Form view – Canadian Provincial Nominee & Immigration Services

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PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Ms.
First Name	DIANA
Middle Name	FLORES
Last Name	DUNGO
Place of Birth	San Fernando City, La Union
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Current Occupation	Call Center Agent
Occupation in Years	3
Occupation in Months	37
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
MARITAL STATUS	Common Law
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Excellent
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	BESTARR
Middle Name	MARTINEZ
Last Name	FLORES
Birth Date (m/d/y)	13/07/1989
Place of Birth	SAN FERNANDO CITY, LA UNIOn
Country of Citizenship	Philippines
N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below	Spouce is a registered Nurse and currently workinh as a Clinical Admin. Nurse.
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	DIARA STARR D. FLORES
Date of Birth (mm/dd/yyyy)	17/09/2013
Place of Birth	LORMA MEDICAL CENTER, LA UNION
2. Name	DEACON ZAYN D. FLORES
Date of Birth (mm/dd/yyyy)	22/08/2015
Place of Birth	LORMA MEDICAL CENTER, LA UNION
3. Name	DEAUNDRE KACE D. FLORES
Date of Birth (mm/dd/yyyy)	08/01/2018
Place of Birth	LORMA MEDICAL CENTER, LA UNION
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	Vancouver
CONTACT DETAILS	CONTACT DETAILS
Address	#39 Zone 2 Canaoay, City of San Fernando, La Uniom
Contact Number	(917) 481-9134
Email Address	Email hidden; Javascript is required.