Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Charles
Middle Name	Nyangena
Last Name	Kengura
Place of Birth	Kisii central
Country of Citizenship	Kenya
EDUCATION	College
Other Eduction	Diploma in social work
Current Occupation	Resident counselor
Occupation in Years	5 years
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	Only English or kiswahili
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
Specify Other Language	Only English or kiswahili
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Cynthia
Middle Name	Atieno
Last Name	Ombaka
Birth Date (m/d/y)	15/06/1981
Place of Birth	Kisumu
Country of Citizenship	Kenya
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	N/A
Date of Birth (mm/dd/yyyy)	N/A
Place of Birth	N/A
2. Name	N/A
Date of Birth (mm/dd/yyyy)	N/A
Place of Birth	N/A
3. Name	N/A
Date of Birth (mm/dd/yyyy)	N/A
Place of Birth	N/A
DO YOU HAVE ANY RELATIVES IN CANADA?	No
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
City/Town	Toronto
Province	Ontario
CONTACT DETAILS	CONTACT DETAILS
Address	charleskengura@yahoo.com
Contact Number	(071) 522-4100
Email Address	Email hidden; Javascript is required.
Fax Number	N/A