| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Ms. |
| First Name | Roselle |
| Middle Name | Barlicos |
| Last Name | Vallete |
| Birth Date (m/d/y) | June 29 1983 |
| Place of Birth | Bambang nueva vizcaya |
| Country of Citizenship | Philippine |
| EDUCATION |
|
| Current Occupation | Dental technilogist |
| Occupation in Years | 19 years |
| Occupation in Months | 228months |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Common Law |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Fadi |
| Last Name | Kreik |
| Birth Date (m/d/y) | June 30 1970 |
| Place of Birth | Lebanon |
| Country of Citizenship | Candian |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Daniel Mustapha V. Kreik |
| Date of Birth (mm/dd/yyyy) | Feb 27 2021 |
| Place of Birth | Cabanatuan Nueva ecija |
| 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 | Vancouver |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Brgy tayabo San Jose City Nueva Ecija |
| Contact Number | 09618301260 |
| Email Address | Email hidden; Javascript is required. |
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- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
