| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Glendie |
| Middle Name | Cabanting |
| Last Name | Eligio |
| Place of Birth | San Esteban,Ilocos Sur |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | Seafarer |
| Occupation in Years | Seafaree |
| Occupation in Months | Seafarer |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Tagalog |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Tagalog |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Ms. |
| First Name | Leslie |
| Middle Name | Lucido |
| Last Name | Eligio |
| Birth Date (m/d/y) | 03/08/1975 |
| Place of Birth | Naguilian,La union |
| Country of Citizenship | Philippines |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | Vocational graduate-Junior secretarial |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Gledian Ley Eligio |
| Date of Birth (mm/dd/yyyy) | 18/08/2003 |
| Place of Birth | Candon,Ilocos Sur |
| 2. Name | Gledian Von Eligio |
| Date of Birth (mm/dd/yyyy) | 17/11/2008 |
| Place of Birth | Naguilian,La Union |
| 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 | British Columbia |
| Province | Vancouver |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 74 Centro East,Cabaritan Sur,Naguilian,La Union |
| Contact Number | (936) 935-8132 |
| Email Address | Email hidden; Javascript is required. |
Hi, How Can We Help You?
- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
