| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Liezel |
| Middle Name | Daguimol |
| Last Name | Mediante |
| Place of Birth | Philippines |
| Country of Citizenship | Philippines |
| 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 | Mr. |
| First Name | James |
| Middle Name | Macabinlar |
| Last Name | Mediante |
| Birth Date (m/d/y) | 01/06/1985 |
| Place of Birth | Philippines |
| Country of Citizenship | Philippines |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Emmanuel Daguimol Mediante |
| Date of Birth (mm/dd/yyyy) | 30/03/2010 |
| Place of Birth | Philippines |
| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| Province | Nova Scotia |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Albuhturi Shraf Hail, Kingdom of Saudi Arabia |
| Contact Number | (053) 238-5057 |
| Email Address | Email hidden; Javascript is required. |
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- Email Address: inquiry@cpnis.com
