| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Marilen |
| Middle Name | Alhambra |
| Last Name | Rodrin |
| Place of Birth | Manila |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | Front Office Supervisor |
| Occupation in Years | November 2014 |
| Occupation in Months | 60 months |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Filipino |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Filipino |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Iriz Bjergh |
| Middle Name | Argente |
| Last Name | Rodrin |
| Birth Date (m/d/y) | 12/06/1991 |
| Place of Birth | Rosario, Cavite |
| 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 | Flight Attendant at Philippines Air Asia |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Riz Franco Rodrin |
| Date of Birth (mm/dd/yyyy) | 02/06/2014 |
| Place of Birth | Manila |
| 2. Name | Felicity Elena Rodrin |
| Date of Birth (mm/dd/yyyy) | 07/25/2019 |
| Place of Birth | Quezon City |
| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| Province | Ontario |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Block 36 Lot 12 Pintakasi Street Lagro Quezon City |
| Contact Number | (977) 103-1298 |
| Email Address | Email hidden; Javascript is required. |
| Fax Number | Not applicable |


