| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Romelen |
| Middle Name | Layug |
| Last Name | Papa |
| Place of Birth | Iba Zambales |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Other Eduction | Master’s degree in progress Special Education |
| Current Occupation | Special Education |
| Occupation in Years | Special Education |
| Occupation in Months | Special Education |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Bahasa Indonesia |
| MARITAL STATUS | Common Law |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Bahasa Indonesia, Mandarin, Thai |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Cheng Oh |
| Last Name | Loo Carre |
| Birth Date (m/d/y) | 11061967 |
| Place of Birth | Singapore |
| Country of Citizenship | Singapore |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | In Arts, Education |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Joelle Emerie |
| Date of Birth (mm/dd/yyyy) | 08242019 |
| Place of Birth | Philippines |
| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Indonesia |
| Contact Number | (622) 122-2130 |
| Email Address | Email hidden; Javascript is required. |


