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	James
Middle Name	Pudol
Last Name	Barzuela
Place of Birth	La Paz, Abra
Country of Citizenship	Filipino
EDUCATION	College
Other Eduction	BS Commerce
Current Occupation	Crane Operator/Drivet
Occupation in Years	6 years
Occupation in Months	170
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good Fair
French	Fair
Specify Other Language	Filipino
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
Specify Other Language	Filipino
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Mylene
Middle Name	Escobar
Last Name	Barzuela
Birth Date (m/d/y)	17/04/1979
Place of Birth	Libis, Quezon City
Country of Citizenship	Filipino
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Jianina Joses Barzuela
Date of Birth (mm/dd/yyyy)	13/06/2005
Place of Birth	Bangued, Abra
2. Name	Johannes James Barzuela
Date of Birth (mm/dd/yyyy)	20/11/2012
Place of Birth	Bangued, Abra
3. Name	Jedrix James Barzuela
Date of Birth (mm/dd/yyyy)	14/10/2016
Place of Birth	Bangued, Abra
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	Toronto
Province	Ontario
CONTACT DETAILS	CONTACT DETAILS
Address	Doha, Qatar
Contact Number	(974) 338-6257
Email Address	Email hidden; Javascript is required.
Fax Number	n/a