Step 2: Enter your personal information
Personal information
First name:
Middle name:
Last name:
Address:
City
Province/State
Postal/Zip code
Birthdate:
Gender:
Male
Female
Other
SIN:
Contact information
Phone (Primary):
Type:
Home
Mobile
Work
Add another phone
Phone:
Type:
Home
Mobile
Work
Add another phone
Email (Primary):
Type:
Personal
Work
Other
Add another email
Email (Primary):
Type:
Personal
Work
Other
Add another email
Language:
English
French
Employment details
Employment start date:
Date you are joining the plan:
Marital status
Marital status:
Single
Married
Common law
Spouse's first name:
Spouse's last name:
Spouse's birthdate:
CONTINUE
