| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | tshibanda |
| Last Name | nyunyi |
| Place of Birth | kinshasa |
| Country of Citizenship | south africa |
| EDUCATION |
|
| Other Eduction | certificate in clinical management tb and hiv , certificate in VMMC circumcision |
| Current Occupation | medical officer in clinic and government hospital |
| Occupation in Years | general practitioner |
| Occupation in Months | medical doctor |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | swahili,zulu |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | swahili |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | stella |
| Last Name | umba |
| Birth Date (m/d/y) | 16/06/1975 |
| Place of Birth | likasi |
| Country of Citizenship | south africa |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | bachelor in fashion design |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | penouella KM tshibanda |
| Date of Birth (mm/dd/yyyy) | 10\05\2013 |
| Place of Birth | cape town |
| 2. Name | penouel KS tshibanda |
| Date of Birth (mm/dd/yyyy) | 10\05\2013 |
| Place of Birth | cape town |
| 3. Name | myrrhe M.U tshibanda |
| Date of Birth (mm/dd/yyyy) | 01\12\2015 |
| Place of Birth | cape town |
| 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 | ottawa |
| Province | ontario |
| UPLOAD RESUME | IMG_202-immi3.pdf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 84, binneman, oakdale,. bellville |
| Contact Number | (079) 191-8629 |
| Email Address | Email hidden; Javascript is required. |


