Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Minerva
Middle Name	Canete
Last Name	Romero
Place of Birth	Tacloban City
Country of Citizenship	Philippines
EDUCATION	Others (specify)
Other Eduction	Doctor of Medicine
Current Occupation	Physician
Occupation in Years	15
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Excellent
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Excellent
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Houdini
Middle Name	Edaño
Last Name	Romero
Birth Date (m/d/y)	09/24/1980
Place of Birth	Bacolod City
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Aurelius Gabriel C. Romero
Date of Birth (mm/dd/yyyy)	03/24/2010
Place of Birth	Tacloban City
2. Name	Amytiel Tiara C. Romeroo
Date of Birth (mm/dd/yyyy)	11/11/2011
Place of Birth	Tacloban City
3. Name	Amirah Michael C. Romero
Date of Birth (mm/dd/yyyy)	12/18/2015
Place of Birth	Bacolod 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	Vancouver
CONTACT DETAILS	CONTACT DETAILS
Address	B12 L30 East Homes 6 Brgy Mansilingan
Contact Number	(034) 467-2710
Email Address	Email hidden; Javascript is required.