| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Self Employed |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Einalyn Joy |
| Middle Name | Vidal |
| Last Name | Vergara |
| Place of Birth | Candelaria, Hospital |
| Country of Citizenship | Philippines |
| EDUCATION |
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| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
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| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
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| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Ricky |
| Middle Name | Cortez |
| Last Name | Vergara |
| Birth Date (m/d/y) | 26/01/1983 |
| Place of Birth | Mangaldan, Pangasinan |
| Country of Citizenship | Philippines |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Lynzie Raziella Vergara |
| Date of Birth (mm/dd/yyyy) | 08/01/2015 |
| 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 | Regina |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Bayto Sta.cruz, Zambales |
| Contact Number | (977) 761-7595 |
| Email Address | Email hidden; Javascript is required. |
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- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
