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AOR january 27th 2019 NO MEDICAL YET, i dont know why,

I had medical for my work permit last November. is there going to be more medical??/
 
AR 7 dec
AOR 27 Feb
MR 18 JULY
Mp 4 Aug
Hello
I have exactly timeline as yours
AR- 7 Dec 2018
AOR- 27 Feb 2019
MR- 18 July
But I submitted upfront medical which I had get it done January 2019
After I have not got any reply from CIC
I am just worrying