Form view – Canadian Provincial Nominee & Immigration Services

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PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Rae Christian
Middle Name	Corpuz
Last Name	Bergonia
Place of Birth	La trinidad Benguet
Country of Citizenship	Philippines
EDUCATION	Vocational/Trade/Apprenticeship College
Other Eduction	2nd year under graduate
Current Occupation	Housekeeping
Occupation in Years	1
Occupation in Months	4
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
Specify Other Language	N/A
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
Specify Other Language	N/A
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Niña Mae
Middle Name	Gozun
Last Name	Bergonia
Birth Date (m/d/y)	21/01/199]
Place of Birth	Naguilian, La Union
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	Highest Education, College Undergraduate with BS Mass Communication. Current Job, Barabgay Treasurer from year 2017 to present.
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Rion Xianirae Gozun Bergonia
Date of Birth (mm/dd/yyyy)	07/11/2008
Place of Birth	Baguo city
2. Name	Reeze Nian Atashca Gozun Bergonia
Date of Birth (mm/dd/yyyy)	12/04/2010
Place of Birth	Baguio City
3. Name	Rae Caris Fozun Bergonia
Date of Birth (mm/dd/yyyy)	20/07/2020
Place of Birth	La Trinidad, Benguet
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	Saskatoon
Province	Saskatchewan
UPLOAD RESUME	inbound652795327893972273.docx
CONTACT DETAILS	CONTACT DETAILS
Address	1695 km. 4 Asin Road Baguio City, Philippines
Contact Number	(919) 714-7405
Email Address	Email hidden; Javascript is required.