| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Carl Louie |
| Middle Name | Amarante |
| Last Name | Tayabas |
| Place of Birth | Dumaguete City, Negros Oriental, Negros, Philippines |
| Country of Citizenship | Philippines |
| EDUCATION |
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| Occupation in Years | 13 years |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
|
| Specify Other Language | Filipino |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
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| French |
|
| Specify Other Language | Filipino |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Trina Paula |
| Middle Name | Alarde |
| Last Name | Tayabas |
| Birth Date (m/d/y) | 30/06/1983 |
| Place of Birth | Ormoc City, Leyte, Philippines |
| 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 | College Undergraduate with 6 years experience as a cashier/receptionist/waitress (currently working) |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Pauleen Amber Tayabas |
| Date of Birth (mm/dd/yyyy) | 27/03/2006 |
| Place of Birth | Ormoc City, Leyte, Philippines |
| 2. Name | Carina Gabrielle Tayabas |
| Date of Birth (mm/dd/yyyy) | 15/02/2008 |
| Place of Birth | Ormoc City, Leyte, Philippines |
| 3. Name | Frank Zephyr Tayabas |
| Date of Birth (mm/dd/yyyy) | 14/07/2012 |
| Place of Birth | Cebu City, Cebu, Philippines |
| 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 | Vaughan |
| Province | Ontario |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Sitio Mahayahay, Barangay Apas, Cebu City, Philippines |
| Contact Number | (995) 711-3004 |
| Email Address | Email hidden; Javascript is required. |


