Citizenship and Citoyenneté et PROTECTED WHEN COMPLETED - B

Immigration Canada Immigration Canada

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ADDITIONAL FAMILY INFORMATION
The principal applicant, their spouse or common-law partner (if applicable), and all dependent children 18 years of age or older must complete their own copy of this form. Complete ALL
names in English and in your native language (for example, Arabic, Cyrillic, Chinese, Chinese commercial/telegraphic code, Korean, or Japanese characters). If additional space is
required attach a separate sheet. If a section does not apply to you, write "Not applicable".

BEFORE YOU START, READ THE INSTRUCTION GUIDE. TYPE or PRINT in black ink.

SECTION A
Date of birth Marital
Name Relationship Place of birth Present address
(YYYY-MM-DD) status
BUGUEY CAGAYAN 436 SOLDIERS HILL CAGGAY TUGUEGARAO CITY
DEBBIE TAGUBA Applicant 1981-12-01 PHILIPPINES
MARRIED
PHILIPPINES 3500
436 SOLDIERS HILL CAGGAY TUGUEGARAO CITY
Spouse or PHILIPPINES 3500
TUGUEGARAO CAGAYAN
CHRISTOPHER TAGUBA common-law 1979-11-19 PHILIPPINES
MARRIED E-mail address
partner

PASAKAW CAMARINES
LETICIA B. TAGUBA Mother 1952-12-11 SUR PHILIPPINES
DECEASED
TUGUEGARAO CAGAYAN 23B MARRIBBAY STREET UGAC SUR TUGUEGARAO
PLACIDO TAGUBA JR. Father 1947-01-05 PHILIPPINES CITY PHILIPPINES 3500

SECTION B CHILDREN (Include ALL sons and daughters, including ALL adopted and step-children, regardless of age or place of residence)
Date of birth Marital Present address and
Name Relationship Place of birth
(YYYY-MM-DD) status e-mail address
436 SOLDIERS HILL CAGGAY TUGUEGARAO CITY
TUGUEGARAO CAGAYAN PHILIPPINES 3500
KURT CHRISTOPHER ABELLA SON 1999-10-22 PHILIPPINES SINGLE E-mail address

436 SOLDIERS HILL CAGGAY TUGUEGARAO CITY

TUGUEGARAO CAGAYAN PHILIPPINES 3500
KARL ANGELO TAGUBA SON 2004-05-30 PHILIPPINES
SINGLE E-mail address

436 SOLDIERS HILL CAGGAY TUGUEGARAO CITY

TUGUEGARAO CAGAYAN PHILIPPINES 3500
KEANE JEREMY TAGUBA SON 2007-12-28 PHILIPPINES
SINGLE E-mail address

E-mail address

E-mail address

SECTION C BROTHERS AND SISTERS (Including half - and step-brothers and sisters)
Date of birth Marital
Name Relationship Place of birth Present address
(YYYY-MM-DD) status

TUGUEGARAO CAGAYAN 23B MARRIBBAY STREET UGAC SUR TUGUEGARAO

JOEL B. TAGUBA BROTHER 1974-07-30 PHILIPPINES
MARRIED
CITY PHILIPPINES 3500

APARRI CAGAYAN 56 MARRIBBAY STREET UGAC SUR TUGUEGARAO

MARGIE T. ASEJO SISTER 1976-02-05 PHILIPPINES
MARRIED
CITY PHILIPPINES 3500

FT D,20/F, TOWER 7B,18,POTAI STREET,

APARRI CAGAYAN
DIMPNA T. RUBIO SISTER 1977-05-15 PHILIPPINES
MARRIED OCEANAIRE, MA ON SHAN, NEW TERRITORIES,
HONGKONG

SECTION D CERTIFICATION
I certify that the information contained on this document is complete, accurate and factual. I also realize that once this document has been completed and signed that it will form part of
my Immigration Record and will be used to verify my family details on future applications.

Signature: __________________________________________________ Date (YYYY-MM-DD)

The information you provide is collected under the authority of the Immigration and Refugee Protection Act to determine if you may be admitted to Canada as an immigrant. It will be
stored in Personal Information Bank number EIC PPU 015. It is protected and accessible under the provisions of the Privacy Act and the Access to Information Act.

IMM 5406 (09-2013) E (DISPONIBLE EN FRANÇAIS - IMM 5406 F)