Family name (surname)*

Given name(s) Leave this blank if your passport has no given name listed.

UCI number An 8 or 10-digit number found at the top of any letter you've received from IRCC.

Date of birth* Tap to pick from a calendar. Must match your passport.

Country of birth*

Country of citizenship*

2Contact & address

Phone*

Email*

Alternate phone

Street address* Your current Canadian residential address — no PO boxes.

City*

Province*

Postal code*

3Marital status

Status*

Partner first name

Partner last name

Partner DOB

Date of marriage / relationship

Date of separation / divorce / passing

4Current status & restoration

Current status in Canada* Pick "Implied Status" if you applied to extend before your last permit expired and are waiting for a decision.

Status valid until* The expiry date on your current permit or status document.

Has your current status already expired?*

Yes No

Restoration applies. An additional $246.25 IRCC fee will apply. Restoration must be filed within 90 days of status loss. Submit ASAP.

5Inviter / financial support

An inviter (Canadian PR, citizen, or temporary resident) is optional but recommended if you do not have sufficient personal funds.

Do you have an inviter who can support your application?*

Yes No

Recommended: bank balance of $3,000–$5,000 minimum in accessible savings.

Inviter's full legal name

Inviter's complete address

Inviter's email

Inviter's phone

Is the inviter currently employed?

Yes No

Inviter's job title

Inviter's bank balance (CAD, approximate)

6Entry to Canada

When you first entered Canada, and your most recent entry if different.

Original entry date* The FIRST time you ever entered Canada — not your most recent trip.

Original entry place* Airport (e.g. YYZ, YVR) or land-border name where you first arrived.

Most recent entry date

Most recent entry place

7Education

Highest level of post-secondary education completed.

Highest level*

Program name

School / college / university

School address

Start date

Finish date

Other education / training

8Work experience

Last 10 years OR since age 18, whichever is shorter.

Did you work in the last 10 years (or since age 18)?*

Yes No

Occupation / job title

Company name

Workplace address

Start date

End date Use today's date if still working.

Other jobs (if any)

9Admissibility & status history

All questions are required. Answer truthfully — providing false information may result in a 5-year bar from Canada.

10Document checklist

Confirm you have or will provide each document below.

11Declaration & signature

Declaration of accuracy. I declare that the information provided in this form is true, complete, and accurate to the best of my knowledge. I understand that providing false or misleading information constitutes misrepresentation under section 40 of the Immigration and Refugee Protection Act (IRPA), which may result in a finding of inadmissibility.

Authorization. I authorize JSR Immigration Ltd. and its licensed representatives (RCIC #R712841) to use the information in this form to prepare and submit my Visitor Record extension application and to communicate with IRCC on my behalf.

I confirm the information above is true, complete, and accurate. I authorize JSR Immigration Ltd. to act as my representative.

Type your full name* Your legal name as on your passport — this serves as your signature.

Date*

Signature (draw with finger or mouse)

Optional. Your typed name above also serves as a legal signature.

Extend your visitor status

1Personal information

2Contact & address

3Marital status

4Current status & restoration

5Inviter / financial support

6Entry to Canada

7Education

8Work experience

9Admissibility & status history

10Document checklist

11Declaration & signature

Form received