Date: June 7, 2021

Unique Client Identifier (UCI): 11-0929-6610 Application Number: H000055987

*1109296610* *H000055987*

AMER IBRAHIM MOHAMMAD MOHAMMAD

c/o Zohra Safi
Via email: zohra.safi@zsnlaw.ca

Dear AMER IBRAHIM MOHAMMAD MOHAMMAD,

This letter concerns your application for permanent residence from within Canada under the temporary
public policy for refugee claimants working in Canada’s health-care sector during the COVID-19
pandemic. This application includes the following dependents:

AZHAR MOHAMMAD AZHER SAMAK, Date of Birth: 1972/02/07

OLA AMER IBRAHIM IBRAHIM, Date of Birth: 2005/01/07
ALI AMER IBRAHIM IBRAHIM, Date of Birth: 2007/09/25
MUSTAFA AMER IBRAHIM IBRAHIM, Date of Birth: 2009/04/27

On 7 June 2021, a representative of the Minister of Immigration, Refugees and Citizenship Canada
(IRCC) reviewed your application. We are pleased to inform you that you meet the conditions (eligibility
requirements), and your application has been approved in principle.

You must meet all requirements of the Immigration and Refugee Protection Act (IRPA) and its
Regulations to qualify for permanent residence.

In order to render a final decision, please send all requested documents and/or information via email to
IRCC.DNNGFHMPPProcessing-TraitementPIPMHNGFRN.IRCC@cic.gc.ca within 30 days of this letter. In
your response please quote your application number in the subject line.

**Ensure that HCW or HCWQC is included in the subject line of all future email correspondence.

NOTE: If you previously provided any of the documents/information requested below please advise
IRCC.DNNGFHMPPProcessing-TraitementPIPMHNGFRN.IRCC@cic.gc.ca in your next communication.

FORMS REQUIRED
You must provide the following forms for all family members over 18 years of age, (accompanying or non-
accompanying, whether in Canada or abroad):
Schedule A / Background Declaration (IMM5669) **do not leave any gaps in time.
Additional Family Information (IMM5406)

You will find the forms that are required at:

https://www.canada.ca/en/immigration-refugees-citizenship/services/application/application-forms-
guides.html