Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Rose-An
Middle Name	Verzosa
Last Name	Mascarenhas
Place of Birth	Manila
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Other Eduction	Computer Engineering
Current Occupation	Casino Dealer
Occupation in Years	10
Occupation in Months	120
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Excellent
French	Fair
Specify Other Language	Tagalog
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Excellent
French	Fair
Specify Other Language	Hindi, Konkani
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Fermino
Last Name	Mascarenhas
Birth Date (m/d/y)	11/10/1984
Place of Birth	Goa
Country of Citizenship	India
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Xavier Fersean Fjord Mascarenhas
Date of Birth (mm/dd/yyyy)	20/01/2019
Place of Birth	Manila
2. Name	Xamuel Ridge Mascarenhas
Date of Birth (mm/dd/yyyy)	21/11/2022
Place of Birth	Manila
DO YOU HAVE ANY RELATIVES IN CANADA?	No
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
Province	New Brunswick
UPLOAD RESUME	inbound34058827422462490.pdf
CONTACT DETAILS	CONTACT DETAILS
Address	718 B. MINDORO ST SAMPALOC MANILA PHILIPPINES
Contact Number	(919) 317-0087
Email Address	Email hidden; Javascript is required.