| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Student |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Jo Anna Marie |
| Middle Name | De Guzman |
| Last Name | Fernandez |
| Place of Birth | San Jacinto Pangasinan |
| Country of Citizenship | Philippines |
| EDUCATION |
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| Other Eduction | Diploma in Caregiving |
| Current Occupation | Laboratory Technologist |
| Occupation in Years | 2years |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
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| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Johnson |
| Middle Name | Salcedo |
| Last Name | Fernandez |
| Birth Date (m/d/y) | 05/06/1984 |
| Place of Birth | Lingayen,Pangasinan |
| 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 | Medical Laboratory Scientist,work as a Laboratory Manager for 5 years. |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Justin Kyle Fernandez |
| Date of Birth (mm/dd/yyyy) | 11/08/2011 |
| Place of Birth | Dagupan 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? |
| City/Town | Toronto |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 72 Salcedo Street Brgy.Capaoay San Jacinto Pangasinan |
| Contact Number | (930) 784-7111 |
| Email Address | Email hidden; Javascript is required. |
Hi, How Can We Help You?
- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
