Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Self Employed
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Elwin
Middle Name	Zantua
Last Name	Pelleja
Place of Birth	Camarines Norte
Country of Citizenship	Philippines
EDUCATION	Secondary/High School
Current Occupation	Driver
Occupation in Years	5 years
Occupation in Months	Driver
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Good
Specify Other Language	Tagalog,bicol
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Excellent
French	Good
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Carlyn
Middle Name	Asutilla
Last Name	Pelleja
Birth Date (m/d/y)	08/06/85
Place of Birth	Camarines Norte
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	College graduate,she is now employed as office staff
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Zekiah
Date of Birth (mm/dd/yyyy)	16/12/2009
Place of Birth	Camarines Norte
2. Name	Edzhekiel
Date of Birth (mm/dd/yyyy)	11/14/2011
Place of Birth	Camarines Norte
3. Name	Hanz paolo
Date of Birth (mm/dd/yyyy)	23/09/2012
Place of Birth	Camarines Norte
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	Anywhere
Province	Anywhere
CONTACT DETAILS	CONTACT DETAILS
Address	Las pinas,metro Manila
Contact Number	(963) 238-8293
Email Address	Email hidden; Javascript is required.
Fax Number	None