Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Mercy Grace
Middle Name	Beronilla
Last Name	Uraga
Place of Birth	Tacloban City
Country of Citizenship	Philippines
EDUCATION	Master's Degree/PhD
Current Occupation	Staff Nurse II
Occupation in Years	13
Occupation in Months	164
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	Rynald Edwin
Middle Name	Adolfo
Last Name	Uraga
Birth Date (m/d/y)	22/01/1978
Place of Birth	Abuyog 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	B.S.MT graduate, Seafarer
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Kyra Ashriel B. Uraga
Date of Birth (mm/dd/yyyy)	26/04/2015
Place of Birth	Tacloban City
2. Name	Josef Gabriel B. Uraga
Date of Birth (mm/dd/yyyy)	19/10/2016
Place of Birth	Tacloban 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	Edmonton
Province	Alberta
CONTACT DETAILS	CONTACT DETAILS
Address	Blk. 5 Lot 2 BERISO I, Brgy. 95 CAIBAAN TACLOBAN City
Contact Number	(927) 475-5036
Email Address	Email hidden; Javascript is required.