Form view – Canadian Provincial Nominee & Immigration Services

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PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Self Employed
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Roque
Middle Name	Robles
Last Name	Balagtas
Place of Birth	Cabiao Nueva Ecija
Country of Citizenship	Filipino
EDUCATION	Vocational/Trade/Apprenticeship
Current Occupation	Food Service Attendant/Team Leader
Occupation in Years	2009-2022
Occupation in Months	13 yrs.
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	N/A
MARITAL STATUS	Common Law
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
Specify Other Language	N/A
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Riza
Middle Name	Torres
Last Name	Barba
Birth Date (m/d/y)	02/01/1982
Place of Birth	Sta Mesa Manila
Country of Citizenship	Filipino
N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below	1st Year College,work in fast-food like Burger King,Kenny Rogers,Chowking,and work in Taiwan as a production operator for 2 years in a half.
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Anne Queriz B.Balagtas
Date of Birth (mm/dd/yyyy)	15/05/2004
Place of Birth	Talisay Batangas
2. Name	Roxzanne B.Balagtas
Date of Birth (mm/dd/yyyy)	30/07/2013
Place of Birth	Pasig City
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	Manitoba winnipeg
CONTACT DETAILS	CONTACT DETAILS
Address	68 Rosario village Brgy Sta Lucia Pasig City
Contact Number	(096) 646-6322
Email Address	Email hidden; Javascript is required.
Fax Number	N/A