Review and submit your changes - template
The bolded information below has been changed based on the information you provided.
Please verify and submit your changes.
Personal information |
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| First name: | John |
| Preferred first name: | Jock |
| Middle initial: | -- |
| Last name: | Doe |
| Preferred last name: | -- |
| Date of birth: | January 1, 1987 |
| Gender: | Male |
| Social Insurance Number (SIN): | *** *** 456 |
| Personal Health Number (PHN): | 9879 543 214 |
Contact information |
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| Primary phone number: | 567.987.8764 |
| Alternate phone number: | -- |
| Alternate phone number: | -- |
| Email address: | joe@email.com |
Mailing address |
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| Street address: | 123 Main Street |
| Apt, Suite: | -- |
| Country: | Canada |
| City: | Victoria |
| Province: | British Columbia |
| Postal code: | E1E 1A1 |
Temporary mailing address |
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| From: | July 22, 2022 |
| To: | August 22, 2022 |
| Street address: | 123 Main Street |
| Apt, Suite: | -- |
| Country: | Canada |
| City: | Victoria |
| Province: | British Columbia |
| Postal code: | E1E 1A1 |
Have questions about your address or personal information? Call us at 604.231.8888 (toll-free 1.888.967.5377).