Form view – Canadian Provincial Nominee & Immigration Services

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PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Chris
Middle Name	Eberechi
Last Name	Maduagwu
Place of Birth	Umuahia, Abia State
Country of Citizenship	Nigeria
EDUCATION	Secondary/High School Bachelor's Degree Vocational/Trade/Apprenticeship
Other Eduction	School of Health Technology, Aba, Abia State
Current Occupation	Medical Practitioner
Occupation in Years	chrismaduagwu8@gmail.com
Occupation in Months	chrismaduagwu8@gmail.com
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Excellent
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Excellent
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Chioma
Middle Name	Regina
Last Name	Eberechi
Birth Date (m/d/y)	03/8/1985
Place of Birth	Aba, Abia State
Country of Citizenship	Nigeria
N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below	Post Graduate Diploma microbiology National Certificate in Education
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Chris Chinedu Eberechi
Date of Birth (mm/dd/yyyy)	23/06/2016
Place of Birth	Aba, Abia State
2. Name	Gabriel Onyekwe Eberechi
Date of Birth (mm/dd/yyyy)	27/10/2018
Place of Birth	Aba, Abia State
3. Name	Benjamin Nnamdi Eberechi
Date of Birth (mm/dd/yyyy)	23/5/2021
Place of Birth	Aba, Abia State
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	Edmonton
Province	Alberta
CONTACT DETAILS	CONTACT DETAILS
Address	Tochi Hospital, Ozuitem Rd, Uzuakoli Bende, Abia State, Nigeria
Contact Number	(091) 666-1941
Email Address	Email hidden; Javascript is required.
Fax Number	+234 9166619418 ; +234 9166619418