Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	JANET
Middle Name	Janet Bautista
Last Name	Bautista
Place of Birth	San Juan La Union
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	Tagalog
MARITAL STATUS	Divorced/Separated
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Joel
Middle Name	Janet Bautista
Last Name	Bautista
Birth Date (m/d/y)	04/09/1983
Place of Birth	Pangasinan
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Janelle Bien G. Bautista
Date of Birth (mm/dd/yyyy)	06/12/2007
Place of Birth	San Juan La Union
2. Name	Joelle Liam Bautista
Date of Birth (mm/dd/yyyy)	08/24/2014
Place of Birth	Pangasinan
3. Name	Jylian Zybelle Bautista
Date of Birth (mm/dd/yyyy)	07/14/2019
Place of Birth	Pangasinan
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	Regina
Province	Saskatchewan
CONTACT DETAILS	CONTACT DETAILS
Address	Bantog, San Quintin, Pangasinan
Contact Number	(915) 451-2100
Email Address	Email hidden; Javascript is required.