Form view – Canadian Provincial Nominee & Immigration Services

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PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Other
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Ms.
First Name	Liezel
Middle Name	Valenzuela
Last Name	Quilas
Place of Birth	Labo Camarines Norte
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Other Eduction	Bachelor of Science in Business Administration
Current Occupation	Customer Service Supervisor
Occupation in Years	20 yrs
Occupation in Months	8 months
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	Anthony
Middle Name	Dasco
Last Name	Quilas
Birth Date (m/d/y)	18/07/1979
Place of Birth	Labo Camarines Norte
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	He's currently working as Heavy Equipment Operator.
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Annika Lizzy Quilas
Date of Birth (mm/dd/yyyy)	14/06/2006
Place of Birth	Pasig City, Philippines
2. Name	Nico Anton Quilas
Date of Birth (mm/dd/yyyy)	24/05/2008
Place of Birth	Pasig City, Philippines
3. Name	Lenzy Anne Quilas
Date of Birth (mm/dd/yyyy)	05/09/2009
Place of Birth	Pasig City, 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	Alberta
CONTACT DETAILS	CONTACT DETAILS
Address	Blk 19 Lot 4 Villa Cuana Brgy Pinagbuhatan Pasig City, Philippines
Contact Number	(998) 599-9746
Email Address	Email hidden; Javascript is required.