Form view – Canadian Provincial Nominee & Immigration Services

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PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Other
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Lorena
Middle Name	Mercado
Last Name	Valdez
Place of Birth	Manila
Country of Citizenship	Philippines
EDUCATION	College
Other Eduction	Bachelors in Business Administration Major in Management
Current Occupation	Employee
Occupation in Years	3 years
Occupation in Months	4 months
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Buenaventura
Middle Name	Correa
Last Name	Valdez
Birth Date (m/d/y)	14/07/1973
Place of Birth	San Miguel Bulacan
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	2 Year Vocational Course - Computer Technician Farmer
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Beatrice Lorraine Valdez
Date of Birth (mm/dd/yyyy)	30/05/2002
Place of Birth	Manila
2. Name	Basil Loren Valdez
Date of Birth (mm/dd/yyyy)	29/01/2004
Place of Birth	Manila
3. Name	Bianca Loryn Valdez
Date of Birth (mm/dd/yyyy)	22/10/2005
Place of Birth	Cainta Rizal
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	Red Deer
Province	Alberta
CONTACT DETAILS	CONTACT DETAILS
Address	Bldg. 8A-206 MRH Karangalan Vill. Pasig City
Contact Number	(945) 078-2139
Email Address	Email hidden; Javascript is required.
Fax Number	n/a