| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Jocelyn |
| Middle Name | Orias |
| Last Name | Cumla |
| Place of Birth | Abuyog Leyte |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | Nurse |
| Occupation in Years | 14 |
| Occupation in Months | 173 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Philip |
| Middle Name | Bohol |
| Last Name | Cumla |
| Birth Date (m/d/y) | 07/01/1986 |
| Place of Birth | Javier Leyte |
| 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 | Education:College graduate |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Cathe Mariel O.Cumla |
| Date of Birth (mm/dd/yyyy) | 01/07/2009 |
| Place of Birth | Abuyog Leyte |
| 2. Name | Danielle Faye O.Cumla |
| Date of Birth (mm/dd/yyyy) | 10/05/2011 |
| Place of Birth | Abuyog Leyte |
| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Brgy.Balocawe Abuyog Leyte 6510 |
| Contact Number | (905) 432-1456 |
| Email Address | Email hidden; Javascript is required. |
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- Email Address: inquiry@cpnis.com
