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Citizenship and Immigration Canada Citoyennet et PROTECTED WHEN COMPLETED - B PAGE 1 OF 1 PRC FAX TEMPLATE - URGENT REQUESTS ONLY List all applicants who require urgent processing below. All requested information is mandatory any information omitted may result in your urgent request being refused* SECTION A - PERSONAL INFORMATION Name Your full name as shown on your Record of Landing IMM 1000 or Confirmation of Permanent Residence IMM 5292 Your current name if different from above Client ID Found on your Permanent Resident Card 8 digits or your immigration document number Date of birth Using this format YYYY-MM-DD Telephone number Home Address Complete address including postal code Fax number E-mail address SECTION B - APPLICATION INFORMATION Tracking number Receipt from courier service registered mail etc* Date application sent YYYY-MM-DD Courier company used SECTION C - TRAVEL INFORMATION The following documents are mandatory and must be included in your fax. Proof of travel Example A copy of your plane bus train or boat ticket or a copy of your e-ticket or official itinerary. Your proof of travel must include your personal information such as your name. Proof of partial/full payment for travel Example Your proof of payment must include the method of payment cash cheque credit card and the amount. We will communicate with you by e-mail within 2 business days after the reception of this request. IMM 5724 08-2013 E. All requested information is mandatory any information omitted may result in your urgent request being refused* SECTION A - PERSONAL INFORMATION Name Your full name as shown on your Record of Landing IMM 1000 or Confirmation of Permanent Residence IMM 5292 Your current name if different from above Client ID Found on your Permanent Resident Card 8 digits or your immigration document number Date of birth Using this format YYYY-MM-DD Telephone number Home Address Complete address including postal code Fax number E-mail address SECTION B - APPLICATION INFORMATION Tracking number Receipt from courier service registered mail etc* Date application sent YYYY-MM-DD Courier company used SECTION C - TRAVEL INFORMATION The following documents are mandatory and must be included in your fax. Proof of travel Example A copy of your plane bus train or boat ticket or a copy of your e-ticket or official itinerary. Proof of travel Example A copy of your plane bus train or boat ticket or a copy of your e-ticket or official itinerary. Your proof of travel must include your personal information such as your name. Proof of partial/full payment for travel Example Your proof of payment must include the method of payment cash cheque credit card and the amount. Your proof of travel must include your personal information such as your name. Proof of partial/full payment for travel Example Your proof of payment must include the method of payment cash cheque credit card and the amount. We will communicate with you by e-mail within 2 business days after the reception of this request. IMM 5724 08-2013 E.

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