Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Pepito Jr.
Middle Name	Polonio
Last Name	Manzano
Place of Birth	Santiago, Ilocos Sur
Country of Citizenship	Philippines
EDUCATION	Master's Degree/PhD
Other Eduction	BSE English
Current Occupation	Teaching
Occupation in Years	17
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Excellent
French	Fair
Specify Other Language	Filipino/ Iloko
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Excellent
French	Fair
Specify Other Language	Filipino/ Iloko
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Janice
Middle Name	Alagadan
Last Name	Manzani
Birth Date (m/d/y)	10/19/1983
Place of Birth	Santiago, Ilocos Sur
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Efrayim Von Uldrich
Date of Birth (mm/dd/yyyy)	09/28/2014
Place of Birth	Candon City
2. Name	Pepito Jan Victor Manzano
Date of Birth (mm/dd/yyyy)	01/09/2016
Place of Birth	Candon City
3. Name	Jace Emmanuil Manzano
Date of Birth (mm/dd/yyyy)	07/24/2020
Place of Birth	Candon City
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	PH-ILS
CONTACT DETAILS	CONTACT DETAILS
Address	Nalasin, Santiago, Ilocos Sur
Contact Number	(995) 483-4151
Email Address	Email hidden; Javascript is required.