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01 CANADA Checklist - v1

The document provides a checklist for Canada immigration medical examination requirements that applicants must bring to their appointment at the IOM Manila Health Centre, including forms, identification documents, medical records if applicable, and additional documents for minors and guardians.

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Faith Ann Conlu
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36 views

01 CANADA Checklist - v1

The document provides a checklist for Canada immigration medical examination requirements that applicants must bring to their appointment at the IOM Manila Health Centre, including forms, identification documents, medical records if applicable, and additional documents for minors and guardians.

Uploaded by

Faith Ann Conlu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CHECKLIST FOR CANADA IMMIGRATION MEDICAL EXAMINATION

IOM MANILA HEALTH CENTRE

APPLICANT’S NAME: LAST NAME, First Name, Middle Name AGE: Age
MOBILE NO: At least 2 mobile numbers EMAIL ADDRESS:
COMPLETE HOME ADDRESS: House No / Unit No / Building, Street Valid e-mail address
Barangay, Municipality/City, Province
TYPE OF VISA: Ex: Student, Work, Visitor, Permanent / Temporary Resident, etc.
TYPE OF MEDICAL EXAMINATION: WITH IME (IMM 1017E) UPFRONT MEDICAL EXAM

* Note: Please print out a copy of this checklist and bring along with your compiled requirements and printed forms (per applicant) on your
medical examination appointment date.

REQUIREMENTS
PLEASE BRING ONLY IF APPLICABLE
Reference: IOM MHC_Canada IME Requirements
Medical Report Form (IMM 1017E) Pertinent medical reports / results
* Sent by IRCC (skip if you are for Upfront Medical * If applicants have significant medical history or undergoing
Examination) treatment

Valid passport Eye glasses or contact lenses

Photocopy of the passport’s Bio Page


Two (2) Government-issued IDs PRINTED FILLED OUT FORMS
* One for the clinic and the other for the building security at
the Ground Flr.
Urine Test and Pregnancy Declaration Form
COVID-19 Vaccination Card and photocopy (for * For 5 years old and above
vaccinated applicants)
* Please note that COVID-19 vaccination is not a prerequisite to HIV Personal Information Sheet Form A
your medical exam * For 15 years old and above only

ADDITIONAL REQUIREMENTS FOR 0-18 YRS. OLD

Original PSA Birth Certificate

Photocopy of PSA Birth Certificate

School ID for the current school year if available

MINOR APPLICANTS TO BE ACCOMPANIED BY A GUARDIAN

Letter of Authorization
* From the parent sponsoring the visa application (signed)

Scan Copy of the Parent’s Passport

Guardian’s 2 Valid Government-issued IDs

MANILA HEALTH CENTRE


INTERNATIONAL ORGANIZATION FOR MIGRATION - THE UNITED NATIONS MIGRATION AGENCY
15F TRAFALGAR PLAZA, 105 H.V. DELA COSTA STREET, MAKATI CITY, PHILIPPINES 1227

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