| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Student |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | MYZEL FEVIE |
| Middle Name | BALTAZAR |
| Last Name | BONILLA |
| Place of Birth | CENTRO O1, SANTA PRAXEDES,CAGAYAN VALLEY |
| Country of Citizenship | PH |
| EDUCATION |
|
| Current Occupation | TEACHER |
| Occupation in Years | 9 YEARS |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Tagalog |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | RICHARD |
| Middle Name | MALAPIT |
| Last Name | BONILLA |
| Birth Date (m/d/y) | 05/19/1989 |
| Place of Birth | PAGUDPUD,ILOCOS NORTE |
| 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 | BACHELORS DEGREE |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | KIEL CHARVIE BALTAZAR-BONILLA |
| Date of Birth (mm/dd/yyyy) | 11/19/2018 |
| Place of Birth | LAOAG CITY,ILOCOS NORTE,PHILIPPINES |
| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Center 01,SANTA PRAXEDES,CAGAYAN VALLEY |
| Contact Number | (995) 590-7329 |
| Email Address | Email hidden; Javascript is required. |
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- Email Address: inquiry@cpnis.com
