Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Ellsworth
Middle Name	Cascaño
Last Name	Salamero
Place of Birth	Makati
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
Specify Other Language	N/A
MARITAL STATUS	Widow/Widower
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
Specify Other Language	N/A
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Joan
Middle Name	Maristanes
Last Name	Salamero
Birth Date (m/d/y)	14-10-1977
Place of Birth	Laguna
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Hyacinth M. Salamero
Date of Birth (mm/dd/yyyy)	31-01-2016
Place of Birth	Sta. Rosa Laguna
2. Name	Elijah Seth M. Salamero
Date of Birth (mm/dd/yyyy)	23-05-2017
Place of Birth	Muntinglupa
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	Blk5 Lot2 Sicily St. Villaggio di Xavier Primacasa 1 Biñan
Contact Number	(927) 448-9999
Email Address	Email hidden; Javascript is required.