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ofCanada du Canada Pace OFS
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PERSONAL DETAILS
Fullname
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LANGUAGE(S)
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PASSPORT
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DETAILS OF INTENDED WORKIN CANADA
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EDUCATION
Have you hd any port secondary evcatonGniing
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BACKGROUND INFORMATION
must complete his section you ate T8 years of age or ede.
Tits tne yes. hneyoura tamer everhd ube he igs eben cde otc wh pon th Meo?
Do younave any phys or mestalesrter tat woul egue socal andreas secs, ther than mediation during stayin Canada
‘ifyouansnered eso queston 12) 1b please prove deta andthe name the faiy member Fpl
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by Haveyou ever bees fused awa or pet denied ety reseed to lave Canada ay ether county or ten?
‘ave you prevout apped te entarorerain in Canada?
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[Trove you ever witnessed or participated inthe il trestment of prisoners or evilng, loating ar devecation a eliiour buldings?
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SIGNATURE
ImigntionRetgees ne Ctzenship Canada (RCO, oan organization RCC request may want to conte youin he fue taskyou about ay series ou rece om CC prot
the oppo process luc spells ian formation fru) ving the applalion proces ining the apalcaon process os wel as oieralon or cceaaon eres
sna vere recevedaRersrngin Cana neliang retlement integrase and etzenhiph REC llr ths nfrmatan slong with he nformaton pated by ther nial ft
‘esearch pefrmance measterentrevakaen purposes REC wl et se ths inferaton te make ay deca seut you eran.
be contacted by RCC eran egantion RCCstequestinthetuer ina [T]he
Ieonen tothe rekeae to fmigntion Refugees and Cites Canada IRC) ad Canad Borer Service Agency CBSA of records ae nfomaton othe purpose of poceteing hy
‘my stability or mission to Canada orto remain in Canad pursuant to Canadian legislation
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KISAN KUMAR 2022-06-27
Donat lrge tence potas fees appable) and ay thet coc reed Ree the ppetion guide fr mere fomson an very that youve
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DISCLOSURE
rgrmaton provided to RE coected under he athory ofthe nmigaton and Refugee Protection Act PAI te aterie ads y vo Canada Infomation provides maybe shaved
ith ther Canadian goverment nttons wth es but hot Wed ty te Canada Bade Seer Agency (CAL te Roel Canadian Mounted Pac (EMPL, he Canaclan Sect
rtligence Serae (CS) he beparvan of arn Ntare. Trade ana Development (DFRTD). Employment and Socal Developmen Canada SDC) the Canaga Revenue Ageny TAR,
prov aed entail goverment ard fore governments in accordance with uaseion 3 the Pvc) he Information maybe closed oo valle ih oregn goverment,
aw enforcement boa nd ering asthorver wth respec tothe adminsraon an efrcennt of mmission legion where sich hang af information may et ptt aaa
where blomenic ae provide pat ofan appliston the gern cole we be ore ad shard th he RCMP. The fagerprt eer may azo be dicted to aw evorceen
cordance it subsectan 13}! he mmiraion an Reluge Prtecion Relations The oration maybe wet etatsho wey heey aa peton
orderta prevent nvestgate a prsecte an ofc nde rw of aac or province. hs nematen may as beset ezabeh ot ery the any af anna hose en
sovernent wth whom canaaharan spree ar arangemert
Depending onthe pe of appcation made, the nfraton you prone ll be sored n ne or mae Pern nfoition Banke (I) przar to seton 10) of Canada Privacy Ac
18s ne of business ail series andthe Government of Canada’s acess to formation and privacy programs are ava lable atthe fsoutce webs and through the RCC Call Cente. Ino