Form view – Canadian Provincial Nominee & Immigration Services

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PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	PNP
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Frederick
Middle Name	Roques
Last Name	Dominguez
Place of Birth	Sta. Maria
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Other Eduction	N/A
Current Occupation	QA and EHS Engineer
Occupation in Years	21
Occupation in Months	9
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	Very Good
French	Fair
Specify Other Language	N/A
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Rosalie
Middle Name	Ang
Last Name	Dominguez
Birth Date (m/d/y)	27081974
Place of Birth	Manila
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	Bachelor's degree/ graduate in hotel and restaurant management.
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Enrico Miguel A. Dominguez
Date of Birth (mm/dd/yyyy)	03112000
Place of Birth	Manila
2. Name	Althea Miel A. Dominguez
Date of Birth (mm/dd/yyyy)	06082006
Place of Birth	Manila
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	Winnipeg
Province	Manitoba
UPLOAD RESUME	CV-of-Frederick-Dominguez-2.pdf
CONTACT DETAILS	CONTACT DETAILS
Address	#41 Lanzones St. Violeta Village, Sta. Cruz, Guiguinto, Bulacan, Philippines 3015
Contact Number	(639) 494-8990
Email Address	Email hidden; Javascript is required.
Fax Number	N/A