PEI Workforce Application Form Payment

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Personal information on this form is collected under section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c.F-15-01 as it relates directly to and is necessary for the administration of the Atlantic Immigration Program. If you have any questions about this collection of personal information, you may contact the Office of Immigration by phone at 902-620-3628. Information may be verified.

Identification

Provide your name exactly as it appears on your passport or travel document in the First Name, Middle Initial and Last Name fields.

Provide your mailing address in the address fields.

I have received an Invitation to Apply from the PEI Office of Immigration. My assigned file number is:

First Name

Middle Initial

Last Name

Address 1

Address 2

City, Town, or Community

Province

Postal Code

For example C1B 0X1 or 12345

Country

Telephone Number

For example 902-555-5555

Email Address

Have you ever used any other name such as a maiden name, alias, or nickname?

Provide Other Names

Gender

Date of Birth

Country of Birth

Town of Birth

Native Language

Is your residential home address the same as your mailing address?

Residential Home Address