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	Mrs.
First Name	Lalaine Mae
Middle Name	Llantos
Last Name	Dejacto
Place of Birth	Bañadero,Ozamis City
Country of Citizenship	Filipino
EDUCATION	Bachelor's Degree
Other Eduction	Certificate lll in Early Childhood Education and Care, Diploma in Community Service, Certificate lll in Individual Support Age Care ,Bachelor of Science in Nursing
Current Occupation	Assistant in Nursing-from September 2019 upto present.
Occupation in Years	Registered Nurse-6years
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Excellent
French	Fair
Specify Other Language	Tagalog and Bisaya
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Excellent
French	Fair
Specify Other Language	Tagalog and Bisaya
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Edrence
Middle Name	Dinglasa
Last Name	Dejacto
Birth Date (m/d/y)	17/02/1991
Place of Birth	Faith Hospital,Ozamis City
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	Bachelor of Science in Nursing Registered Nurse-2years Company Nurse-From 2015 upto present
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Zach Aldrin Llantos Dejacto
Date of Birth (mm/dd/yyyy)	14/07/2015
Place of Birth	Faith Hospital,Ozamis City
2. Name	Yuri Allaine Llantos Dejacto
Date of Birth (mm/dd/yyyy)	13/11/2017
Place of Birth	Faith Hospital,Ozamis 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	Regina
Province	Saskatchewan
UPLOAD RESUME	lalaine-mae-dejacto-resume-registered-nurse.docx
CONTACT DETAILS	CONTACT DETAILS
Address	Unit 2/70 Hilltop Avenue, Chermside 4031, QLD
Contact Number	(043) 411-4938
Email Address	Email hidden; Javascript is required.