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The PR process requires extensive documentation. If you have lived in numerous locations for more than six months after the age of 18, it may take you considerable time to assemble the documents, as you will need criminal record checks from each location.
Materials documenting your work experience must be made available in professional English or French translation.
Check CIC's Application processing times under "Processed in Canada". If you are living in Canada when you apply for PR, your application will usually be processed at the CIC visa post in Buffalo, NY, U.S.A.
Medical exams will be requested by the visa office. They generally add about 3 months to the application process, depending on work loads, and can take longer if tests must be repeated.
Criminal record checks also add to the length of time it takes to process your PR application. Some countries (Mexico, China) take significantly longer than others to process requests for police checks.