Guide 5069 – Temporary Public Policy: Temporary Resident to Permanent Resident Pathway (TR to PR)

Schedule 3 – Temporary Resident to Permanent Resident Pathway: Streams A & B and International Graduates (Including French Speaking Streams)

Who must fill out this application form?

This form must be completed by:

• You, the principal applicant.

Section 1

1. Enter your full family name (surname or last name) as shown on your passport, travel or identity document.
2. Enter all of your given name(s) (first, second or more) as shown on your passport, travel or identity document. Do not use initials.
3. If you know your unique client identifier (UCI) number or client identification number (client ID), enter it here without any spaces. If you applied for temporary or permanent residence in the past, this is an 8 or 10 digit number you can find on previous documents sent by us. If this is your first application with us, or if you do not know your UCI, leave this space blank.
4. Enter your date of birth. If you do not know your complete date of birth, please use an “*” (asterisk) to fill in the spaces for the unknown year, month or day. For example, if the day and month of your date of birth is unknown you could enter 1964/*/*.

Section 2

Select the stream to which you are applying.

Note: You may only apply to one stream. Officers will only consider your eligibility for the stream to which you applied.

Section 3

Respond “yes” or “no” as to whether you meet the minimum language requirements in the Canadian Language Benchmark (CLB) or the Niveaux de compétence linguistique canadiens (NCLC) for listening, speaking, reading and writing based on the requirements of the stream to which you are applying.

Section 4

If you are applying to the International Graduates or French-speaking International Graduates Stream Respond “yes” or “no” as to whether you have completed an eligible program of study after December 31st, 2016 at a Designated Learning Institution (DLI) in Canada? If yes, provide the required information in your application.

Section 5

1. If you are applying to the Workers in-Canada streams (A & B) (French speaking and English) respond “yes” or “no” as to whether you have at least 12 months of authorized, full-time (or part-time equivalent) work experience in one or more eligible health-related occupations listed in Annex A OR an essential eligible occupation listed in Annex B within the last 36 months?
2. If yes, the following information must be completed.
   • Enter a start and end date of your employment. If no end date, enter “Ongoing”.
   • Enter the hours of work per week.
   • Enter the name of your employer.
   • Enter the National Occupation Classification (NOC) code of the position you worked.
   • Enter the job title of the position.

Section 6

1. Respond “yes” or “no” as to whether you are currently physically present and working in Canada with valid work authorization and temporary resident status?
2. If yes, the following information must be completed.
   • Enter a start and end date of your employment. If no end date, enter “Ongoing”.
   • Enter the hours of work per week.
   • Enter the name of your employer.
   • Enter the National Occupation Classification (NOC) code of the position you worked.
   • Enter the job title of the position.

Section 7

Declaration

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• Signature of declarant
• Date (year, month, day)