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	Diana Prince Clara
Middle Name	Campos
Last Name	Bautista
Place of Birth	Mangatarem, Pangasinan,
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Other Eduction	Master of Science in Nursing
Current Occupation	Nurse Professor
Occupation in Years	15
Occupation in Months	2
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	Filipino
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
Specify Other Language	Filipino
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Gualberto Jr
Middle Name	Candelario
Last Name	Bautista
Birth Date (m/d/y)	05/06/1984
Place of Birth	Mangtarem, Pangasinan
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Rod Guian Campos Bautista
Date of Birth (mm/dd/yyyy)	17/08/2010
Place of Birth	Dagupan City, Pangasinan, Philippines
2. Name	Dania Faith Campos Bautista
Date of Birth (mm/dd/yyyy)	05/04/2021
Place of Birth	Camiling, Tarlac, Philippines
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	Saskatchewan
Province	Moose Jaw
UPLOAD RESUME	resume.doc
CONTACT DETAILS	CONTACT DETAILS
Address	057 Brgy Torres Bugallon, Mangatarem, Pangasinan
Contact Number	(949) 180-5214
Email Address	Email hidden; Javascript is required.