Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	PNP
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Daniel
Middle Name	Fabian
Last Name	López
Place of Birth	Buenavista de Cuellar, Guerrero
Country of Citizenship	México
EDUCATION	Bachelor's Degree
Current Occupation	Electrical energy transmission engineer
Occupation in Years	12
Occupation in Months	4
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Fair
French	Fair
Specify Other Language	spanish
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Fair
Specify Other Language	spanish
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Katie
Last Name	Cruz
Birth Date (m/d/y)	21/05/1991
Place of Birth	Buenavista de Cuellar, Guerrero
Country of Citizenship	México
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Xiadany López
Date of Birth (mm/dd/yyyy)	06/12/2008
Place of Birth	Taxco, Guerrero, México
2. Name	Maximiliano López
Date of Birth (mm/dd/yyyy)	07/11/2010
Place of Birth	Taxco, Guerrero, México
3. Name	Daniela López
Date of Birth (mm/dd/yyyy)	14/04/2012
Place of Birth	Buenavista de Cuellar, Guerrero, México
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	Regina
Province	saskatchewan
UPLOAD RESUME	curriculum-vitae-english.pdf
CONTACT DETAILS	CONTACT DETAILS
Address	Calle del Hospital 46
Contact Number	(727) 100-8753
Email Address	Email hidden; Javascript is required.