judge for yourself
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Judge For YourselfTRANSCRIPT
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CLIENT SIGNATURE (must sign inside the white box in black ink only)SIGNATURE DU CLIENT (doit signer it l'interieur de la boite blanche it I'encre noire seulement)
THIS FORM HAS BEEN ESTABLISHED BY THE MINISTER OF CITIZENSHIP AND IMMIGRATION
THIS DOCUMENT IS THE PROPERTY OF THE GOVERNMENT OF CANADA
FORMULAIRE ETABLI PAR LE MINISTRE DE LA CITOYENNETE ET DE L'IMMIGRATION
LE PRESENT DOCUMENT EST LA PROPRIETE DU GOUVERNEMENT DU CANADA
IMM 5292 (CON) B (06-2004)GENERIC - GENERIQUE
PART 1PARTIE - Canada
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CLIENT SIGNATURE (must sign inside the white box in black ink only)SIGNATURE DU CLIENT (doit signer a l'lnterleur de la boite blanche a I'encre noire seulement)
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FORMULAIRE ETABLI PAR LE MINISTRE DE LA CITOYENNETE ET DE L'IMMIGRATION
LE PRESENT DOCUMENT EST LA PROPRIETE DU GOUVERNEMENT DU CANADA
THIS FORM HAS BEEN ESTABLISHED BY THE MINISTER OF CITIZENSHIP AND IMMIGRATION
THIS DOCUMENT IS THE PROPERTY OF THE GOVERNMENT OF CANADA
IMM 5292 (CON) B (06-2004)GENERIC - GENERIQUE
PART 1PARTIE - Canada
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Citizenship andImmigration Canada
PROTECTED WHEN COMPLETEDPROTEGE UNE FOIS REMPLI
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CLIENT SIGNATURE (must sign inside the white box in black ink only)SIGNATURE DU CLIENT (doit signer Ii l'lnterleur de la boite blanche Ii I'encre noire seulement)
THIS FORM HAS BEEN ESTABLISHED BY THE MINISTER OF CITIZENSHIP AND IMMIGRATION
THIS DOCUMENT IS THE PROPERTY OF THE GOVERNMENT OF CANADA
FORMULAIRE ETABLI PAR LE MINISTRE DE LA CITOYENNETE ET DE L'IMMIGRATION
LE PRESENT DOCUMENT EST LA PROPRIETE DU GOUVERNEMENT DU CANADA
PART 1PARTIE -
IMM 5292 (CON) B (06-2004)GENERIC - GENERIQUE Canada------ ---------------- ---- ---- - - ---- - -- -- --- -- -- -- - ----------------
Citizenship andImmigration Canada.+. Citoyennete et
Immigration Canada,------------------------------------,PROTECTED WHEN COMPLETED
PROTEGE UNE FOIS REMPLI
Headquarters use only - Reserve a I'administration centrale Bar code use only - Reserve au code-barre
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CLIENT SIGNATURE (must sign inside the white box in black ink only)SIGNATURE DU CLIENT (doit signer it l'lnterleur de la boite blanche it I'encre noire seulement)
THIS FORM HAS BEEN ESTABLISHED BY THE MINISTER OF CITIZENSHIP AND IMMIGRATION
THIS DOCUMENT IS THE PROPERTY OF THE GOVERNMENT OF CANADA
FORMULAIRE ETABLI PAR LE MINISTRE DE LA CITOYENNETE ET DE L'IMMIGRATION
LE PRESENT DOCUMENT EST LA PROPRIETE DU GOUVERNEMENT DU CANADA
IMM 5292 (CON) B (06-2004)GENERIC - GENERIQUE
PART 1PARTIE - Canada
-8
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,--------------------~---------------,----------------------------------.+. Citizenship and Citoyennete etImmigration Canada Immigration Canada,-------------------,
PROTECTI;D WHEN COMPLETED _ BPROTEGE UNE FOIS REMPLI
Bar code use only - Reserve au code-barreHeadquarters use only - Reserve a I'administration centrale
1 PAGE~ 1
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P,I ACCORDANCE WITl-l £;UeSECTWN 44{U OF THE H'!l"lrGt~:;4T!O!\i ANI:IF'd~FlJf3EE PFt.OfEGTWNACT" 1. HE:.BEBi HE:POPT 'rH{n~
JENNI FEH ANN
I S A PEF:t;OI\! WHO 1S 3
THAT ,.JENNIFE~ I':iNN t:D~LE'(
IS NOT P, CANADIAN CrnZEN OR P[RH~,NENT RES. 1DENT (IF' C{'tHADA.
H1 SEEk I NO ENrWf AS AN H'WII lJRt;j'.lT TO CAN:Ai]A.
1S I\If(l' I N POSSESSION OF Ii W~Li!) H'lfW3R.~NT V!SA AS REl1ut REI),
THIS FORM HAS BEEN ESTABLISHED BY THE MINISTER OF CITIZENSHIP AND IMMIGRATION - THIS DOCUMENT IS THE PROPERTY OF THE GOVERNMENT OF CANADA
FORMULAIRE ETABLI PAR LE MINISTRE DE LA CITOYENNETE ET DE L'IMMIGRATION - LE PRESENT DOCUMENT EST LA PROPRIETE DU GOUVERNEMENT DU CANADA
IMM 5292 (CON) B (06-2004)GENERIC - GENERIQUE
PART - 3PARTIE Canada~_~_l
--- ---------------"'\ ---------------------------- -- ---
Citizenship andImmigration Canada
Citoyennete etImmigration Canadar-------------------------------------------~.+. PROTECTEP WHEN COMPLETED _ B
PROTEGE UNE FOIS REMPLI
Headquarters use only - Reserve a I'administration centrale Bar code use only - Reserve au code-barre
1 PAGE: 2.
DOCUMENT NO: N9114)~744
fjf-TIC£H :
THIS FORM HAS BEEN ESTABLISHED BY THE MINISTER OF CITIZENSHIP AND IMMIGRATION - THIS DOCUMENT IS THE PROPERTY OF THE GOVERNMENT OF CANADA
FORMULAIRE ETABLI PAR LE MINISTRE DE LA CITOYENNETE ET DE L'IMMIGRATION - LE PRESENT DOCUMENT EST LA PROPRIETE DU GOUVERNEMENT DU CANADA
PART 3PARTIE -
IMM 5292 (CON) B (06-2004)GENERIC - GENERIQUE Canada