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	Jan Angelo
Middle Name	Bingcang
Last Name	Bacucang
Place of Birth	Bacolod City, Negros Occidental Philippines
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Current Occupation	Utilization management nurse
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Florie Mer
Middle Name	Besañes
Last Name	Bacucang
Birth Date (m/d/y)	08/30/1989
Place of Birth	Victorias City, Negros Occidental Philippines
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Hermes Ioannis Bacucang
Date of Birth (mm/dd/yyyy)	05/08/2020
Place of Birth	Taytay, Rizal 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	Regina
Province	Saskatchewan
UPLOAD RESUME	Updated-CV-of-Jan-Angelo-Bacucang.pdf
CONTACT DETAILS	CONTACT DETAILS
Address	Lot 11 Blk 7 Sta Monica St Eroreco Brgy Mandalagan Bacolod City, Negros Occidental Philippines 6100
Contact Number	(956) 309-4911
Email Address	Email hidden; Javascript is required.