| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Lex Boy |
| Middle Name | Ledesma |
| Last Name | dela Pena |
| Place of Birth | Manila |
| Country of Citizenship | Philippines |
| EDUCATION |
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| Current Occupation | OFW (Japan) |
| Occupation in Years | Part timer in food manufacturing |
| Occupation in Months | Part timer in Cargo Forwarding Company |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Rhoda |
| Middle Name | Maghinang |
| Last Name | Miranda |
| Birth Date (m/d/y) | 04/11/1976 |
| Place of Birth | Manila |
| Country of Citizenship | Philipiines |
| 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 | Roxea Miranda dela Pena |
| Date of Birth (mm/dd/yyyy) | 09/30/2016 |
| Place of Birth | Cavite, 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? |
| Province | Saskatchewan |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 338-0811 Saitama Ken Saitama Shi Kitaku Yoshino Cho 1-389-2 Greencourt Yamanaka 202 |
| Contact Number | (708) 941-9041 |
| 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
