PAL Student Information 
This form is for students who do NOT have a Study Permit or had not yet applied to IRCC for one before 22 January 2024. You must be an Undergraduate, Nursing or DVM student and must have paid the $5000 (CAD) Deposit in order to be eligible for a Provincial Attestation Letter (PAL).

The information you provide on this form will be used on the PAL so it MUST BE ACCURATE. We advise that you double check that everything is correct before submitting. 

If you leave a field blank, it will be blank on the PAL.
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First Name 
Middle Name 
Last Name 
UPEI Email 
Passport Name (Last Name, First Name)
Date of Birth (DD-MMM-YY) e.g. 03-Mar-2001 *
Address 1 (that will be put on the PAL)
Address 2 (fill in if too long to fit in question above)
City 
Province
Country *
Postal Code
UPEI Student ID Number *
UPEI Accepted Program *
Additional Comments
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