Important information: Please ensure that you do not leave any gaps in time. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate Unknown.. The guide mentions "Fill out, print, sign and date your application forms." . You also have the option of saving your form and completing it later. For more information, read the Use of a Representative guide. If you answered Yes to one or more of these questions, you must explain what happened in the space provided. Forms that are available outside the MyCIC system include the following: Note: In exceptional circumstances, persons with disabilities who are unable to complete an online Express Entry profile or application for permanent residence(APR) but are able to complete these forms in paper format may be provided these forms in paper format. Your immigration status in that country (indicate one of the following): Other: This section must be completed if you selected Other as a status. For enquiries,contact us. If you selected Yes, provide your national identity document number exactly as shown on the identity document. You can find additional information on the EOI points grid in Appendix A. Guide for step by step instructions. If any sections do not apply to you, answer N/A. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, indicate Unknown for the city or town and select the country where you intend to adopt a child. Enter the date (year, month and day) your dependant was married or entered into their current common-law relationship. Note: By indicating your email address, you are hereby authorizing IRCC to transmit your file and personal information to this specific email. I have. List all trips you have taken outside your country of origin or of residence in the last ten years (or since your 18th birthday, if this was less than ten years ago). Express Entry is an entirely electronic application management system. Select the box to tell us if your residential address (where you live) is the same as your mailing address. When individuals fill out the form they must enter detailed information about themselves and as well as their family member's travels to outside of their country of citizenship. Once completed you can sign your fillable form or send for signing. When you fill the form you need to pay attention to the subsequent details: check the appropriate box to indicate if you agree that the information contained in this application related to your intended occupation, education and work experience may be shared with prospective employers in order to assist them in hiring workers, sign, with a handwritten signature, and date in the spaces provided, you, the principal applicant, on behalf of each of your, write your dependants name in the space provided, select the box to tell us if you agree that the information contained in this application related to your dependants intended occupation, education and work experience may be shared with prospective employers to assist them in hiring workers. For enquiries,contact us. Note: The bottom section of Schedule A should not be completed at this time. It reduces the risk of mistakes that can slow down the application process. Instead, enter: I have never been a member of an organization or association. Enter any government positions you have held in the past such as: Enter NONE in the box if you have not been a member of an association or organization. Social Assistance Social assistance refers to any benefit (including money, goods or services), provided to or on behalf of a person by a province under a program of social assistance. IMM 5683 pour les Organismes d'tablissement IMM5373A pour les groupes de cinq Profil financier (IMM 5373B) pour les groupes de cinq seulement Recours aux services d'un reprsentant (IMM 5476), s'il y a lieu 2. From the list, select if they are able to communicate in English and/or French: If you selected Both, choose whether they are most at ease in English or French. Questions 1 to 9 are the same questions you answered for yourself. Your country of residence is the country in which you are residing, provided that you have been lawfully admitted to that country. If you dont have a given name on your passport or travel document, leave the given name field blank. If a question doesnt apply to you, write N/A in the question. For example: Arabic, Cyrillic, Chinese, Farsi, Korean, Japanese characters or Chinese commercial/telegraphic code. 6. Use this application to apply for permanent residence if: Read the Instruction Guide to complete your application forms. For enquiries,contact us. Express Entry candidates fill out a dynamic form in their MyCIC account to create their profile. Only the Use of a Representative form (IMM 5476) needs a signature. READ THE INSTRUCTION GUIDE Visa Office requested for the process of your application: Canadian Experience Year Month Day Year Month Day Year Month Day to Your . Customize your document by using the toolbar on the top. You will not receive a reply. Generic Application Form for Canada [IMM 0008] (PDF, 677 KB) Schedule A - Background/Declaration [IMM 5669] (PDF, 1.52 MB) Schedule 3 - Temporary Resident to Permanent Resident Pathway: Streams A & B and International Graduates (including French-speaking streams) [IMM 0130] (PDF, 1.20 MB) Additional Family Information [IMM 5406] (PDF, 2.23 MB) Include all trips: tourism, business, training, etc. Make sure there is no space between each number or letter. Having trouble downloading the form? Enter your full family name (surname or last name) exactly as it is shown on your passport, travel or identity document. Download your completed form and share it as you . If you dont have one or cant obtain one, you must select the No box. You will not receive a reply. Note: If you are a parent of a child to be adopted in Canada who is not yet identified, select Single.. My immigration or citizenship application, Super visa (for parents and grandparents), Change conditions or extend your stay as a visitor, Stay in Canada as a temporary resident permit (TRP) holder, Temporary resident permit (TRP) for victims of human trafficking, Correct an error on your temporary resident document, Verification of Status (VOS) or replacement of an immigration document, Rehabilitation for Persons who are Inadmissible to Canada because of Past Criminal Activity, Study permit application from within Canada, Study permit application from outside of Canada, Extend or change the conditions on your study permit, Visitor visa for students from within Canada, Study and work as an international student, Work permit under the Atlantic Immigration Pilot, Work Permit for victims of human trafficking, Extend or change the conditions on your work permit, Create an International Experience Canada (IEC) profile, Apply for an IEC work permit (after being invited to apply, Visitor visas for workers from within Canada, Application for Permanent Residence under the updated temporary Public Policy for Extended Families of Former Afghan Interpreters, Home Child Care Provider Pilot and Home Support Worker Pilot, Pathway to permanent residence: In-Canada families of Canadian victims of recent air disasters, Provincial Nominees - Apply through Express Entry, Permanent residence for temporary resident permit holders, Right of Permanent Residence Fee loan application, Temporary Public Policy: Out-of-status construction workers in the Greater Toronto Area (GTA), Temporary resident to permanent resident pathway, Health-care workers permanent residence pathway, Correct an error on your Record of Landing or your Confirmation of Permanent Residence, Adopted children and other relatives - Application package for sponsor, Adopted children and other relatives - Application package for sponsored person, Application guide for the Canadian Refugee Protection Portal (CRPP), Application for Interim Federal Health Program (IFHP) Coverage, Convention Refugees Abroad and Humanitarian Protected Persons Abroad, Protected Persons and Convention Refugees in Canada, Community Sponsors, Groups of Five and Sponsorship Agreement Holders and Constituent Groups, Request to Process Following Family Members under the One-Year Window of Opportunity Provisions, Sponsorship Agreement Holder: Organizational Assessment Guide, Humanitarian and Compassionate Considerations, Permanent residence pathways for Hong Kong residents, Visitors - change conditions or extend your stay, Students - change conditions or extend your stay, Workers - change conditions or extend your stay, Visitor visas for workers and students in Canada, Stay in Canada as a Temporary Resident Permit Holder, Temporary Resident Permit (TRP) and Work Permit for victims of human trafficking, Permanent Resident Card (PR Card) (initial, renewal or replacement), Request to reissue a permanent resident card, Solemn Declaration Concerning a Lost, Stolen, Destroyed or Never-Received Permanent Resident Card (PR Card), Application to Amend the Record of Landing, Confirmation of Permanent Resident or Valid Temporary Resident Documents, Voluntary Renunciation of Permanent Resident Status, Stateless person born to a Canadian parent, Apply for a citizenship certificate (or replacement), Solemn Declaration Concerning a Citizenship Certificate That Was Lost, Stolen, Destroyed or Never Received, Renounce Canadian Citizenship R7.1 (for certain persons who acquired citizenship under amendments to the Citizenship Act in 2009 or 2015), Resume Canadian Citizenship Canadian Armed Forces, Access to information and personal information request, Consent for an access to information and personal information request, Application for a Citizenship Certificate, Application for Canadian Citizenship Adults, Application for Canadian Citizenship Minors, Document Checklist: Application for Canadian Citizenship under Subsection 5(1) Adults (18 years of age and older), Document Checklist: Application for Canadian Citizenship under Paragraph 5(2) Minors (under 18 years of age), Confirmation of Canadian Citizenship of the Adoptive Parent(s), Document Checklist: Application for a Citizenship Certificate (Proof of Citizenship), Application for a Search of Citizenship Records, Document Checklist: Application for Canadian Citizenship Canadian Armed Forces under Subsection 5(1.2) or 5(1.3), Application to Resume Canadian Citizenship, Application to Renounce Canadian Citizenship, Document Checklist: Application to Renounce Canadian Citizenship under Subsection 9(1), Application for Canadian citizenship Minors (under 18 years of age) applying under Subsection 5(1), Statutory Declaration of Common-law Union Citizenship, Canadian Citizenship Certificate Preparation Form, Document Checklist: Adoption Part 1 Confirmation of Canadian Citizenship of the Adoptive Parent(s), Document Checklist: Adoption Part 2 Adoptees Application, Application to Renounce Canadian Citizenship R7.1 (for certain persons who acquired citizenship under amendments to the Citizenship Act in 2009 or 2015), Application for Grant of Citizenship for Stateless Persons Born to a Canadian Parent (Subsection 5(5)), Document Checklist: Application for Grant of Citizenship for Stateless Persons Born to a Canadian Parent (Subsection 5(5)), Document Checklist: Application to Renounce Canadian Citizenship (For certain persons who acquired citizenship on April 17, 2009 R7.1), Application for Canadian citizenship Canadian Armed Forces under Subsection 5(1.2) or 5(1.3), Application to Resume Canadian Citizenship Canadian Armed Forces, Document Checklist: Application for Canadian citizenship under subsection 5(1) Minors (under 18 years of age), Document Checklist: Sponsorship Agreement Holders (SAH), Statutory Declaration for the Purpose of Entry Into Canada for Extended Family Members COVID-19 Emergency Orders in Council Under the, Schedule 4A: Provincial Business Nominees, Schedule 5: Economic Classes Declaration of Intent to Reside in Quebec, Schedule 6: Business Immigrants Investors and Entrepreneurs Declaration of Intent to Reside in Quebec, Schedule 6A: Business Immigrants Self-Employed Persons, Schedule 9: Sponsorship Declaration of Intent to Reside in Quebec, Schedule 12: Additional Information Refugee Claimants inside Canada, Schedule 13: Business Immigration Programs Start Up Business Class, Schedule 14: Protected Persons and Convention Refugees, Statutory Declaration for the Parent of a Minor for the Purposes of Entry into Canada for Extended Family Members COVID-19 Emergency Orders in Council Under the, Letter of explanation Open work permit for vulnerable workers, Application to Become a Sponsorship Agreement Holder, Schedule 1: Temporary Public Policy to further facilitate access to permanent resident status for out-of-status construction workers in the Greater Toronto Area (GTA), Offer of Employment to a Foreign National: Agri-Food Pilot, Document Checklist: Temporary Public Policy to further facilitate access to permanent resident status for out-of-status construction workers in the Greater Toronto Area (GTA), Document Checklist: In-Canada families of Canadian victims of recent air disasters, Schedule 3 Temporary Resident to Permanent Resident Pathway: Streams A & B and International Graduates, Document Checklist: Permanent residence pathways for Hong Kong residents (Stream A and Stream B), Schedule 7A Permanent residence pathways for Hong Kong residents: Stream A In-Canada graduates, Schedule 7B Permanent residence pathways for Hong Kong residents: Stream B Canadian work experience, Document Checklist: Economic Mobility Pathways Pilot, Schedule 20: Economic Mobility Pathways Pilot, Document Checklist: Application for Permanent Residence under the updated temporary Public Policy for Extended Families of Former Afghan Interpreters, Schedule 1: Application for Permanent Residence under the updated temporary Public Policy for Extended Families of Former Afghan Interpreters, Statutory Declaration to Confirm the Relationship to Extended Family Members, Document Checklist: Atlantic Immigration Program, Undertaking for an Application for a Work Permit Exempted from a Labour Market Impact Assessment (LMIA) as part of the Atlantic Immigration Program (AIP), Offer of Employment to a Foreign National: Atlantic Immigration Program, Document Checklist for a Work Permit for Candidates under the Atlantic Immigration Program (Outside Canada applicant), Document Checklist for a Work Permit for Candidates under the Atlantic Immigration Program (In Canada applicant), 2022 Sponsorship Agreement Holder (SAH) Organizational Assessment, Document Checklist: for Sponsorship Agreement Holder (SAH) Organizational Assessment, Document Checklist: Application Forms for Outside-of-Canada Families of Canadian Victims of Air Disasters, Statutory Declaration for Extended Family Members Outside Canada of a Canadian Victim of an Air Disaster that may apply for a Permanent Residence Visa, Declaration Authorization for representative to submit a refugee claim through the IRCC Portal, Economic Mobility Pathways Pilot (EMPP) Pre-Arrival Facilitations Form, Document Checklist: Application Forms for Health-Care Workers Permanent Residence Pathway (COVID-19 pandemic), Schedule 1: Health-care Workers Permanent Residence Pathway, Application for a Study Permit Made Outside of Canada, Application for a Work Permit Made Outside of Canada, Undertaking/Application for a Joint Assistance Sponsorship, Application to Sponsor, Sponsorship Agreement and Undertaking, Verification of Status (VOS) or Replacement of an Immigration Document, Application for a Temporary Resident Visa, Schedule 1: Application for a Temporary Resident Visa, Document Checklist: Humanitarian & Compassionate Considerations, Supplementary Information: Humanitarian and Compassionate Considerations, Document Checklist: Protected Person Permanent Residence, CanadaUnited StatesMexico Agreement Application for trader/investor status (work permit), Right of Permanent Residence Fee Loan Application, Sponsorship Undertaking Sponsorship Agreement Holders (SAH), Additional Family Information Form Permanent Residence, Statutory Declaration of Common-Law Union Temporary and Permanent Residence, Settlement Plan Sponsorship Agreement Holder or Constituent Group, Application for a Permanent Resident Card or Permanent Resident Travel Document, Solemn Declaration Concerning a Permanent Resident Card That Was Lost, Stolen, Destroyed or Never Received, Document Checklist: Atlantic High-Skilled Program, Document Checklist: Atlantic Intermediate-Skilled Program, Authority to Release Personal Information to a Designated Individual, Sponsorship Evaluation Form Dependent Children, Document Checklist: Temporary Resident Visa (Visitor Visa) outside of Canada, Document Checklist: Work Permit (Applied outside Canada), Settlement Plan: Joint Assistance Sponsorship, Document Checklist: Joint Assistance Sponsorship, Document Checklist: Atlantic International Graduate Program, Atlantic Immigration Program Declaration Form, Request for a Joint Assistance Sponsorship Refugee Profile, Settlement Plan and Financial Assessment: Community Sponsors, Statutory Declaration of Severance of a Common-Law Union, Document Checklist: Temporary Resident Permit Holders, Request to Reissue a Permanent Resident Card, Relationship Information And Sponsorship Evaluation Form, Document Checklist: Spousal Sponsorship (Including Dependent Children), Document Checklist: Sponsoring a Dependent Child, Document Checklist: Worker (in Canada Applicant), Document Checklist: Temporary Resident Permit, Document Checklist: Temporary Resident Visa (Visitor Visa) in Canada Applicant, Access to Information and Personal Information Request, Application for the Interim Federal Health Program (IFHP) Coverage, Request for Processing Family Members under the One-Year Window of Opportunity Provisions, Humanitarian and Compassionate Considerations under the February 4, 2016 Temporary Public Policy for Nationals of Haiti and Zimbabwe, Document Checklist: Students Applying for a Work Permit, Document Checklist: Sponsoring a Common-Law Partner (Including Dependent Children), Declaration from Non-accompanying Parent/Guardian for Minors Immigrating to Canada, Request to Add a Family Member to a Privately Sponsored Refugee Application, Document Checklist: Sponsoring a Conjugal Partner (Including Dependent Children), Live-in Caregiver: Employer Declaration of Hours Worked, Document Checklist: Application for a Permanent Resident Card or Permanent Resident Travel Document, Family Information Form Visitors, Students and Workers, Document Checklist: Atlantic Immigration Pilot Program Work permit (in Canada applicant), Document Checklist: Atlantic Immigration Pilot Program Work permit (applied outside Canada), Undertaking for an Application for a Work Permit Exempted from a Labour Market Impact Assessment (LMIA) as part of the AIP, Sponsorship Undertaking and Settlement Plan: Community Sponsor (CS), Schedule A: Sponsorship Background/Declaration Form To be used only when applying for refugee protection within Canada (Guide 5746), Schedule A: Background / Declaration Form, Sponsorship Undertaking and Settlement Plan: Groups of Five, Request for an opinion on Work Permit or LMIA Exemption, Document Checklist: Provincial Nominee Program and Quebec Skilled Workers, Application to Change Conditions, Extend my Stay or Remain in Canada as a Visitor or Temporary Resident Permit Holder, Application to Change Conditions, Extend my Stay or Remain in Canada as a Student, Application to Change Conditions, Extend my Stay or Remain in Canada as a Worker, Document Checklist: Temporary Resident Visa (Visitor Visa) Applicants in Canada, Document Checklist: Federal and Quebec Selected Business Class Applicants, Return of Processing Fee, Right of Permanent Residence Fee or Right of Landing Fee, Consent for an Access to Information and Personal Information Request, Document Checklist: Applying for Refugee Protection within Canada, Income Sources for the Sponsorship of Parents and Grandparents, Document Checklist: Start up Business Class, Start-up business class commitment certificate: letter of support, Start-up business class commitment certificate for designated entities, Financial Evaluation for Parents and Grandparents Sponsorship, Document Checklist: Sponsoring Parents and Grandparents, Return of Application Fees for the Federal Immigrant Investor Program (IIP) and Entrepreneur Program (EN), Application to Voluntarily Renounce Permanent Resident Status, Document Checklist: Voluntary Renunciation of Permanent Resident Status, Document Checklist: Quebec Selected Self-employed and Federal Self-employed Persons, Rural and Northern Immigration Pilot Community Interest Form, Schedule 19b: Home Child Care Provider or Home Support Worker (Work Experience), Schedule 1: Rural and Northern Immigration Pilot, Document Checklist: Applicants in the USA applying for Rehabilitation or Temporary Resident Permits (TRP), Document Checklist: Applicants in the USA applying for an Authorization to Return to Canada (ARC), Appointment of Representative(s) in Expected Community of Settlement Form, International Mobility Program Employer Compliance Voluntary Disclosure Form, Important Medical Information: Syphilis Treatment Form, Document Checklist: Home Child Care Provider or Home Support Worker, Schedule 19a: Home Child Care Provider or Home Support Worker (Language and Education), Offer of Employment: Home Child Care Provider or Home Support Worker, Offer of Employment to a foreign national: Rural and Immigration Pilot, Document Checklist: Rural and Northern Immigration Pilot, Request form for a Change of Sex or Gender Identifier, Confirmation of Eligibility for a Reclaimed Name Change Gratis Replacement Document Under Call to Action 17, Statutory Declaration to Reclaim an Indigenous Name on Canadian Citizenship Certificates or Permanent Resident Cards, Application for Permanent Residence under the updated temporary Public Policy for extended family members of Afghan Interpreters, Access to information and privacy request, To immigrate as a refugee or protected person, For humanitarian and compassionate considerations, Proof of citizenship (citizenship certificate). The forms wont open on mobile devices (iPads, tablets, mobile phones, etc.). Schedule A - Background/Declaration [IMM 5669] (PDF, 776.4 KB) If you're submitting one of these forms, you need to use version 11.0.09 of Acrobat Reader to fill it out. From the list, select your dependants relationship to you, the principal applicant: Select the box to tell us if your dependant will accompany you to Canada. For this trip, select Yes or No to tell us if theyre using a passport issued by the Ministry of Foreign Affairs in Taiwan that shows their personal identification number. an instruction guide to help you fill out the forms correctly; And starting September 23, . The country of residence is the country in which they are residing, provided they have been lawfully admitted to that country. Use our detailed instructions to fill out and eSign your documents online. You can't open the forms on your phone or tablet. This means that you are officially separated and have legally ended your marriage. In addition, you will need to fill out some other supporting documents. This page will change as the rest of the permanent residence manual chapters are modernized. More. #imm5669e #schedulea #irccHello,In this video, I have explained the step by step details of filling up the new schedule A background declaration form. ), if applicable. Print your name and the forms title on the additional sheet. 1 IRCC Include all trips: tourism, business, training, etc. Give complete details about your military or paramilitary service (if applicable). You will need. Question 6 d is a rambling question . This is the language that you learned at home during your childhood and that you still understand. under Activity, enter your occupation or job title. Enter the date of your last entry to Canada, if applicable. Find out how to pay your fees. If you need more space, attach a separate sheet of paper. Schedule 14 - Protected Persons and Convention Refugees (IMM 0008 - Schedule 14) (PDF, 1.39 MB) Schedule A - Background/Declaration [IMM 5669] (PDF, 776.39 KB) Additional Family Information [IMM 5406] (PDF, 570 KB) Use of a Representative [IMM 5476] (PDF, 648.31 KB) Instruction Guide [IMM 5205] If you do not sign and date, the application will be returned to you. If you selected Yes, provide their passport or travel document number exactly as shown on the document. For refugee claimants in Canada only: select Canada whether your dependant has been lawfully admitted or not. Check if your child qualifies as a dependant by answering a few questions. any of your children who are in the custody of an ex-spouse, former common-law partner or other guardian. This includes: You must answer all questions. All sponsored spouses must complete a Schedule A Background / Declaration IMM 5669 form. We won't refund your application fee, so make sure you're eligible for a study permit before you apply. Fees are payable in Canadian dollars or local currencies. If you selected Yes, give the following details for your dependants previous spouse or common-law partner: Select the box to tell us if your dependant has a valid passport or travel document. If you wish to have a representative who can conduct business on your behalf, you must provide their address in this section and on the Use of a Representative (IMM 5476) form. Enter your intended occupation in Canada. Tell us their intended occupation in Canada. If you checked Yes, give the following details for your previous spouse or common-law partner: Enter your current mailing address (where information should be mailed) by typing the following information: Note: All correspondence will go to this address unless you indicate your email address. Note: Validating the form before printing makes sure that you have answered all the questions. select your immigration status for the time you were in that country: Other: This section must be completed if you selected Other as a status, fill in the dates (From To) you were living in that country, Dates (From To) for which you were in the relationship with your previous spouse/common-law partner, Post office box (P.O. Important information: Processing will be delayed if you do not account for all periods of time. Forget about scanning and printing out forms. activities and/or positions that you held. This will generate a barcode page or pages (see image below). Tell us the total number of years of formal education that they have completed, including elementary and secondary school. Enter your date of birth. Do not leave gaps in time. From the list, choose your current marital status: This is a marriage that is legally declared as not valid. For example, if the day and month of your date of birth is unknown you could enter 1964/*/*. Enter the date your national identity document was issued. If you were not in any military or paramilitary service, write NONE. Title: IMM5669 E : SCHEDULE A Author: Immigration, Refugees and Citizenship Canada \(IRCC\) / Immigration, Rfugis et Citoyennet Canada \(IRCC\) period of time that you attended the institution, type of certificate or diploma issued, and. For enquiries,contact us. This form is mandatory for any type of permanent resident application. If the 2D barcodes are missing or cant be machine read for any reason, the application will be returned to you without being processed. Click the "Validate" button at the top or bottom of the form. Indicate one of the following as your dependants immigration status in that country: Fill in the dates (From To) your dependant has been living in their current country of residence. It is very important that you list all of your children (even if they are already permanent residents or citizens of Canada). From the list, select your country of citizenship. You must include the fee with your application. Step 1: Read the guide and get your application package. Select the box to tell us if you have been married or in a common-law relationship. your spouse or common-law partner (whether accompanying you to Canada or not). It also includes assistance for items such as: Food Shelter Clothing Fuel Utilities Household supplies Personal requirements and, If your native language is not in this list, select Other.. Enter the family name(s) and given name(s) of your current spouse or common-law partner. If you were outside your country of nationality, enter your status of the country you were in. If you're applying at a visa application centre (VAC), they may ask you to re-fill out the form at their internet kiosks. When we update our application forms, if you dont clear your cache, your browser may still open the old forms. Select Yes or No to tell us whether they have taken a test from a designated testing agency to assess their proficiency in English or French. If you select Yes, provide your passport or travel document number exactly as shown on the document. In the meantime, consult relevant IP and OP manual chapters for information about other permanent resident programs. This question is not for selection purposes. You will not receive a reply. If you need more space, attach a separate sheet of paper. Fill out, validate, print, sign and date your application forms. This section contains policy, procedures and guidance used by IRCC staff. If you have more than one package, place a separate barcode page on each one. Make sure you use Adobe Reader to open the form. IMM5562 describes all your trips abroad you have takes outside your country of origin during the last 10 years. 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Military or paramilitary service ( if applicable ) permanent residence manual chapters are modernized or in a common-law relationship sheet! If they are residing, provided they have been married or in a common-law relationship residence if Read...

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