Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Other
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Geraldine
Middle Name	Villanueva
Last Name	De chavez
Place of Birth	San Pablo City Laguna
Country of Citizenship	Philippines
EDUCATION	College
Current Occupation	Inspector
Occupation in Years	13 years to present
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Randy
Middle Name	Enriquez
Last Name	De Chavez
Birth Date (m/d/y)	07/05/1985
Place of Birth	San Pablo City, Laguna
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	College Graduate and work experience,
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Alexa Mae De Chavez
Date of Birth (mm/dd/yyyy)	11/05/2014
Place of Birth	San Pablo City, Laguna
2. Name	Agatha Reign De Chavez
Date of Birth (mm/dd/yyyy)	03/12/2019
Place of Birth	San Pablo City, Laguna
DO YOU HAVE ANY RELATIVES IN CANADA?	No
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
UPLOAD RESUME	ghed-res.doc
CONTACT DETAILS	CONTACT DETAILS
Address	1568 Block 7 Lot 27 Villa Santa Monica, Barangay Santa Monica, San Pablo City, Laguna
Contact Number	(916) 467-0669
Email Address	Email hidden; Javascript is required.