| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Joy |
| Middle Name | Laus |
| Last Name | Roque |
| Place of Birth | Philippines |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | School Teacher |
| Occupation in Years | 14 |
| Occupation in Months | 2 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Filipino |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Filipino |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Rey |
| Middle Name | Palangdao |
| Last Name | Roque |
| Birth Date (m/d/y) | 8/9/1981 |
| Place of Birth | Philippines |
| 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 | Driver,carpenter |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| City/Town | Any |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | La Trinidad,Benguet |
| Contact Number | (939) 910-5084 |
| Email Address | Email hidden; Javascript is required. |


