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Guide to Completing the IMM5710 (10-2015) E Form Co-op ...

Guide to Completing the IMM5710 (10-2015) E Form Co-op Work Permit/PGWP 1. UCI Client ID (8-digit number listed on your temporary resident visa or permit. 1234-5678 or 12345678 3. I m applying for one or more of the following: Check off An initial work permit or a work permit with a new employer Personal Details 7. Current Country of Residence Status From (YYYY-MM-DD) To (YYYY-MM-DD) canada Visitor The very first day you arrived in canada 6 months from the date you arrived in canada or otherwise indicated by an officer in writing on your passport. Language(s) 3. Have you taken a test from a designated testing agency to assess your proficiency in English or French? Yes or No.)

If you were ever refused any visa, admission to Canada or any other country please indicate and briefly explain. Yes. List all visa/ permits previously applied for and when i.e. Temporary resident visa-Sept 2013 or Visitor Record. Signature This form should not be printed, signed or scanned. You only need to

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  Visa, Resident, Canada, Visitors, Temporary, Temporary resident visa

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