Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Other
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Jerry
Middle Name	Tolentino
Last Name	Villanueva
Place of Birth	Mabalacat city hospital
Country of Citizenship	Philippinesl
EDUCATION	Secondary/High School Vocational/Trade/Apprenticeship
Other Eduction	Small engine NC2
Current Occupation	Mechanic
Occupation in Years	8years
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Good
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Maribel
Middle Name	Gregorio
Last Name	Villanueva
Birth Date (m/d/y)	18/05/1995
Place of Birth	Capiz
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Jaymar G. Villanueva
Date of Birth (mm/dd/yyyy)	09/04/2021
Place of Birth	Mabalacat
2. Name	Jaybel G Villanueva
Date of Birth (mm/dd/yyyy)	17/02/23
Place of Birth	Mabalacat
Place of Birth	Mabalacat
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	Mabalacat
Province	Pampanga
CONTACT DETAILS	CONTACT DETAILS
Address	112 Velasquez Ave
Contact Number	(092) 165-7973
Email Address	Email hidden; Javascript is required.