| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Student |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | James ernil |
| Middle Name | Deloria |
| Last Name | Simballa |
| Place of Birth | Borongan city |
| Country of Citizenship | Filipino |
| EDUCATION |
|
| Other Eduction | Law student |
| Current Occupation | N/A |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Single |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| SPOUSE DETAIL | SPOUSE DETAIL |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Janine Gail simballa |
| Date of Birth (mm/dd/yyyy) | 03-20-2010 |
| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| City/Town | Edmonton |
| Province | Alberta,canada |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 251 Santiago St. Taft E.Samar |
| Contact Number | (905) 650-8598 |
| Email Address | Email hidden; Javascript is required. |
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- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
