l*l

Citizenship

and

PROTECTED WHEN COMPLETED. B

Citoyennet6 et

lmmigrationCanada lmmigrationCanada

PAGE 1 OF 5

APPLICATION TO CHANGE CONDITIONS,

EXTEND MY STAY OR REMAIN IN CANADA AS A STUDENT

Engl i sh
I

am applying for one or more of the following:

l-Z Aninitialstudypermitorextensionofstudypermit
lniti"lt".por"ry

Restorationoftemporaryresidentstatusasastudent

resident permit or extension of temporary resident permit

PERSONAL DETAILS
_l_.1

Full name
Family name (as shown on your passport or travel

NGONO OYONO

document)

| Given name(s) (as shown on your passpon or travel document)

I

MINLO

fJ H.r" yo, "u", used any other

name (e.g. Nickname, maiden name, alias, etc.)

V No f,v"'

Family name

Given name(s)

llsex

jl

Date of birth

1985

Female
9.1

NAOM]E .]UI,]E

o7
MM

l_.1

Placeofbirth
City/Town

30
OD

DOUALA

countv

Cameroon, Republic of

citizenship

Cameroon, Republic of
7 | Current country of residence:
Country

Status

Canada

Student

Other

From

To

2010-12-31

2012-12-3L
YYY/-MM.DD

3l Previous-countriesofresidencc:Duringthepastfiveyearshaveyoulivedinanycountryotherthanyourcountryofcitizenshiporyourcurrent
- countryofresidehce(indicatedabove)formorethansixmonths?
Country

Status

England

Student

[-l
I I ru.
''-

Other

l]Z
lv y.,
I

From

To

2008-09-r8

2009-10-31
YYYY-MM-DD

YYYY.MM.DD

!l

a)
S

Your current marital itatus

ingl

c) Provide

b)

Gommon-law relationship) Provide the date

on which you were married or entered into the common-law relationship

(lfyou are married or in

\
2

the name ofyour current Spouse/Common -law partner

Family name

d) lfyou are married or in

Given name(s)

common-law Ielationship, is your spouse or commonJaw partner a Canadian citizen or permanent resident?

FOR OFFICE USE

ONLY. DO NOT WRITE IN THIS

(1

2-2012)

(DlsPoNlBLE EN FRANCAIS - IMM s70e F)

No

Yes

SPACE

This form is made available by Citizlnship and lmmigration Canada and is not to be sold to applicants.
tMt\4 5709

Date

Canadil

PAGE 2 OF 5

Applicant Name

Date of Birth

NGONO OYONO MINLO. N.

986-07-30

PERSONAL DETAILS (CONTINUED

ljl

Hur"youpr"riouslybeenmarriedorinacommon-lawrelationship?

E r.

E r*

Provide the following details for your previous Spouse/Common-law partner:

civen nameG)

Type of relationship

From

To
,

WYY:Mlil-DD

i,. ''

'r::i

IIryYY.MM-BD

LANGUAGE{S)
a)

b) lfyour native language is not English or French, which language do you use most frequently?

Native language

French

Country of issue

Cameroon, Republic of
CONTACT INFORMATION
lf submitting your appllcation by mail:
- All correspondence will go to this address unless you indicate your emaii address below.
- lndicating a n email add ress will authorize all correspondence, includi ng file and personal information, to be sent to the email add ress you speciry.

_Ll
P.O.

Current mailing address

box

Apt/Unit

Street no

Street name

a2

15

PEBBLE BYWAY

City/Town

Country

Province

Postal code

NORTH YORK

Canada

ON

M2H

Province

Postal code

3_l

Residential

address

Apt/Unit

Same as mailing adCress?

[ *.

3!15

IlTl vu'

Street name

Street no-

City/Town

Country

,',

1l Telephoneno
Typ"
Ceflular
iix
9J

No.
(647 \'ii4

lll

CountryCode

\/

CountryCode

Typ.
Cellular

Ext

-4799

no.

T Canada/US

M Canada/US I_l ott",

111

No.

AtternateTetephoneno.

M Canada/US f-l

countrycode

;, 1

Ott

",

No.

(6n,

Ext.

s26

-3001

E-mail address

Ext

jnoyonoogmail.

otne,

com

COMING INTO CANADA

1l Dateandplaceofyouroriginalentryto

o"t"

Place

toronLo pearson airport

YYYY-M I\4-D D

:_l

a)

The original purposefor coming to Canada

b) Other

Study
ll

D"t."ndpl"."ofyourmostrecententryto

Date

Place

border

usa-canada

YYYY-MM.DD

!rapplicable,providethedocumentnumberofthemostrecentVisitorRecord,>
Study Permit or Work Permit issued to you.

IMM s70e (i2-20r2)

Document Number

F981040050

7)30A1749

PAGE 3 OF 5

Applicant Name

Date of Birth
'I

OYONO MINLO, N.

986-07-30

DETAILS OF INTENDED STUDY IN CANADA

1 | I have been accepted atthefollowing educational institution
a) Name

of School

SENECA COLLEGE
b) Complete address ofschool in Canada

Province lcity/Town

Inddr"r,

ON

11750 FINCH AVENUE EAST

]_l

tl|ToronLo

:l

My program and level of study will be:

GENERAL BUSINESS SEMESTER

Durationdspected

>

4 | Thecostofmystudieswillbe:

| 5 la)Fundsavailableformystay(CAD) b) My expenses in Canada will be paid by:

Tui.ion lRoomandboardl other

I s6,600 I
|
I

$12,000
!-l

c)

work

permit?

lL]
-.. No

| |

Yes

a Quebec

:-::t

l) What type of work permit are you applying for:

Provideyour EligibilityVerification Number (EVN) ifyou have one. You must have an
to apply for an Off-Campus Work Permit

ffyou have been issued

Other
::

gs,ooo

EVN.OCWP

EVN

1-l

c)

To

2013-08-30

a) lnadditiontoastudypermit,arevoualso
applyinq for

From
20L2-L2-3!

>

I i::lr "'-'r

r"r-i:ii.,:i*tr,iili\ii::iii,::.,;f.

i I i

Acceptance Certifcate (CAQ), provide the:

Certificate Number

Expiry Date

lfyou are undGr th! a9e ofmajority ofthe province/territory where you intnd to study,you must fill out the Custodian Declarutioa UMM5646l form.
EDUCATION

Haveyouhadanypostsecondaryeducation(includinguniversiry,collegeorapprenticeshiptraining)?

E*.

Vet

lfyou answered "yes", give full details of your highest level of post seconCary education.
From

Field and level of study

,.t:.3i,
To

City/Town

:,::.

5chool/Facility name

r.",-::="t=:

.:-

Province/State

Country

.,=

,:

EMPLOYMENT
hospital administrator)

From

2008

a7

To

2008

10

From

2049
2

06

To

2009

07

YYYY

MM

From

IMM 5709 02-2012)

To

Current Activity/Occupation

Company/Employer/Facility name

secretary

SCDP

City/Town

Country

DOUALA

Cameroon, Republic of

Previous Activity/Occupation

Company/Employer/Facility name

SALES

NEXT

City/Town

Country

Province/State

],ONDON

England

a:.::::::::=

Previous Activity,/Occupation

City/Town

i,.

Company/Employer/Facility name

Country

)rovince/State

7)3041749

PAGE 4 OF 5

Name

Date of Birth

OYONO MINLO, N.

986-07-30

BACKGROUND INFORMATION
You must complete this se*ion if you are 1 8 years of age or older.

lJ

a)Withinthepasttwoyears.haveyouorafamilymembereverhadtuberculosisofthelungsorbeeninclosecontactwithapersonwithtuberculosis?

c)

lfyou answered "yes" to question

I }{AVE

J2t

1a)

Iro

[]v"'

El ^o
E] *.

V.,

Vut

E]*" f, r*

b) Do you have any physical or mental disorder that would require social and/or health seruices, other than medication, during a stay in Canada?

or 1 b), please provide details and the name ofthefamily member (ifapplicable).

BEEN D]AGNOSTIC POSITIV TO THE TUBERCULOSIS

IN APRI],2012.

a) Have you ever remained beyond the validity ofyour status, attended school without authorization or worked without authorization in

Canada?

b)Haveyoueverbeenrefusedanykindofvisa,admission,orbeenorderedtoleaveCanadaoranyothercountry?
c) lfyou answered "yes" to question 2a) or 2b), please provide details.

I-J

a) Have

you ever committed, been arrested for or been charged with or cinvicted of any criminal offence in any

country?

E *o

J-l V.,

E ^o

b) lf you answered "yes"to question 3a), please provide details.

jJ

you serue in any military, militia, or civil defence unit or serve in a security organization or police force (including non obligatory national
or volunteer units)?

a) Did

seric",

,ur".u

V",

b) lf you answered "yes" to question 4a), please provide dates of seruice and countries where you serued.

I-l
1l

Aru yor, o, h"re you ever been a member or associated with any political party, or other group or organization which has engaged in or advocated
as a means to achieving a political or religious objective, or which has been associated with criminal activity at any time?

nur"rou.r"r*itnessedorparticipatedintheilltreatmentofprisonersorcivilians,lootingordesecrationofreligiousbuildings?

IMM 5709

{1

2-201 2)

violence E]

^o

E]^.

tr

Yes

ves

7230A1749

PAGE 5 OF 5

Name

Date of Binh

oYoNo [4tNLO.

N.

986-07-30

APPLICATION TO CHANGE CONDITIONS,

EXTEND MY STAY OR REMAIN IN CANADA AS A STUDENT

lMM57 09 _07 -201 2_2

lMt\45709_07-201 2_3

lMM5709-07-201 2-6

lMM5709_07-20 i 2_5

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.

2012-1-2-24
Signature of Applicant or

Guardian's for a person under

'l

8 years

of age.

Date: YYW-MM-DD

IMPORTANT NOTE: This appli(ation must be signed and datrd before it is submitted.
Do not forget to include photos, fees (if applicable) and any other documents required. Review the application guide for more information and veri6/ that you have completed and
provided all ofthe required documents as per the document checklist

a.e availabl. atthe lhfosourcewebsitelhtp//infosour<e.gc.ce)and

IMM 5709 (12-20r2)

throughthectizenshipahd

lmmigration canada

Call Cnr,e.

723081749