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IMM 1436E - Canada

(DISPONIBLE EN FRAN AIS - IMM 1436 F)PROTECTED WHEN COMPLETED - BPage 1 of 4 REQUEST TO AMEND VALID TEMPORARY RESIDENT DOCUMENTS OR INFORMATION CONTAINED IN THE CONFIRMATION OF PERMANENT RESIDENCEIMM 1436 (06-2020) EPART A - PERSONAL DETAILS CONTAINED ON YOUR VALID TEMPORARY RESIDENT DOCUMENTS OR CONFIRMATION OF PERMANENT RESIDENCE1 - Client ID number/UCI2 - Surname(s) (Family name) (As it currently appears on your document)3 - Given name(s) (As it currently appears on your document)4 - Other name(s) used5 - Other given name(s) used6 - GenderF FemaleM MaleX Another gender7 - Date of birth (YYYY-MM-DD)8 - Place of birth (City, state/province and country or territory)9 - Citizenship10 - Passport numberIndicate if:On entryCurrent11 - Date of issue (YYYY-MM-DD)12 - Expiry date (YYYY-MM-DD)13 - Marital statusNever marriedMarriedIf you are married, is your spouse a Canadian citizen or permanent resident?YesNoWidowedSeparatedDivorcedCo mmon-law partner 14 - Language of correspondence EnglishFrench15 - Current mailing nameCity/TownCountry or territory Province/StatePostal codeDistrict16 - Residential address Same as mailing address?

Photocopy of letter of acceptance or enrolment from your current designated learning institution, if applicable. Copies of court documents if you have been convicted of a crime since becoming a permanent resident (if you are not a Canadian citizen). Original Use of a Representative (IMM 5476) form completed and signed, if applicable.

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