Personal Information Sheet

st nd
1. Last name Manpreet singh 1 Name: Manpreet 2 Name singh

2. Sex: Male/female 3.Date of Birth: 4. Place of birth city/town:

Male 27 July 1988 Mani Majra

5. Country of Birth: India 6. Country of citizen: India 7. Country of residence: India

8. Native language: Punjabi 9. Height: 5.7 10. Colour of eyes: Black

11. Current martial status: Married 12. Date of marriage 13. Previously married Y/N (if Yes From to

Date of Divorce:

14. Address: Village Raipur post office and Tehsil Shri Chamkaur 15. Mailing Address: banwait.manpreet3@gmail.com 16. Email:

Sahib Dist Rupnagar Punjab 140112

17. Tele No: 9463090640 Alternative: 7888752509

For Spouse:

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1. Last name Daljit kaur 1 Name: Daljit 2 Name Kaur

2. Sex: Male/female 3.Date of Birth: 12 August 1992 4. Place of birth city/town:Ratton

Female

5. Country of Birth: India 6. Country of citizen: India 7. Country of residence: India

8. Native language: Punjabi 9. Height: 5.3 10. Colour of eyes:

11. Current martial status:Married 12. Date of marriage 13. Previously married Y/N (if Yes From to

22 -11-2017 Date of Divorce:

14. Address: Village Raipur post office and Tehsil shri chamkaur 15. Mailing Address: kaurdaljit770@gmail.com 16. Email:

sahib Dist Rupnagar Punjab 140112

17. Tele No: 9814538559 Alternative: 7888752509

Details of Addresses – (Please provide details of 10 years of your residency)

From To House No & Street City or town State Country

M/Year M/Year

Village Raipur SHRI Chamkaur sahib Punjab India

 If Married, Your wife or Husband

18. Passport No: Date of Issue: Country of issue:

Expiry date:

T4153369 29/10/2019 Chandigarh 28/10/2029

19. ID card No: (If any)

20. Where do you intend to live in Canada?

21. Current Occupation: Business

22. Worked in Canada (i) You N Y/N (ii) Spouse N Y/N

23. Study in Canada (i) You N Y/N (ii) Spouse N Y/N

(Note: If yes, give details on separate sheet)

24. Education: How many years of Education 21

From To Name of institution City/country Type of Cert.

Month Year month Year

Sept 2008 April 2011 Punjabi University Patiala Patiala India Graduation

March 2012 Sept 2012 Punjab Technical University Jalandhar India Post Graduation

March 2013 April 2014 Punjab Technical University Jalandhar Master

2010 July 2012 ITI Roapr Information tech

August &Elect sys mtn

Your husband or wife

25. Proficiency in English/ French (Attached proof as IELTS/TEF only)

English French

High Moderate Basic High Moderate basic

Speak

Read

Write

Listen

26. Relative in Canada: Your - Y/N NO Your spouse - Y/N YES (if yes, relationship)

27. Funds Available (Bank Balance, Fixed Deposit, Property only) CDN$

28. Work Experiences –

From To Occupation Years of Main Duties

M/Year M/Year Experience

Jan/2014 Jun/2020 Office assistant 6 Handling all documents of student and all office work

Your spouse

M/year M/year Occupation Years of Job Title

Experience

29. Personal History – (Give of all details of 10 years back, from today)

From To Activities City/Town Name of company, employer or

M/year M/Year School

March/2012 April/2014 Education Rupnagar Punjab Technical University

 Jan/2014 June /2020 Job Gharuan Chandigarh University

July/2020 Aug/2022 Business Chamkaur sahib Honey car bazar

Your Spouse

From To Activities City/Town Name of company, employer or

M/year M/Year School

30. Govt. Position – (please attached extra sheet, if needed)

To Jurisdiction Level (e.g. National, Region or Municipal Department/ branch Activities or position held

M/year

31. Military Service: Name of the Country - . . . . . . . . . . . . . . . . . . . . . (Note: Attached extra sheet, if needed)

From To Unit No & name and name of CO Rank Date and place of any active combat

M/year M/Year Held

32. Membership of any association or Organisation – (Note: attached extra sheet, if needed)

From To Name of Organisation Type of Organisation Activities or Position held City/ country

M/Year M/Year
 Jan/2014 Jun/2020 Chandigarh University UNIVERSITY Office assistant Gharuan/India

33. Details of Family members –

Husband Child 1 1 Child 2

SURNAME Name
st nd
1 & 2 Name Ishrat kaur

Sex/ Height (cms and ft’inch”) and Colour of Female Black

Eyes

Date of birth 28/10/2018

Place of Birth Rupnagar

Country India

Country of Citizen India

Country of Residence India

Other country residence

Martial Status N/a Married/Unmarried Married/Unmarried

Relationship to You Doughter Son or Daughter Son or Daughter

Will accompany with you to Canada? No Yes or No Yes or No

Passport No

Country of Issue

Date of Expiry

ID Card No (If any)

Native Language Punjabi

Can speak English? No Yes/ No Yes/No

Can speak French? NO Yes/No Yes/No

Education: No of years

Level of education Nursery

Current Occupation

Note: Attached extra sheet if needed

34. TRAVEL HISTORY (last 10 Years)

YOUR

From To Length City /Country Purpose of Travel

 YOUR SPOUSE

35. Details of parents

Name Relation Date of Birth Place of Birth Martial Status Present Address

Amrik singh Father 01/01/1956 Raipur Married Village Raipur Chamkaur Sahib Rupnagar

Swaranjeet kaur Mother 01/01/1961 Jawarpur Dera Bassi

Spouse Family Information –Parents

Name Relation Date of Birth Place of Birth Martial Status Present Address

Daljit kaur Wife 12/09/1991 Ratton Married Village Raipur shri Chamkaur sahib

Rupnagar

36. Additional Family Information –Brothers & Sisters

Name Relation Date of Birth Place of Birth Martial Status Present Address

Surinder kaur Sister 15 Raipur Married Village Hedon bet tehsil Samrala dist
 ludhiana

Sister 24/04/1982 Chandigarh Married H No 185 T/F KH.No 556 Sultanpur EXTN

Inderjit kaur New Delhi 110030

Spouse Family Information –Brothers & Sisters

Name Relation Date Of Birth Place Of Birth Marital Status Present Address

37. Have you or if you are the principal applicant, any of your family member listed in your application for permanent residence in Canada ever:

(i) Been convicted of, or are you currently charged with, on trail for to a criminal offence, or subject to any criminal proceeding in any country? Yes/NO ( Your Spouse………..)

(ii)Previously sought refugee status in Canada or applied for Canadian immigration or permanent Residence Visa, Visitor or temporary residence Visa? Yes/No

( Your Spouse………..)

(iii)Been refused refugee status in Canada or applied for immigration or permanent Residence Visa, Visitor or temporary residence Visa or any other country? Yes/No (

Your Spouse………..)

(iv)Been refused admission or order to leave for Canada or other country? Yes/No ( Your Spouse………..)

(v)Been involved in an act of genocide, a war crime or in the commission of crime against humanity? Yes/No ( Your Spouse………..)

(vi)Used, planned or advocated the use of armed struggle or violence to reach political, religious or social objectives?

Yes/No ( Your Spouse………..)

(vii) Associated with a group that used, uses advocated or advocates the used of armed struggle or violence to reach political, religious or social objectives? Yes/No ( Your

Spouse………..)

(viii)Been member of an organisation that is or was engaged in any activities that is part of pattern of criminal activity?

Yes/No ( Your Spouse………..)

(ix)been detained or put in jail? Yes/No ( Your Spouse………..)

(x)had any serious disease or physical or mental disorder? Yes/No ( Your Spouse………..)

If your answer to any of these questions is yes, please provide details below-

Signature of the Applicant

Signature of Spouse