| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Ms. |
| First Name | Niña Claren |
| Middle Name | Cabunoc |
| Last Name | Agustin |
| Place of Birth | Macabebe Pampanga |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Nons |
| MARITAL STATUS | Common Law |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | None |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Ms. |
| First Name | Shareelyn |
| Middle Name | Iray |
| Last Name | Gallardo |
| Birth Date (m/d/y) | 28/11/1987 |
| Place of Birth | Aklan |
| Country of Citizenship | Philippines |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Jullienne trina agustin |
| Date of Birth (mm/dd/yyyy) | 28/11/2009 |
| Place of Birth | Quezon city |
| 2. Name | Paul nicholai agustin |
| Date of Birth (mm/dd/yyyy) | 09/04/2012 |
| Place of Birth | Pampanga |
| 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 | Banff alberta |
| Province | Metro Manila~Valenzuela |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Ajulliennetrina@gmail.com |
| Contact Number | (928) 002-7773 |
| Email Address | Email hidden; Javascript is required. |
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- Email Address: inquiry@cpnis.com
