| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Khalil |
| Middle Name | Jamil |
| Last Name | Adi |
| Place of Birth | Bethlehem |
| Country of Citizenship | Palestine |
| EDUCATION |
|
| 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 | Reeta |
| Middle Name | Abed |
| Last Name | Samamqa |
| Birth Date (m/d/y) | 21/02/1997 |
| Place of Birth | Bethlehem |
| Country of Citizenship | Palestine |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Julan |
| Date of Birth (mm/dd/yyyy) | 29/03/2022 |
| Place of Birth | Bethlehem |
| 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 | New Brunswick |
| Province | - |
| UPLOAD RESUME | Cv.pdf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Palestine-hebron |
| Contact Number | (059) 530-2429 |
| Email Address | Email hidden; Javascript is required. |
| Fax Number | - |
Hi, How Can We Help You?
- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
