Employment and Emploi et Please Print

Social Development Canada Développement social Canada PROTECTED WHEN COMPLETED-B

ANNEX 1- ADDITIONAL OCCUPATION

GLOBAL TALENT STREAM

Employers should visit the Temporary Foreign Worker (TFW) Program website, to verify that the Program is accepting
applications for the specific occupation or sector for which they wish to hire the temporary foreign worker (TFW) and to
determine if they are eligible to participate in the Program.

Privacy Notice Statement

The personal information that you provide is collected by Employment and Social Development Canada (ESDC) under the authority of the Immigration and
Refugee Protection Act IRPA) and the Immigration and Refugee Protection Regulations (IRPR), for the purpose of administering and enforcing the TFW Program.

(The information that you provide may be shared with: Immigration, Refugees and Citizenship Canada and the Canada Border Services Agency for the
administration and enforcement of the TFW Program and IRPA/IRPR, the Canada Revenue Agency for the administration and enforcement of the TFW Program;
and, provincial/territorial governments for the administration and enforcement of provincial/territorial legislation and programs. The information may also be
used by ESDC for research and evaluation purposes and to support the administration or enforcement of other programs in ESDC, including Service Canada and
the Laboure Program

This information may also be shared with any Party identified by the employer on the LMIA application form or in the employment agreement. Your personal
information is administered in accordance with the IRPA, IRPR, the Privacy Act, the Department of Employment and Social Development Act (DESDA) and other
applicable laws. You have the right to the protection of, access to, and correction of your personal information, which is described in Personal Information Banks:
TFWP ESDC PPU

440 and TFWP Employer Compliance Reviews and inspections ESDC PPU 715. Instructions for obtaining this information are outlined in the Treasury Board of
Canada Secretariat website.

This website may also be accessed on-line at any Service Canada Centre. You have the right to file a complaint with the Privacy Commissioner of Canada
regarding the institution's handling of your personal information on the Office of the Privacy Commissioner of Canada website.

A person, who contravenes a provision set out under sections 126 or 127 of the immigration and Refugee Protection Act
(misrepresentation), could be liable to a fine or to imprisonment, or to both. Also, providing inaccurate information, in the context of this
application, may lead to an administrative penalty such as being ineligible to access the Program for a period of two years.

SECTION 1: EMPLOYER BUSINESS INFORMATION

Canada Revenue Agency Payroll deductions program account number (15 digits):
4781 RP 85
Business Legal Name: Passport No:
• MOHAMMAD SIRAJUL ISLAM • EL0723757

SECTION 2: JOB OFFER DETAILS

In this section, please provide details on the job offer and the position (with same duration, wage, job description, work location, etc.) for
which the employer is requesting a TFW.
• Operator Man Executive, 1901 SW 4th Ave, Delray Beach, FL 33444, United States.

Note: If employer is applying for additional occupations at this time, they must complete an Annex 1: Additional Occupation for each
additional occupation to be assessed.
Job Title: Position Title: The specific job title for the position being Suggested National Occupational Classification (NOC):
offered. By PCL Construction (Operator Man) Executive
How many TFWs is the employer requesting for this job offer and position (with same duration, wage, job description, work location, etc.)?

Main duties of the job: In my company eight hours duty is given lunch time in between and rest time is also given

Note: 2 years is the maximum duration of employment for Labour Market Impact Assessments issued under the Global Talent Stream

Expected employment start date (YYYY-MM-DD): Expected employment duration:

2026-12-01 730 day(s) week(s) 24 month(s)
Two year(s)
Employment duration rationale:
Personal Interests and Passion**: Choosing a career that aligns with one's interests and passions can lead to greater job satisfaction and
motivation.
Is the position part of a union?
• Yes-, My company is very good my position is very good I am an operator my company I love my company very much

ESDC EMP5625 (2024-01-003) E Page 1 of 7 Canada

Indicate the language requirement stated in the offer of employment:

The offer of employment requires the ability to communicate orally in:

a) English b) French c) English and French

The offer of employment requires the ability to communicate in writing in:

a) English b) French c) English and French

The offer of employment does not require the ability to communicate in any specific language.

If this option is selected, clearly describe why the offer of employment does not require the ability to communicate in any specific language

a) You can also speak English and speak Arabic speak Bengali speak Hindi.

this option is selected, identify the specific language needed and clearly describe why this is a bona fide employment requirement for
performing the duties associated with the employment (if insufficient space, attach a separate signed and dated sheet):

a) Yes I can use Hindi language can use Bangla language and can use English language.

Minimum education requirements of the job:

a) Doctor of Medicine b) Master's degree c) Bachelor's degree

d) College level diploma/certificate e) Apprenticeship diploma/certificate f) Trade diploma/certificate

g) Secondary school h) Vocational school diploma/certificate i) No formal education requirement

Additional Information:
• Yes I can use Hindi language can use Bangla language and can use English language.

Minimum experience/skills requirements of the job: (include years of experience and/or occupational designations such as CA, CMA, CGA, R.N.,
P. Eng)
• Yes I know work like CA tiles work know packing work know pipe plumber work Have five years of experience.

Have you tried to recruit Canadians/permanent residents prior to submitting your application for this job?

Yes - Please describe your efforts to recruit Canadians/permanent residents:

• Yes, I want to live in Canada permanently and want to work I need citizenship.

No- Please explain why you have not attempted to recruit Canadians/permanent residents:

Were any employees working in the position being requested in this application laid off by the employer in the last 12 months?

If yes, how many Canadians/permanent residents? .............................. How many TFWs?...................................

• This application does not require any employees who have been laid off by the employer in the last 12 months.This is
the first time I am applying.

Reason(s) for layoff(s) and positions affected:

• The Temporary Foreign Worker (TFW) Program allows Canadian employers to hire foreign workers to fill temporary jobs when
qualified Canadians are not available.

ESDC EMP5625 (2024-01-003) E Page 2 of 7 Canada

Will the hiring of the TFW in the position being requested in this application lead to job losses or a reduction in work hours due to layoffs, now
or in the foreseeable future, for Canadian/permanent resident employees in your workforce or in the Canadian workforce more generally? This
includes job losses or reductions in work hours for Canadian/permanent resident employees resulting from outsourcing, off-shoring or other
factors related to employing the TFW in the position being requested in this application. For the definition of outsourcing and off-shoring, see
the applicant guide.

yes, provide details: I am a computer operator man and I am a freelancer.

SECTION 3: COMPENSATION AND BENEFITS

What is the wage range for all employees currently working in this same occupation, with the same skills and years of experience, at this work
location?
Low-wage: S 08 hour/ 5 fit 6” High-wage: $. 10 hours/ Only.

OR ………… There are no employees currently working in this occupation at this work location.

Dubai Emirates I used to work in Dubai still working I want to take Canada reply my company is

Note: The wage range should be from the last two pay periods that have occurred within the six weeks prior to submitting the application.

Is the job offer for full-time employment (at least 30 hours of work per week) throughout the duration of employment covered by the LMIA?

Yes, if no, explain:

• In our company overtime is paid within one week if it is 30 hours

How many hours will the TFW work each day? How many hours will the TFW work each (choose one)?
• General duty is eight hours • You have to work eight hours per day and 2 hours
overtime can be total 10 hours
What is the regular (non-overtime) wage in Canadian dollars per What is the overtime wage in Canadian dollars per hour being offered to
hour being offered to the TFW? the TFW (if applicable)?

$ per hour (mandatory) We make $18.50 per hour. Overtime rate of $ per hour: You are $18.50 per overtime plus 2
hours of overtime per day $148 Cad.
Note: Employers must provide the calculation of an hourly wage
in Canadian dollars, even if the position is salaried or paid in Starting after: 18.50 $ per hour overtime 08-10 hours per day
foreign currency.

Did you convert the wage from a monthly or yearly salary, or a currency other than Canadian dollars, or both?
• I would like to receive my monthly salary in Canadian dollars

provide calculations used to obtain hourly Canadian dollar wage:

• Hourly wages in Canadian dollars 18.50 I want to use it with dollars

Benefits:
• Benefits in my company are on time salary is paid on time wearing own clothes to work wear marks. Lunch is arranged at the right
time.

Other benefits (specify):

• The management of my company is very intelligent and respects and respects everyone to do the right thing at the right time

Vacation (if applicable):

• Verify through fingerprint

ESDC EMP5625 (2024-01-003) E Page 3 of 7 Canada
SECTION 4: WORK LOCATION
Describe in your own words and in as much details as possible the principal business activity at this work location:

• There is no risk in the work I do. We can work very well. The place of work is Canada Ontario Toronto.
• 2201 Bristol Cir Suite 500, Oakville, ON L6H 0J8, Canada

Business operating name of this work location:

• 2201 Bristol Cir Suite 500, Oakville, ON L6H 0J8, Canada

PRIMARY WORK LOCATION

Provide the exact location of the TFW(s) primary work location:

• M4R Ontario Toronto Canada

City: Province/Territory: Postal Code:
Ontario Toronto M4R-M5S

OTHER WORK LOCATION(S)

Provide the exact location of any other work locations for this job offer (attach a separate page if required):

Before this job I am working in Dubai and working in Saudi Arabia, Near Ajmal Perfumes - Al Quoz - Al Quoz 3 - Dubai -
United Arab Emirates
City: Province/Territory: Postal Code:
Dubai Emirates United 7HQW+G4F

Is there a Laboure dispute in progress at any of the job offer work locations?
• Yes, there is a job vacancy among job vacancies so I want to move to Canada from here and work in PCL company.

If yes, provide details regarding the Laboure dispute:

SECTION 5: SIGNATURE OF EMPLOYER

The individual signing this form must have authority for either the hiring or financial decisions of the organization (eg. owner, franchisee,
general manager, or senior executive such as VP Human Resources).

I have read and I understand the Privacy Notice Statement found at the beginning of this application.

I declare that the information provided in this Labour Market Impact Assessment application is true, accurate and complete.

By signing this document I attest that I have read and understood the Privacy Notice Statement found at the beginning of this application, that
the information provided in this Labour Market Impact Assessment application is true, accurate and complete; and I will comply with all
Temporary Foreign Worker Program requirements as laid out, the Immigration and Refugee Protection Act, and the Immigration and Refugee
Protection Regulations.

MOHAMMAD SIRAJUL ISLAM

………………………………………………………………………. ……………………………………………………………………………………….
Signature of Employer Printed Name of the Employer

(Civil Operator Man) Construction 2024-08-07

…………………………………………………………………………. ………………………………………………………………………………………
Title of Employer Date (YYYY-MM-DD)

A person, who contravenes a provision set out under sections 126 or 127 of the Immigration and Refugee Protection Act
(misrepresentation), could be liable to a fine or to imprisonment, or to both. Also, providing inaccurate information, in the context of this
application annex, may lead to an administrative penalty such as being ineligible to access the Program for a period of two years.

ESDC EMP5625 (2024-01-003) E Page 4 of 7

Please complete the

Labour Market Impact Assessment - Processing

Fee Payment Form

Printed on next page

SSDC

EMP5625 (2024-01-003) E Page 5 of 7

Employment and Emploi et PROTECTED WHEN COMPLETED. B
Social Development Canada Développement social Canada
For office use only

26429345012/QA037480

LABOUR MARKET IMPACT ASSESSMENT - PROCESSING FEE PAYMENT

FORM TEMPORARY FOREIGN WORKER PROGRAM
Employers must pay a processing fee for each position requested, except applications that involve on-farm primary agriculture occupations
such farm managers/supervisors and specialized livestock workers and general farm workers, nursery and greenhouse workers and harvesting
labourers (specifically NOC codes 0821, 0822, 8252, 8255, 8431, 8432 and 8611), and those solely to support a foreign nationa l's immigration
application

The total processing fee must be paid before the employer's LMIA application can be processed.

Step 1- Complete employer information section:

Employer Business Name: Worker MOHAMMAD SIRAJUL ISLAM

Canada Revenue Agency Business Number: (First 9 digits are 431533096

mandatory for Canadian employers)
Step 2- Calculate total labour market impact assessment processing fee in Canadian dollars:
Number of positions requested TOTAL, processing fee payment of $ CAD $550 Canadian dollars.

Step 3-Select method of payment:

Certified cheque or money order (postal or bank) made payable to the Receiver General for Canada. Credit Card (Visa,
MasterCard or American Express).

For payment by credit card, complete and sign this section

CREDIT CARD INFORMATION AND PAYMENT AUTHORIZATION
Name of cardholder (as it appears on the credit card): Cardholder Telephone Number:
MD IMRAN KHAN +1(437)523-4318

Credit card type: Last 4 digits of credit card:

……….. Visa……. MasterCard……… American Express 8457

AUTHORIZATION:
I authorize ESDC/Service Canada in the name of the Receiver General for Canada to charge $550 CAD to my credit card This is
permission for a single transaction, and does not provide authorization for any additional charges.
Signature of cardholder: Date: 2024 08 07
YYYY MM DD

Send this Form to Service Canada only

Note: Refunds will only be provided if a fee was collected in error (eg. an incorrect fee amount was processed). There will not be
refunds in the event of a negative labour market impact assessment since the fee covers the process to assess an application and
not the outcome.

………………………………………………………………………………………… Page 6 of 8…………………………………………………………………………………………..

To be destroyed after processing

in order to protect your personal information, only provide the first 6 and last 4 digits of your credit card number. A Service
Canada representative will call you at the number listed above for the remaining digits.
Credit card number. Expiry date: 16 2033
2583****4311 MM…………YYYY

ESDC EMP5625 (2024-01-003) E Page 6 of 7

TEMPORARY FOREIGN WORKER
INFORMATION TEMPLATE
Complete and attach with your application the names of the Temporary Foreign Workers. If the names of the TFWs have not been identified
yet, leave the Template blank. If you need more room than provided below, please attach additional sheets to identify additional workers.
Note:

After the positive LMIA letter and annexes have been issued, six months will be allocated to the:
-Employer to provide ESDC/Service Canada with the names of the TFWs, and
-TFWs to submit an application for a work permit to Immigration, Refugees and Citizenship Canada (IRCC)

WORKER #1
Last Name (as shown on the individual's passport): First Name(s) (as shown on the individual's passport):
ISLAM (EL0723757) MOHAMMAD SIRAJUL (EL0723757)

Gender: Date of birth (YYYY-MM-DD) Citizenship(s):

Male 1982-12-18 Bangladeshi

Location of primary residence outside Canada: Location of residence it TFW is currently in Canada:
City: Abu Dhabi City: Ontario, Toronto
Country: Dubai Emirate’s Country: Canada
If the TFW is currently in Canada, please indicate their immigration status:

a) Foreign Worker b) Student

c) Visitor d) Refugee Claimant

WORKER #2
Last Name (as shown on the individual's passport): First Name(s) (as shown on the individual's passport):

Gender: Date of birth (YYYY-MM-DD) Citizenship(s):

Male………... Female

Location of primary residence outside Canada: Location of residence it TFW is currently in Canada:
City:…………………………………………………….. City:……………………………………………………..
Country:……………………………………………… Country:………………………………………………

If the TFW is currently in Canada, please indicate their immigration status:

Temporary Foreign Worker Student

Visitor Refugee Claimant

Online By Submit

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