Form IMM 1249 - Application to Change Conditions or to ...

Fillable Form Citizenship and Citoyennet et PAGE 1 OF 3. Immigration Canada Immigration Canada PROTECTED WHEN COMPLETED - B. Application TO Change Conditions OR TO extend MY STAY IN CANADA. NOTE: This form can be used to request/apply for more than one of the below for yourself or your family members. Payment of fees does not guarantee approval of the Application . I AM Extension of Restoration of Initial Study Permit Initial Work Permit Temporary APPLYING "A" Temporary Resident "B" "C" "D" "E" Temporary or Renewal or Renewal Resident Permit FOR: Status as a Visitor Resident Status Client ID Number I want service in English French A - PERSONAL INFORMATION. 1 Surname (Family name) Given name(s). Other name(s) used Sex Male Female Place of birth (City, state/province and country). D M Y. Date of birth Citizenship Passport number Date of issue Expiry date Country of last Since D M Y D M Y permanent residence Since the birth year MARITAL If you are married, is your spouse Yes Common-law STATUS Never married Married a Canadian citizen or permanent Widowed Separated Divorced No partner resident?

PROTECTED WHEN COMPLETED - B PAGE 1 OF 3 APPLICATION TO CHANGE CONDITIONS OR TO EXTEND MY STAY IN CANADA NOTE: This form can be used to request/apply for more than one of the below for yourself or your family members.

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  Applications, Conditions, Change, Extend, 2419, 1249 application to change conditions or, Application to change conditions or

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