Form view – Canadian Provincial Nominee & Immigration Services

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PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Other
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Palanivel
Last Name	Jothikumar
Place of Birth	Pottuvil Sri Lanka
Country of Citizenship	Sri Lanka
EDUCATION	Secondary/High School Vocational/Trade/Apprenticeship College
Current Occupation	Senior Project Officer
Occupation in Years	22
Occupation in Months	8
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Excellent
French	Fair
Specify Other Language	Tamil and Sinhala
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
Specify Other Language	Tamil
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Vaithilingam
Last Name	Logini
Birth Date (m/d/y)	19/08/1984
Place of Birth	Kalmunai Sri Lanka
Country of Citizenship	Sri Lanka
N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below	12 years experienced in Public Health Midwife focused on public health, family planning and well women clinic service among her eligible families and elderly people to provide the necessary care service and counseling. vaccination of infant Children and pregnant mothers. Highly qualified well established in anti-natal care and post-natal care community health.
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	J.Hanishka
Date of Birth (mm/dd/yyyy)	15/06/2010
Place of Birth	Kalmunai Sri Lanka
2. Name	J.Shabarnika
Date of Birth (mm/dd/yyyy)	25/01/2015
Place of Birth	Kalmunai Sri Lanka
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	Avalon
Province	Saskatchewan
UPLOAD RESUME	Jothikumar-CV-C.docx
CONTACT DETAILS	CONTACT DETAILS
Address	185 A Thirumal Muha Road , Karaithivu 07 , EP , Sri Lanka
Contact Number	(077) 347-0905
Email Address	Email hidden; Javascript is required.