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THIS FORM HAS BEEN ESTABLISHED THIS DOCUMENT IS THE PROPERTY

BY THE MINISTER

OF CITIZENSHIP OF CANADA

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FORMULAIRE LE PRESENT

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PAR LE MINISTRE

DE LA CITOYENNETE

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IMM 5292 (CON) B (06-2004) GENERIC - GENERIQUE

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BY THE MINISTER

OF CITIZENSHIP OF CANADA

AND IMMIGRATION

FORMULAIRE LE PRESENT

ETABLI

PAR LE MINISTRE

DE LA CITOYENNETE

ET DE L'IMMIGRATION DU CANADA

OF THE GOVERNMENT

DOCUMENT

EST LA PROPRIETE

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IMM 5292 (CON) B (06-2004) GENERIC - GENERIQUE

PART PARTIE -

Canada

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Citizenship and Immigration Canada

Citoyennete et Immigration Canada

PROTECTI;D WHEN COMPLETED PROTEGE UNE FOIS REMPLI use only - Reserve

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centrale

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PAGE~

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P,I ACCORDANCE WITl-l ;UeSECTWN 44{U

ACT" 1. HE:.BEBi HE:POPT 'rH{n~ JENNI FEH ANN

OF THE H'!l"lrGt~:;4T!O!\i ANI:IF'd~FlJf3EE PFt.OfEGTWN

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NOT P, CANADIAN

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AS AN H'WII lJRt;j'.lT TO CAN:Ai]A. AS REl1ut REI),

1S I\If(l' I N POSSESSION OF Ii W~L i!) H'lfW3R.~NT V!SA

THIS FORM HAS BEEN ESTABLISHED FORMULAIRE ETABLI

BY THE MINISTER

OF CITIZENSHIP

AND IMMIGRATION

- THIS DOCUMENT DOCUMENT

IS THE PROPERTY EST LA PROPRIETE

OF THE GOVERNMENT DU GOUVERNEMENT

OF CANADA DU CANADA

PAR LE MINISTRE

DE LA CITOYENNETE

ET DE L'IMMIGRATION

- LE PRESENT

IMM 5292 (CON) B (06-2004) GENERIC - GENERIQUE

PART PARTIE

Canada

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Citoyennete Immigration

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r-------------------------------------------~
Headquarters

a I'administration

centrale

Bar code use only - Reserve au code-barre

PAGE:

2.

DOCUMENT NO: N9114)~744

fjf-TICH

THIS FORM HAS BEEN ESTABLISHED FORMULAIRE ETABLI

BY THE MINISTER

OF CITIZENSHIP

AND IMMIGRATION

- THIS DOCUMENT DOCUMENT

IS THE PROPERTY EST LA PROPRIETE

OF THE GOVERNMENT DU GOUVERNEMENT

OF CANADA DU CANADA

PAR LE MINISTRE

DE LA CITOYENNETE

ET DE L'IMMIGRATION

- LE PRESENT

IMM 5292 (CON) B (06-2004) GENERIC - GENERIQUE

PART PARTIE -

Canada