| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Self Employed |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Edergrall |
| Middle Name | Taluyo |
| Last Name | Fernandez |
| Place of Birth | Orani,Bataan |
| Country of Citizenship | Philippines |
| EDUCATION |
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| Current Occupation | Caregiver |
| Occupation in Years | 2021 |
| Occupation in Months | 6months |
| 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 | Mr. |
| First Name | Regie |
| Middle Name | Mamaril |
| Last Name | Fernandez |
| Birth Date (m/d/y) | 30/08/2986 |
| Place of Birth | San Carlos City |
| 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 | College Degree |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Fernandez,Audrie |
| Date of Birth (mm/dd/yyyy) | 12/02/2013 |
| Place of Birth | San Carlos city |
| 2. Name | Fernandez,Eunice |
| Date of Birth (mm/dd/yyyy) | 01/072015 |
| Place of Birth | San Carlos City |
| 3. Name | Fernandez Edergrall |
| 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 | Toronto |
| Province | Ontario |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Tambac,Malasiqui,Pangasinan.Philippines |
| Contact Number | (091) 828-0013 |
| 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
