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Government Gouvernement PROTECTED WHEN COMPLETED ofCanada’ du Canada = . PAGES OF 8 SCHEDULE 1 APPLICATION FOR TEMPORARY RESIDENCE ‘The principal applicant, his or her spouse or common-law partner, I apllcable, and all dependent children aged 18 yoars or older listed in the application for temporary residence must complete thelr own copy ofthis form: lee tthe penal appicart cee Liteon] Eaters =menmaoemrmene PREY “Family ane shown on yourpsipo or Wawel Somer “Gena frown on yur passport or wav doaeran ww 08 ace soatectbinh D> js on briging hose who comm ats of genau = ome Sate at nationals. ees o rimesagaint many Yo usc, Canada was the at country [ET inary sence ‘cid ou see in an mia, lia, oF defence unr serve va sect organization er poe kee (ecudng non obigsery natal snc, resem volute: is)? rs» L)vver crete nonin dts: i LozatenPiace whee sare Provnoe (CouriyofTetory |G/a|8 ad are rs [] Have yu evr wanassed or priate nthe eaten of psonrs a avian, boing or osesaon of igus buldngs? Ll Doe Dove metatoning et: peer tecaton Province (Coury or Terory \ | Ll a L a ‘Addimore rows DLE) yea ttn carina ei tb nt ‘Sowoae | AUSSI DISPONIBLE EN FAANGANS -INIY 5257 F- Annexe 1) Canadit Government Gouvernement Goverment Gowornen PROTECTED WHEN COMPLETED PAGE 20Fa [E] Wembertip or Association with Organizations ‘Ne-yo, hava you eve been member o associated wth ny pote pay. ooo group o organization which has engage no advocatd Valence as a ‘nSate adh a pol ortalgoue oes, ros Nas Soon sesoeated wih ona actly a ay mae bea as abo tins Cine Clos _cuetnetotowng tas "Reasons Fe ‘ame of organizaton| ee Provnee (Coury or Teraary ‘sane ros A|o|e|o|e [7] Goverment Poaions Have you ever eld any goverment poisons (euch as i sna, ge, pose cca, mayor, member op er, hsptal administer? De net use abbrevisions [ime Hever Dinette towing deta Fon Te aval oF radon ‘etitos onan ve vow (County or Terrtory (9 nana. elon moeenes musical = O|8|8|2 ‘Add more cows D> Previous Travel Sine th 99 f18 9 dutng the past ve years whichever s more etek have you aves wo any country er terry ober han the county af your eizensip or yeu curt Shura of enconce? [ite vee Gt tne aowing dette ‘This formismade aval by nigration, Refugees and Cizeship Canada andi tetera {AUSSI DISPONILE EN FRANGAIS- MIM 5257 F-Ane Government Gouv Bol Srorast Gouvernement PROTECTED WHEN COMPLETED - B PAGES OF 8 Fon Te i ‘County or Tetory zcaion Purpose of Travel L L tl. L J 2) 2 |2|2|2|2|2| 2 2) 5|2|9|2 | 5|9|5|5|9|5|e|8 el ae Se acer ae i mgroae pioneae enc aiene cs Canad

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