| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Yunior |
| Last Name | Palanco |
| Place of Birth | La Habana |
| Country of Citizenship | Cuba |
| EDUCATION |
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| Other Eduction | senior technical nurse degree |
| Current Occupation | dependent on a cafeteria |
| Occupation in Years | intensive care nurse 5 years |
| Occupation in Months | Dependent 11 months |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Ms. |
| First Name | Emily |
| Middle Name | Rocío |
| Last Name | Campo |
| Birth Date (m/d/y) | 26-02-02 |
| Place of Birth | La habana |
| Country of Citizenship | Cuba |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | I have a degree as a general nursing technician, I was a shop assistant, I work well in the kitchen and cleaning |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 2. Name | Yunior |
| 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 | Colombia Británica, Ontario |
| Province | Any province |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Teniente Rey 360 between aguacate and villega |
| Contact Number | (535) 196-1176 |
| Email Address | Email hidden; Javascript is required. |
| Fax Number | I have not understood the question |
Hi, How Can We Help You?
- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
