Got the PR approval letter for Canada and waiting for medical results but just got another letter asking for job letter, paystubs, company invoices again along with letter of intent for planned stay in Canada. Is this normal to get a letter after medical?

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It's all a package. I've worked in many places around the world. Each time, there was a long list of items they needed because they weren't submitted correctly or at all.

So, yes, it's normal.

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