Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Student
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Dioane
Middle Name	Peñoso
Last Name	Lagare
Place of Birth	Makati, Metro Manila
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Occupation in Years	Admin Staff at Koop King MPC
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Fair
French	Fair
Specify Other Language	N/A
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Ben Jhon
Middle Name	Bibal
Last Name	Lagare
Birth Date (m/d/y)	30/03/1985
Place of Birth	Labason, Zambanga del 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	N/A
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Braeden Joh P. Lagare
Date of Birth (mm/dd/yyyy)	27/09/2012
Place of Birth	CJVAB, Pasay City
2. Name	Diara Celestine P. Lagare
Date of Birth (mm/dd/yyyy)	19/12/2014
Place of Birth	Pampanga
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	Ontario
Province	Toronto
UPLOAD RESUME	resume.docx
CONTACT DETAILS	CONTACT DETAILS
Address	Blk 4 Lot 15 Phase I-A Brgy. Acacia, Bulihan, SIlang, Cavite
Email Address	Email hidden; Javascript is required.