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	Paul Lorenzo
Middle Name	Asuncion
Last Name	Dia
Place of Birth	Sta. Rosa City, Laguna
Country of Citizenship	Philippines
EDUCATION	College
Current Occupation	Insurance Admin
Occupation in Years	5
Occupation in Months	5
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Excellent
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	April Joy
Middle Name	Padrique
Last Name	Dia
Birth Date (m/d/y)	12/04/1985
Place of Birth	Iba, Zambales
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Ethan Lorenzo Dia lll
Date of Birth (mm/dd/yyyy)	26/01/2009
Place of Birth	Sta. Rosa Laguna
2. Name	Quinn-Chelsea Summer Dia
Date of Birth (mm/dd/yyyy)	29/03/2011
Place of Birth	Sta. Rosa Laguna
3. Name	Luke Yeshua Dia
Date of Birth (mm/dd/yyyy)	07/11/2015
Place of Birth	Sta. Rosa
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	Edmonton
Province	Alberta
UPLOAD RESUME	Paul-Resume-Complete.docx
CONTACT DETAILS	CONTACT DETAILS
Address	Blk 5 Lot 16 Phase 1E San Lorenzo South, Malitlit, Sta. Rosa Laguna 4026
Contact Number	(094) 622-0434
Email Address	Email hidden; Javascript is required.