Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Anthony
Middle Name	Valencia
Last Name	Lacerna
Place of Birth	Lipa City Batangas
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Current Occupation	Facility Maintenance
Occupation in Years	8 years and 8 months
Occupation in Months	104 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	Mrs.
First Name	April
Middle Name	Madlangbayan
Last Name	Lacerna
Birth Date (m/d/y)	02/11/1988
Place of Birth	Lipa City Batangas
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	OFW
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Khalil Madlangbayan Lacerna
Date of Birth (mm/dd/yyyy)	12/06/2012
Place of Birth	Lipa City Batangas
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	Manitoba
Province	Winnepeg
CONTACT DETAILS	CONTACT DETAILS
Address	#073 Brgy Inosluban Lipa City Batangas
Contact Number	(098) 168-3384
Email Address	Email hidden; Javascript is required.