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What if someone has received a UCI number before ITA? Does that mean anything?

This is the email you'll get whenever you receive a letter (PDF letter) from Saskatchewan Immigration. The PDF letter will never be attached to an email - so they send you this email to let you know that you've a correspondence in your OASIS profile, and you need to go check.

Hi, I don't think you can do a Medical checkup without the ITA, because when you get invited they will request you to have your medical checkup at an authorised medical center/physician. As for the police certificate, as the member said above - just be careful about the validity period.