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Application for permanent residence rejected, because I chose Quebec

mnvl91

Full Member
Aug 18, 2020
22
1
32
United States of America
Category........
FSW
NOC Code......
2174
AOR Received.
21-07-2020
Med's Done....
18-08-2020
Hi Guys,

My friends here chose Quebec in their application for PR, and immediately got rejected in 24 hours. However they do have valid upfront medical exam and how should they use it for new express entry profile?
Should they also mention about the refusal of PR in the background/ history section?