| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Annie |
| Middle Name | Reyes |
| Last Name | Dela cruz |
| Place of Birth | Manila |
| Country of Citizenship | Filipino |
| EDUCATION |
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| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
|
| Specify Other Language | N/A |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | N/A |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Genesis |
| Middle Name | Lapuz |
| Last Name | Dela Cruz |
| Birth Date (m/d/y) | 11/29/1988 |
| Place of Birth | Licab Nueva Ecija |
| Country of Citizenship | Filipino |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | He is a Pastor/Minister in Church for 12 years. |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Genevieve Aizel Dela Cruz |
| Date of Birth (mm/dd/yyyy) | 06/21/2014 |
| Place of Birth | Manila |
| 2. Name | Genesis Adam Dela Cruz |
| Date of Birth (mm/dd/yyyy) | 01/28/2018 |
| 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 | Ottawa |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Jaysonville 1 Nia Road Brgy. Putatan Muntinlupa City |
| Contact Number | (918) 601-7155 |
| Email Address | Email hidden; Javascript is required. |


