| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | PNP |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | samir |
| Last Name | hellal |
| Place of Birth | Algeria |
| Country of Citizenship | Algeria |
| EDUCATION |
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| Current Occupation | trucks driver. |
| Occupation in Months | 4 years |
| 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 | Ms. |
| First Name | amina |
| Last Name | mendil |
| Birth Date (m/d/y) | 13/09/1981 |
| Place of Birth | Algeria |
| Country of Citizenship | Algeria |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | Algeria. she is a cooks..Barker. pizza. with 10 years experience owner family company. |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | yakob |
| Place of Birth | 04/08/2009 |
| Date of Birth (mm/dd/yyyy) | anfal |
| Place of Birth | Algeria |
| 3. Name | 10/01/2011 |
| Date of Birth (mm/dd/yyyy) | 15/07/2014 |
| Place of Birth | Algeria |
| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| City/Town | Alberta |
| Province | Not in US |
| UPLOAD RESUME | Hellal-samir_Professional-Resume-–-01.pdf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | city bachdjerah bt 03 cage 03 n,5 alger |
| Contact Number | (213) 558-3324 |
| Email Address | Email hidden; Javascript is required. |


