| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | PNP |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Chioma |
| Middle Name | Mirriam |
| Last Name | Harrison |
| Place of Birth | Alkaleri, Bauchi State |
| Country of Citizenship | Nigeria |
| EDUCATION |
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| Current Occupation | Nursing Officer |
| Occupation in Years | 7 years |
| Occupation in Months | 84 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Christian |
| Middle Name | Chima |
| Last Name | Harrison |
| Birth Date (m/d/y) | 06/06/1984 |
| Place of Birth | Sokoto, Sokoto State |
| Country of Citizenship | Nigeria |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | My Husband has an MSc in Pharmacology from the University of Jos and works with an International NGO implementing a PEPFAR/CDC-funded iCARES grant on HIV. He works as a supply chain specialist with the organization. |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Pearl Chimdiadi Harrison |
| Date of Birth (mm/dd/yyyy) | 23/10/2015 |
| Place of Birth | Jos, Plateau State |
| 2. Name | Michelle Chimbusonma Harrison |
| Date of Birth (mm/dd/yyyy) | 08/10/2017 |
| Place of Birth | Jos, Plateau State |
| 3. Name | Eliora Chichoromnma Harrison |
| Date of Birth (mm/dd/yyyy) | 13/10/2021 |
| Place of Birth | Jos, Plateau State |
| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| City/Town | Edmonton |
| Province | Alberta |
| UPLOAD RESUME | Chioma-Mirriam-Harrison-Nursing-Resume.pdf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | #2 Churchill Building, Peter Azi Street, Utan GRA, Jos |
| Contact Number | (706) 780-8178 |
| Email Address | Email hidden; Javascript is required. |


