| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Self Employed |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Ephraim |
| Middle Name | Ramos |
| Last Name | Baltazar |
| Place of Birth | Magsaysay,Davao Del Sur |
| Country of Citizenship | Philippines |
| EDUCATION |
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| Current Occupation | Instrument man surveying services/buy and sell car/real estate broker |
| Occupation in Years | 15 yrs |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
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| Specify Other Language | Tagalog |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
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| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Frances Anne |
| Middle Name | Aquino |
| Last Name | Baltazar |
| Birth Date (m/d/y) | 19-02-1986 |
| Place of Birth | Sarrat, Ilocos Norte |
| Country of Citizenship | Philippines |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Tyrese Andrei Baltazar |
| Date of Birth (mm/dd/yyyy) | 01-12-2008 |
| Place of Birth | Laoag City, Ilocos Norte |
| 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 |
| Province | Ontario |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Brgy. 6 Tonoton, Piddig, Ilocos Norte |
| Contact Number | (906) 314-7948 |
| Email Address | Email hidden; Javascript is required. |
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- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
