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To people landing on this page in future, I have received MSU and the very next day, I've got the PPR as well. So to the people who were confused like me, if you ever receive a MSU and wonder if you have to submit it in order to receive a PPR. That is not needed. You just carry it and show it...

@clairemoon Thank you very much for your prompt response. I was just confused to receive MSU as I am still awaiting the PPR and was thinking perhaps I should submit this MSU to receive PPR. So, it is confirmed this MSU has nothing to do with the decision but just a reminder to get the medicals...

Hey @clairemoon, Hope your situation is resolved. Can you please share how long it took for you to receive PPR after receiving Medical Surveillance?

Hello @jbhkaur , I am in the same spot as you described earlier. I have received Medical Surveillance Undertaking (FORM IMM-0535B) and yet awaiting the final decision. Am I expected to sign and submit this form before they can decide? Or just carry and show it at the Port of Entry? How long you...