Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Raiz
Last Name	Kamarudin
Place of Birth	Pahang
Country of Citizenship	Malaysia
EDUCATION	Bachelor's Degree
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Norliza
Last Name	Mohd Nawi
Birth Date (m/d/y)	20/10/80
Place of Birth	Kelantan
Country of Citizenship	Malaysia
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Mia Maisara
Date of Birth (mm/dd/yyyy)	05/06/2006
Place of Birth	Penang
2. Name	Mifzal Mikhail
Date of Birth (mm/dd/yyyy)	24/01/2010
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	Ottawa
CONTACT DETAILS	CONTACT DETAILS
Address	Sports Centre University Malaysia Pahang
Contact Number	(019) 453-4348
Email Address	Email hidden; Javascript is required.