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	Ms.
First Name	Genelyn
Middle Name	Cabacungan
Last Name	Bermudez
Place of Birth	Aliaga
Country of Citizenship	Philippines
EDUCATION	College
Other Eduction	None
Current Occupation	Nurse
Occupation in Years	11
Occupation in Months	132months
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Excellent
French	Fair
Specify Other Language	Arabic
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
Specify Other Language	Arabic
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Mark Anthony
Middle Name	Parungao
Last Name	Bermudez
Birth Date (m/d/y)	07/01/1984
Place of Birth	Cabanatuan City
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	Registered Nurse. Worked as admininistrator at lone of the largest oil companies in the Middle East
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Hailey Ann C Bermudez
Date of Birth (mm/dd/yyyy)	07/01/2013
Place of Birth	Cabanatuan City
2. Name	Hilary Anne Bermudez
Date of Birth (mm/dd/yyyy)	10/11/2014
Place of Birth	Cabanatuan City
3. Name	Genelyn C Bermudez
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	Manitoba
Province	Britis columbia
CONTACT DETAILS	CONTACT DETAILS
Address	#30 Shortcut St Valdefuente Cabanatuan City Nueva Ecija Philippines
Contact Number	(950) 036-8165
Email Address	Email hidden; Javascript is required.