Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	PNP
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Segemil
Middle Name	Salvador
Last Name	Diza
Place of Birth	Batac, Ilocos Norte, Philippines
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Current Occupation	Electrical Engineer/ Electrician
Occupation in Years	15
Occupation in Months	180
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	Mrs.
First Name	Khristine Joy
Middle Name	Sangalang
Last Name	Diza
Birth Date (m/d/y)	07/07/1987
Place of Birth	Batac, Ilocos Norte, Philippines
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Bjorn Angel S. Diza
Date of Birth (mm/dd/yyyy)	03/08/2012
Place of Birth	Batac, Ilocos Norte, Philippines
2. Name	Rich Gavin Marcus S. Diza
Date of Birth (mm/dd/yyyy)	17/10/2022
Place of Birth	Batac, Ilocos Nortr, Philippines
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
Province	British
UPLOAD RESUME	inbound1780647580984600207.pdf
CONTACT DETAILS	CONTACT DETAILS
Address	33 Nagbacalan, Batac City, Ilocos Norte, Philippines
Contact Number	(906) 847-9013
Email Address	Email hidden; Javascript is required.