Form view – Canadian Provincial Nominee & Immigration Services

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PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Jennifer
Middle Name	Rapada
Last Name	Lazaro
Place of Birth	Naguilian, La Union
Country of Citizenship	Philippines
EDUCATION	Master's Degree/PhD
Other Eduction	N/A
Current Occupation	High School Teacher
Occupation in Years	6 years
Occupation in Months	High School Teacher
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
Specify Other Language	Filipino
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
Specify Other Language	Filipino
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Esteward
Middle Name	Aton
Last Name	Lazaro
Birth Date (m/d/y)	09/24/1980
Place of Birth	Maripipi, Leyte
Country of Citizenship	Philippines
N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below	Ex OFW
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	John Esteven R. Lazaro
Date of Birth (mm/dd/yyyy)	07/05/2013
Place of Birth	City of San Fernando, La Union
2. Name	Don Crieg R. Lazaro
Date of Birth (mm/dd/yyyy)	10/27/2017
Place of Birth	City of San Fernando, La Union
3. Name	N/A
Date of Birth (mm/dd/yyyy)	N/A
Place of Birth	N/A
DO YOU HAVE ANY RELATIVES IN CANADA?	No
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
City/Town	Ontario
Province	Saskacheewan
CONTACT DETAILS	CONTACT DETAILS
Address	Baraoas Norte, Naguilian, La Union
Contact Number	(956) 845-9347
Email Address	Email hidden; Javascript is required.
Fax Number	None