| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | James Poll |
| Middle Name | Reyes |
| Last Name | Antonio |
| Place of Birth | Pongpongan Jones Isabela |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | Field Officer/Filed Technician |
| Occupation in Years | 3 |
| Occupation in Months | 36 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Antonio |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Tagalog , Ilocano |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Rachelle |
| Middle Name | Infante |
| Last Name | Antonio |
| Birth Date (m/d/y) | 09/02/1995 |
| Place of Birth | Burgos Alicia Isabela |
| Country of Citizenship | Philippines |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | College undergrad. |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Prince Ethan I. Antonio |
| Date of Birth (mm/dd/yyyy) | 01/17/2017 |
| Place of Birth | Alicia Isabela |
| 2. Name | Asher Jade I. Antonio |
| Date of Birth (mm/dd/yyyy) | 07/06/2022 |
| Place of Birth | Jones Isabela |
| Place of Birth | Jones |
| 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 | Jones |
| Province | Isabela |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 011,Zone 2 Pongpongan Jones Isabela |
| Contact Number | (092) 624-0764 |
| 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
