| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Student |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Geoff |
| Last Name | Cabalza |
| Place of Birth | Manila |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Occupation in Years | 17 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | No |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | No |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Ms. |
| First Name | Jeanne |
| Middle Name | Jeanne Cruz |
| Last Name | Cruz |
| Birth Date (m/d/y) | 08/24/1980 |
| Place of Birth | Manila |
| 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 | Nursing graduate with 5 yrs of work experience |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Nefertiri |
| Date of Birth (mm/dd/yyyy) | 04/05/2005 |
| Place of Birth | Manila |
| 2. Name | Heracles |
| Date of Birth (mm/dd/yyyy) | 09/21/2007 |
| Place of Birth | Manila |
| 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 | Geoffrey_cabalza@yahoo.com |
| Contact Number | (928) 506-0877 |
| 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
