Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Charimae
Middle Name	Samson
Last Name	Roma
Place of Birth	Dumaguete City
Country of Citizenship	Philippines
EDUCATION	College
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Michael
Middle Name	Paraguya
Last Name	Roma
Birth Date (m/d/y)	29/09/1983
Place of Birth	Cebu
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Juanne Simoune S. Roma
Date of Birth (mm/dd/yyyy)	24/06/2005
Place of Birth	Dumaguete City
2. Name	Micha Zion S. Roma
Date of Birth (mm/dd/yyyy)	29/06/2005
Place of Birth	Cebu City
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	Toronto
Province	Ontario
CONTACT DETAILS	CONTACT DETAILS
Address	C. Espina St., Taclobo, Dumaguete City Philippines 6200
Contact Number	(999) 912-3770
Email Address	Email hidden; Javascript is required.