Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	LUISA MAE
Last Name	DIAZ
Place of Birth	SAN CARLOS CITY
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Other Eduction	Units Earner Secondary Education
Current Occupation	MEDICAL TECHNOLOGIST
Occupation in Years	10
Occupation in Months	120
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	N/A
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
Specify Other Language	N/A
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	MICHAEL ANTHONY
Middle Name	ERMINO
Last Name	DIAZ
Birth Date (m/d/y)	26/03/1988
Place of Birth	MANILA, PHILIPPINES
Country of Citizenship	PHILIPPINES
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	PRIMO MIKELLE DIAZ
Date of Birth (mm/dd/yyyy)	11/10/2019
Place of Birth	SAN CARLOS CITY, PANGASINAN
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	Winnepeg
Province	Mannitoba
UPLOAD RESUME	resume-luisa-2023-new.docx
CONTACT DETAILS	CONTACT DETAILS
Address	120 BURGOS ST. SAN CARLOS CITY , PANGASINAN
Contact Number	(092) 964-6289
Email Address	Email hidden; Javascript is required.