| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Adam Emerson |
| Middle Name | Caballero |
| Last Name | Lopez |
| Place of Birth | Bato Sta. Cruz Davao del Sur |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | Mobilization Coordinator/Training |
| Occupation in Years | 7 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Melanny Michelle |
| Middle Name | Fernandez |
| Last Name | Lopez |
| Birth Date (m/d/y) | 08/14/1983 |
| Place of Birth | Cebu City |
| Country of Citizenship | Philippines |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Matthea Abrielle Lopez |
| Date of Birth (mm/dd/yyyy) | 05/26/2013 |
| Place of Birth | Davao City |
| 2. Name | AdAm Lopez |
| 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 | Buhangin |
| Province | Davao |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | akamuemerypezlo@gmail.com |
| Contact Number | (092) 729-6916 |
| Email Address | Email hidden; Javascript is required. |
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