| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Marice |
| Middle Name | Quiapo |
| Last Name | Romero |
| Place of Birth | Liloan |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | StaffNurse |
| Occupation in Years | 6months |
| Occupation in Months | 6months |
| 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 | Jesson |
| Middle Name | Pepito |
| Last Name | Romero |
| Birth Date (m/d/y) | 31081990 |
| Place of Birth | Sta.Cruz manila |
| Country of Citizenship | Philippines |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Jess Marc Q.romero |
| Date of Birth (mm/dd/yyyy) | 24082015 |
| Place of Birth | Liloan cebu |
| 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 | Alberta canada |
| Province | Alberta |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Yati liloan cebu |
| Contact Number | (092) 122-8180 |
| Email Address | Email hidden; Javascript is required. |
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- Email Address: inquiry@cpnis.com
