Form view – Canadian Provincial Nominee & Immigration Services

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PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Rey
Middle Name	Juarez
Last Name	Mira
Place of Birth	Tungao Butuan City
Country of Citizenship	Phillipines
EDUCATION	Secondary/High School
Other Eduction	Computer technology
Current Occupation	Welder fabricator
Occupation in Years	8 years
Occupation in Months	96 months
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
Specify Other Language	Arabic, English
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
Specify Other Language	Arabic
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Mercy
Middle Name	Lucanas
Last Name	Mira
Birth Date (m/d/y)	07-09-1980
Place of Birth	Mercedes Poro Cebj
Country of Citizenship	Phillipines
N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below	My wife is working as production worker in cebu. She is a sewer in FCO company in mepza 3 in Lapu Cebu City. And she graduate in high at Poro Camotes Cebu.
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Kayesheill L. Mira
Date of Birth (mm/dd/yyyy)	23-10-2001
Place of Birth	Lapu2 Cebu City
2. Name	Brian Rey L. Mira
Date of Birth (mm/dd/yyyy)	05-05-2004
Place of Birth	Poro Cebu
3. Name	Harvey L Mira
Date of Birth (mm/dd/yyyy)	26-01-2007
Place of Birth	Lapu2 Cebu City
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	Sackatkwan
Province	Vancouver Canada
CONTACT DETAILS	CONTACT DETAILS
Address	Cebu Phillipines
Contact Number	(058) 273-4369
Email Address	Email hidden; Javascript is required.
Fax Number	Fax 013 356 0075