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PROTE WHEN COMPLETED r.V. ,I QE LINE FOlq RpIPLI X003646602 3868- 1+1 Citizensh

PROTE WHEN COMPLETED r.V. ,I QE LINE FOlq RpIPLI X003646602 3868- 1+1 Citizenship and Immigration Canada Citoyennete et Immigration Canada RECORD OF LANDING FICHE RELATIVE AU DROIT D'ETABLISSEMENT PERMANENT RESIDENT STATUS MAY BE CHECKED WITH IMMIGRATION CANADA LE DROIT D'ETABLISSEMENT PEUT ETRE VERIFIE AUPRES D'IMMIGRATION CANADA IMMIGRANT IDENTIFICATION - IDENTIFICATION DE L'/MMIGRANT IMMIGRATION 2. Surname - Nom de famille ESPANO 3. Given Names - Prenoms I SHYR ILL BES I TE 4. Name Flag - /ndicateur du nom 5. Date of Birth Date de naissance D -J M Y - A 19 06 1975 6. Place of Birth - Lieu de naissance 7. Country of Birth - Pays de naissance PHIL I PP I 227 8. Sex - srt MALE 9. Marital Status -,Ktt . 51 feiL E 1 10. Citizen of - Citoyen de PH I L 1PP I 227 11. Passport No - Passeport n° GG484064 1 Valid Until - Valide jusqu'au .. _ I 14/03/2006 12. If applicable, Country of Issue of Travel Document - S'll y a lieu, indiquer le pays de delivrance du document de voyage PHILIPPI 13. Family Status- Situation par rapport a la famille PRINCIPAL I 1 14. Accompanying Family Members - Membres de la famille qui accompagnent l'immigrant Name - Nom - '''''''''''''''''Tre nOrit atzepeini, and Ci tyPnne ,F Pt h - Date de naissance Relationship - Lien de parente irnm:qration Canada trrmigration THE HOLDER IS _iNGER A PERMANENT RESIDENT 4 ".:;?,_E NE • , ,,.....,,,_ .._.... ' PERMANENT Canada: NO ST PLUS rwegermarasemse., Have you any dependants other than those listed above? Alp 7,4.....__ Outre celles qui soot mentionnees ci-dessus, avez-vous d'autres personnes a votre charge? 15. Full Name, Address and Relationship of Person willing to assist - Nom et adresse au long de la personne disposoe a offrir son aieetlien de parente 22 ELKPATH AVENUE TORONTO ONT M2L2W1 381 2 16. Intended Occupation - Profession envisagee NANNIES & LIVE-IN CAREGIVERS 6474-200 17. Mother Tongue - Langue matemelle H I L I GAY NON I 021 I certify that the above statements are true and correct Je certifie que les renseignements ci-dessus soot exacts et veridiques Signature ea.-1:-- -1.-t,"7 Date ;)0 Y - A t3 AO 6) -Z.. 19. Imm. Cat. - Cat d'imm. I LC1 20 po ent special ea elnprog. L CP 41. Carrier/Flight No. Transporteur/vo n° 21. Educ. Qual. - Certificats, diplomes, e c. 03 I 22. Years of Schooling -Annees d'etudes 14 23. Employment Code - Code de l'emploi 24. Official Lang. Ability - Conn. des longues off. 42. Money in possession Argent en main $ I IC I 1 I I , 25. C.L.P.R. = C.O.B. - D.P.R.P. = P.D.N. I I O r I 227 43. Conditions of Landing Imposed Conditions d'obtention du droit d'etablissement imposees 9 0 26. Trans. Warrant No. - N° du bon de transp. 27. P.C. Number - C.P. numero 28. "S" Code - Code de surv. 29. Medical File No. -Dossier medical n° 30. Type of Case - Genre de cas 31. Medical Validity Validito de l'examen medical D-J M Y - A Delivre le 32. Date Issued 1 m02 (:902 Visa Validity D -J M Y - A Validite du visa' 44. I understand these conditions - Je comprends ces conditions 34. Office of Issue - Bureau d'origine CPC VEG P.S. Code - Code du P.S. 9518 45. Landed Dro t d tabl i ssement obtenu le _ M Y - A 3\0 ' iniCI'ON, 35. Signature of Visa Officer - Signature de /'agent des visas 46. AT A SCAT BORO GH P.S. C / 60 36. P igL it a TU r D - J r`i Y - A 14 05 1999 37Recommended - Recommande 47. Signature of g d'immigration o 0 cer- Signatur 'eler gent A / 38. Utilities Libres 39. Remarks - Observations NOT VALID FOR TRAVEL [ i'il 9 28 2 2 9 17 5 LFC . NON VALIDE POUR LES VOYAGES Err. I I000440338 SEE BACK OF COPY 1 (HOLDER) FOR WARNING AND PRIVACY STATEMENT. THIS FORM HAS BEEN ESTABLISHED BY THE MINISTER OF CITIZENSHIP AND IMMIGRATION. THIS DOCUMENT IS THE PROPERTY OF THE GOVERNMENT OF CANADA. 1MM 1000 (CON) (01/2000) B 0-te VOIR LAVERTISSEMENT ET LENONCE PORTANT SUR LA PROTECTION DES RENSEIGNEMENTS PERSONNELS AU VERSO DE LA COPIE I (TITULAIRE). FORMULAIRE ETABLI PAR LE MINISTRE DE LA CITOYENNETE ET DE L'IMMIGRATION. Canada C LE PRESENT DOCUMENT EST LA PROPRIETE DU GOUVERNEMENT DU CANADA. HOLDER TITULAIRE (Last) ESPANO- Date September 12, 1975 Title or position "Hilot" 13. CERTIFICATE OF ATTENDANT AT BIRTH hereby certify that I attended the birth of thechild who was born alive at o'clock am/pm on the date stated above. Signature (SGD.) AMPARO BOLIVAR Address Leganes, Tloilo Name in print AMPARO BOLIVAR 14. INFORMANT Signature Name in print,. Relationship to child Address Date b. RECEIVED AT THE OFFICE OF THE LOCAL CIVIL REGISTRAR DOVERO NFIRTA P. coRnovp:Rn SeRtgabar12,„1915 Signature Name in print Title or position Date 15a.PREPAIIED BY Signattirte t IT • Name inlprint Title qr Position Date Ilk I! t\ 0 U. LU w cc CITY/MUNICIPALITY 17. Weight at Birth (In grams) il, 18. Birth Order of Ex,•first, second, Child etc. 16 20 19a. Total Number of Children Born b. How Many children i' now living including this birth ? are I c. How many children ' . were both alive but are nor dead? I I 1 I-- Alive 22 24 26 20. Usual Occupation ri 1 1 21. Age at the time , of this Birth L 2_8 31 22. Usual Residence (Barangay) • (City/Municipality (Province) [ 1 1 1 1 1 '33 23, Usual Occupation = i . 38 24. Age at the time of this Birth I 1 1 41 44 45 51 NAME OF CHILD 1111E1 Place of Birth I 111.1i IHIL Mother's Nationality r l I 56 Father's Nationality I1 57 Sex Date of Birth LIE 70 71 First M.I. Last 58 Municipal Form No. 102 (To be accomplished in Triplicate) (Revi' d 1983) REPUBLIC OF THOSHILIPPINES CERTIFICATE OF LIVE BIRTH (Fill out completely, accurately and legibly in ink or typewritten) PROVINCE .11010 LOCAL CIVIL REGISTRY NO. 179 CITY / MUNICIPALITY 1. NAME (First) (Middle) SHYRILL BESITE 2. SEX (Place 'X' on appropriate answer) --1 Male -2 Female 4. PLACE OF (Name of hospital/Institution; If not in hospital, BIRTH give street / barangay) Legnnes DATE OF BIRTH (Day) (Month) (Year) 3. 19 — 'June 1975 (City / Municipality) (Province) Cagamutan Norte Le anes Iloilo 5a. TYPE OF BIRTH (Place 'X' on appropriate answer) x- 1 Single 2 Twin _ 3 Three or more 6. MAIDEN (First) [. (Middle) (Last) NAME Ketchy Besite 9. NAME (First) • --(Middle) (Last) Jesus Espailo 12. DATE AND PLACE OF MARRIAGE OF PARENTS 10. NATIONALITY Filipino (Important:If not applicable,fill Affidavit of Acknowledgement at the back) 5b. IF MULTIPLE BIRTH CHILD WAS — 1 First — 2 Second — 3 Third, 4th,etc. 7. NATIONALITY , 8. RELIGION Filipina Roman Catholic 11. RELIGION Romari• Catholic 16a. INFORMATION GIVEN IN SUPPLEMENTAL REPORT b. DATE WHEN INFORMATION WAS SUPPLIED CERTIFIED TRUE'COPY: _April_ 23_,_199..1._ — _ _ _ --_ _ _ _ _ _ _ _ _ (Important: Informant should also provide information for items 17 to 2.S. The code boxes arc to be filled out at the Office of the Local tivil Registrar) L cal Civil Registry No. I oi I I I 1 1 15 7ki MA. FE G FE NANDEZ Asst. *mak vil Registrar Registration Status 25. Attendant at Birth (Place 'X' an appropriate answer) 1 Physician _ 2 Nurse — 3 Midwife — 4 Hilot — 5 Others C7 ,1 uploads/S4/ 02.pdf