Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Other
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Sherryle
Middle Name	Opeña
Last Name	Peralta
Place of Birth	Bangar,La Union
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Other Eduction	Certificate in Teaching
Current Occupation	None
Occupation in Years	Machine Operator
Occupation in Months	Customer Service Representative
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Marlon
Middle Name	Corpuz
Last Name	Peralta
Birth Date (m/d/y)	30/03/1976
Place of Birth	San Fernando City,La Union
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Sean Lex Nicolo Peralta
Date of Birth (mm/dd/yyyy)	30/06/2009
Place of Birth	San Fernando City La Union
2. Name	Lexie Maricris Peralta
Date of Birth (mm/dd/yyyy)	22/09/2012
Place of Birth	San Fernando City,La Union
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	Ottawa
Province	Ontario
CONTACT DETAILS	CONTACT DETAILS
Address	Purok 5, Bangcusay City of San Fernando La Union
Contact Number	(906) 476-0356
Email Address	Email hidden; Javascript is required.
Fax Number	None