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	Edison
Middle Name	Poquita
Last Name	Selpo
Place of Birth	Calabanga Philippines
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Other Eduction	NA
Current Occupation	BPO Sales Representative
Occupation in Years	1
Occupation in Months	15
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Excellent
French	Fair
MARITAL STATUS	Common Law
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Excellent
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Ms.
First Name	Caroline
Middle Name	Tangonan
Last Name	Lorenzo
Birth Date (m/d/y)	29/10/1991
Place of Birth	Reggio Calabria Italy
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Cyd Selpo
Date of Birth (mm/dd/yyyy)	02/04/2023
Place of Birth	Pasig City Philippines
2. Name	NA
Date of Birth (mm/dd/yyyy)	NA
Place of Birth	NA
3. Name	NA
Date of Birth (mm/dd/yyyy)	NA
Place of Birth	NA
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	NA
Province	NA
CONTACT DETAILS	CONTACT DETAILS
Address	Unit 414C One Oasis Ortigas Avenue Extension Sta Lucia Pasig City 1608
Contact Number	(916) 609-3088
Email Address	Email hidden; Javascript is required.
Fax Number	NA