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Was she initially legally admitted to Canada for a year? Since she's been renewing her visitor's permit, she was not. If she had a one year work or study permit that means legally admitted for a year. If she's renewing every 6 months on a visitors record that's something different and can't apply through Buffalo. She needs to apply via her home country.
 
Well poop. I thought that since she has been in Canada legally for a period of one year under her visitor visa extension we could apply through there. She has already gotten her medical done and we sent it to Buffalo... so what happens now? Can we have them re-send it to Berlin?