Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	PNP
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Ms.
First Name	Elena
Middle Name	Monena
Last Name	Blas
Place of Birth	Manila
Country of Citizenship	Philippines
EDUCATION	College
Other Eduction	Vocational/Trade
Current Occupation	Senior Companion/Housekeeper
Occupation in Years	1 yr.
Occupation in Months	1 mo.
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	Arabic, Tagalog
MARITAL STATUS	Single
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
SPOUSE DETAIL	SPOUSE DETAIL
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	N/A
Date of Birth (mm/dd/yyyy)	N/A
Place of Birth	N/A
2. Name	N/A
Date of Birth (mm/dd/yyyy)	N/A
Place of Birth	N/A
3. Name	Elena Blas
Date of Birth (mm/dd/yyyy)	N/A
Place of Birth	N/A
DO YOU HAVE ANY RELATIVES IN CANADA?	Yes
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
City/Town	Nanaimo
Province	British Columbia
CONTACT DETAILS	CONTACT DETAILS
Address	5494 CCF St. SNKI-AGSPE CAMARIN CALOOCAN CITY PHILIPPINES
Contact Number	(995) 071-1159
Email Address	Email hidden; Javascript is required.
Fax Number	NONE