| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Shamica Lei |
| Middle Name | Rodrigo |
| Last Name | Lopez |
| Birth Date (m/d/y) | 01/121998 |
| Place of Birth | Philippines |
| Country of Citizenship | Philippines |
| EDUCATION |
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| Current Occupation | Registered Nurse |
| Occupation in Years | 5 years |
| Occupation in Months | 64 months |
| 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 | A-jay Ron |
| Middle Name | Gallo |
| Last Name | Lopez |
| Birth Date (m/d/y) | 10/12/2000 |
| Place of Birth | Philippines |
| Country of Citizenship | Philippines |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | N/A |
| 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 | Edmonton |
| Province | Alberta |
| UPLOAD RESUME | RESUME-Lopez.pdf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Rizal, Roxas, Isabela |
| Contact Number | 09287289166 |
| Email Address | Email hidden; Javascript is required. |
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- Email Address: inquiry@cpnis.com
