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IMM 5669 E : Schedule A - Background / Declaration

This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants. SCHEDULE A BACKGROUND / DECLARATION. FOR CIC USE ONLY. Client ID/UCI/FOSS ID Before you start completing this form, make enough photocopies for your needs. You can also print all or part of this form from our Web site at www.cic.gc.ca.

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