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	Mr.
First Name	Nomer
Middle Name	Nomer
Last Name	Rosario
Place of Birth	San Carlos City Pangasinan
Country of Citizenship	Philippines
EDUCATION	College
Other Eduction	Medicine
Current Occupation	Resident Physician
Occupation in Years	6years
Occupation in Months	72
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	Filipino
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
Specify Other Language	Filipino
SPOUSE DETAIL	SPOUSE DETAIL
Title	Ms.
First Name	Marjorie
Middle Name	Marjorie
Last Name	Rosario
Birth Date (m/d/y)	November 28, 1992
Place of Birth	SAN CARLOS CITY PANGASINAN
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	Registered Midwife for 9 years Staff Midwife for 3 years Community Midwife for 5 years
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	LYANNA RHAENYS M. Rosario
Date of Birth (mm/dd/yyyy)	June 04, 2017
Place of Birth	San Carlos City Pangasinan
2. Name	Luzzia Rhaenyra M. Rosario
Date of Birth (mm/dd/yyyy)	August 4, 2021
Place of Birth	San Carlos City Pangasinan
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	Anywhere
Province	Anywhere
UPLOAD RESUME	inbound867812518151804378.docx
CONTACT DETAILS	CONTACT DETAILS
Address	San Carlos City Pangasinan
Contact Number	(091) 961-4024
Email Address	Email hidden; Javascript is required.
Fax Number	N/A