Endorsement Re-Issue Request: Atlantic Immigration Pilot
Endorsement Re-Issue Request: Atlantic Immigration Pilot
A new endorsement certificate will be considered in the event the certificate must be revised or you require additional
time to submit your permanent resident application to Immigration, Refugees and Citizenship Canada (IRCC). New
certificates are valid for six months from the date of issue and it is expected the candidate apply for Permanent
Residency within that time frame. AIPP Officers will review your request to determine if sufficient reasons and
documentation are provided to render a decision. If there is not enough space to provide all necessary information,
attach a separate sheet of paper or email attachment with further details. Only requests from the Designated Employer
will be accepted.
Please note that your original endorsement will only be reissued once at the discretion of NSOI. If a third
endorsement is required, a new AIPP Endorsement application must be submitted in full, including recruitment.
Employer email for correspondence* Telephone number: Immigration Rep (if applicable)
APPLICANT INFORMATION
Family name(s) exactly as shown on passport/travel document: Date of Birth (yyyy-mm-dd)
First name, middle names exactly as shown on passport/travel document Current AIP Certificate Number
*correspondence will be sent to the email address and contact indicated in your Designation, if this differs or has changed from your initial
Designation please notate this
Does your candidate require a new Work Permit Referral Letter? If so, please complete and attach the
IMM5654 (Commitment Form).
Yes No
Does your candidate have all documentation ready to apply for Permanent Residency?
Yes No
*candidate must meet all requirements to submit a completed Permanent Residence application to IRCC to be
eligible for a re-issued Endorsement. Please attach an explanation if they do not.
EMPLOYER DECLARATION:
I ____________________________________, do solemnly declare that the information I have given in the forgoing
application is truthful, complete and correct and I make this solemn declaration believing it to be true and knowing that
is of the same force and effect as if made under oath. I understand that any false statements or concealment of a
material fact may result in my exclusion from Nova Scotia Office of Immigration programs. I understand all the above
information, having had the opportunity to ask for or having asked for and obtained an explanation on every point which
was not clear to me. I will immediately inform the Nova Scotia Office of Immigration if any of the information or the
answers provided in my application forms change.
____________________________________ _______________________________________
Signature of employer Date (mm-dd-yyyy)