Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Student
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Manuel
Middle Name	Velardo
Last Name	II Lagarde
Place of Birth	Cebu City
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Other Eduction	Bachelor of Science in Nursing
Current Occupation	Seafarer
Occupation in Years	6 years
Occupation in Months	70 months
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	Filipino
MARITAL STATUS	Divorced/Separated
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Fair
Specify Other Language	Filipino
SPOUSE DETAIL	SPOUSE DETAIL
Title	Ms.
First Name	NA
Middle Name	NA
Last Name	NA
Birth Date (m/d/y)	NA
Place of Birth	NA
Country of Citizenship	NA
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Dirk Zayed A. Lagarde
Date of Birth (mm/dd/yyyy)	14/02/2012
Place of Birth	Quezon City
2. Name	Lily Suzanne A. Lagarde
Date of Birth (mm/dd/yyyy)	25/02/2018
Place of Birth	Quezon City
3. Name	Camillo Zion A. Lagarde
Date of Birth (mm/dd/yyyy)	02/07/2019
Place of Birth	Quezon 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	Calgary
Province	NA
CONTACT DETAILS	CONTACT DETAILS
Address	Block 6 Lot 45 Espina Street Barangay 177 Camarin Caloocan City
Contact Number	(095) 696-0292
Email Address	Email hidden; Javascript is required.