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	Segemil
Middle Name	Salvador
Last Name	Diza
Place of Birth	Batac, Ilocos Norte
Country of Citizenship	Philippines
EDUCATION	College
Current Occupation	Electrical Engineer
Occupation in Years	14
Occupation in Months	8
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Excellent
French	Fair
Specify Other Language	None
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Excellent
French	Fair
Specify Other Language	none
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Khristine Joy
Middle Name	Sangalang
Last Name	Diza
Birth Date (m/d/y)	07/07/1987
Place of Birth	Batac, Ilocos Norte
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Bjorn Angel Diza
Date of Birth (mm/dd/yyyy)	03/08/2012
Place of Birth	Batac City, Ilocos Norte
2. Name	Rich Gavin Marcus Diza
Date of Birth (mm/dd/yyyy)	17/102022
Place of Birth	Batac City, Ilocos Norte
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	Vancouver
Province	British Columbia
UPLOAD RESUME	inbound6376585177949101707.docx
CONTACT DETAILS	CONTACT DETAILS
Address	16 Quiling Norte, City of Batac, Ilocos Norte
Contact Number	(099) 583-7124
Email Address	Email hidden; Javascript is required.