| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Self Employed |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Liezel |
| Middle Name | Jose |
| Last Name | Jandoc |
| Place of Birth | San Nicolas Ilocos Norte |
| Country of Citizenship | Philippines |
| EDUCATION |
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| Other Eduction | Caregiving Education |
| Current Occupation | Brgy. Nutrition Scholar |
| Occupation in Years | 9yrs. |
| Occupation in Months | 108months |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Nino Antonio |
| Middle Name | Cacayuran |
| Last Name | Jandoc |
| Birth Date (m/d/y) | 05/22/1983 |
| Place of Birth | Sta.Cruz Ilocos Sur |
| Country of Citizenship | PH |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | College Graduate |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Lhizette Angelique Jose Jandoc |
| Date of Birth (mm/dd/yyyy) | 04/01/2009 |
| Place of Birth | City of Batac Ilocos Norte Ph |
| 2. Name | Yuan Grade Jose Jandoc |
| Date of Birth (mm/dd/yyyy) | 11/23/2014 |
| Place of Birth | City of Batac Ilocos Norte Ph |
| 3. Name | Liezel Jandoc |
| 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 | Montreal or Ontario |
| Province | PH-ILN |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | #43 Ipil St. 10-S Barani Batac City Ilocos Norte |
| Contact Number | (099) 356-4926 |
| Email Address | Email hidden; Javascript is required. |
Hi, How Can We Help You?
- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
