Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Other
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Ermin
Middle Name	Tungul
Last Name	Lumba
Place of Birth	San Roque Guagua Pampanga
Country of Citizenship	Guagua Pampanga
EDUCATION	Vocational/Trade/Apprenticeship
Current Occupation	Vendor
Occupation in Years	Merchandiser at Coca Cola/Factory Worker in Taiwan
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
MARITAL STATUS	Single
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
SPOUSE DETAIL	SPOUSE DETAIL
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Ellison Samuel E. Lumba
Date of Birth (mm/dd/yyyy)	July 19,2022
Place of Birth	PMSH
2. Name	Ellis Emmanuel
Date of Birth (mm/dd/yyyy)	July 19,2022
Place of Birth	PMSH
DO YOU HAVE ANY RELATIVES IN CANADA?	No
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
CONTACT DETAILS	CONTACT DETAILS
Address	SAN PABLO GUAGUA PAMPANGA
Contact Number	(947) 387-0510
Email Address	Email hidden; Javascript is required.