Name (As Per Passport) *

Current residential address in India *
Address in Canada*

.

Which province will you be residing in?*
Date of birth*
Are you 18+ years of age?*
Are you 19+ years of age?*

Please contact customersupport@canadiansim.com for an alternate prepaid solution. 

Purpose of travel? *
Postpaid plan *
Do you have a confirmed travel date to Canada?*
Arrival date into Canada*
Tentative arrival date into Canada*
Do you have a SIM card?*
Shipping*
Shipping address*
Reconfirm pin code*

.

Upload the picture page of your passport*
No File Chosen
File uploads may not work on some mobile devices.
Acceptable Formats: jpg, jpeg, gif, png, bmp, tif, pdf.
Upload a picture of the last page of your passport*
No File Chosen
File uploads may not work on some mobile devices.
Acceptable Formats: jpg, jpeg, gif, png, bmp, tif, pdf.
Have you received your Canadian entry visa?*

Note: In order to process your SIM card application, a valid Canadian entry visa is required. 

Our CanadianSIM support team will be connecting with you to obtain your Canadian entry visa information. Alternatively, you can connect with our team directly, via phone or email, to update your Canadian entry visa once received.

Canadian entry visa/permit issue date*
Canadian entry visa/permit expiry date*
Upload a picture of your Canadian entry visa*
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File uploads may not work on some mobile devices.
Acceptable Formats: jpg, jpeg, gif, png, bmp, tif, pdf.

Acknowledgement and Understanding

By checking this Box*
By Checking This Box*
By Checking This Box*
By Checking This Box*
Use your mouse or finger to draw your signature above