Please can anyone explain this to me? I had an application for a student's visa refused cos they didn't think i had strong family ties and thought i'd probably not return to my country after my study. (Nigeria). I reapplied on the 16th of June again and included my leave approval at work and also some other documents showing that i have investments here to return to. I had also left England to take up the employment and so would definitely return to the same job. Only want to study to improve and quicken my ascension at work. I haven't received any email and got this response: Visa application, tracking ID No.20140616GHANSTU01620– Your processed passport has been dispatched from the Canada Visa Office ACCRA , on 23/07/2014 to the Canada Visa Application Centre.To know more, please call VAC helpline number or visit VAC website. No mention was made about medical and this is the exact message i received when my previous application was refused. I have read a lot of people receiving emails indicating medical requests and thought they'd inform me if mine were the same. But no mail and tracking shows this result. Is this a confirmation of refusal or is it possible to see this and still get a medical request with the returned passport? Thank you...