| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Charles |
| Middle Name | Ortiguero |
| Last Name | Atienza |
| Place of Birth | Quezon city |
| Country of Citizenship | Filipino |
| EDUCATION |
|
| Current Occupation | Supply chain manager & logistics |
| Occupation in Years | 15 |
| Occupation in Months | 180 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Filipino |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Filipino |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Melody |
| Middle Name | Pagalunan |
| Last Name | Atienza |
| Birth Date (m/d/y) | 11/12/1981 |
| Place of Birth | Parañaque City |
| Country of Citizenship | Filipino |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | Bachelors degree in business administration |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Clark Matthew Atienza |
| Date of Birth (mm/dd/yyyy) | 07/6/2018 |
| Place of Birth | Parañaque city |
| 2. Name | Carl Michael Atienza |
| Date of Birth (mm/dd/yyyy) | 08/08/2020 |
| Place of Birth | Parañaque City |
| 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 | Regina |
| Province | Saskatchewan |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Parañaque City |
| Contact Number | (917) 551-0607 |
| Email Address | Email hidden; Javascript is required. |
| Fax Number | N/a |
Hi, How Can We Help You?
- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
