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	Cyrus
Middle Name	Caruz
Last Name	Lopez
Place of Birth	Cebu, Coty
Country of Citizenship	Filipino
EDUCATION	Bachelor's Degree
Other Eduction	Automotive Servicing services
Current Occupation	Store Manager
Occupation in Years	10 years
Occupation in Months	120
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
Specify Other Language	local language
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Ann Marjorie
Middle Name	Joyno
Last Name	Lopez
Birth Date (m/d/y)	29/01/1979
Place of Birth	Tagbilaran
Country of Citizenship	Filipino
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Leonard Cyrus Lopez
Date of Birth (mm/dd/yyyy)	09/09/2008
Place of Birth	Jagna, Bohol
2. Name	Bernard Cyrus Lopez
Date of Birth (mm/dd/yyyy)	17/01/2020
Place of Birth	Jagna, Bohol
3. Name	Cyrus Lopez
DO YOU HAVE ANY RELATIVES IN CANADA?	No
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
City/Town	Edmonton
Province	Edmonton
CONTACT DETAILS	CONTACT DETAILS
Address	Consolacion, Cebu
Contact Number	(991) 224-8457
Email Address	Email hidden; Javascript is required.
Fax Number	None