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	Archie
Middle Name	Fernandez
Last Name	Dominguez
Place of Birth	Daet camarenes norte
Country of Citizenship	Philippens
EDUCATION	Secondary/High School
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good Fair
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
Specify Other Language	Filipino/English
SPOUSE DETAIL	SPOUSE DETAIL
Title	Ms.
First Name	Rosalla
Middle Name	Betsayda
Last Name	Dominguez
Birth Date (m/d/y)	18/10/1976
Place of Birth	Sto domingo Albay Bicol
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	John Romeo B. Dominguez
Date of Birth (mm/dd/yyyy)	05/11/2006
Place of Birth	Antipolo city
2. Name	Ezekiel B. Dominguez
Date of Birth (mm/dd/yyyy)	12/09/2003
Place of Birth	Antipolo 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	Saskatchewan
Province	Saskatoon
CONTACT DETAILS	CONTACT DETAILS
Address	64 jasmin st. Parugan 3 San jose antipolo city Philippines 1870
Contact Number	(091) 651-7792
Email Address	Email hidden; Javascript is required.