Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Other
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Pedro Alphlix
Middle Name	Manaog
Last Name	Raynera
Place of Birth	iriga city
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Other Eduction	none
Current Occupation	seaman
Occupation in Years	27yrs
Occupation in Months	324 mnths
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
Specify Other Language	none
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Fair
Specify Other Language	none
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Jean
Middle Name	Tanay
Last Name	Raynera
Birth Date (m/d/y)	10/06/1971
Place of Birth	Naga City
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	alphlix jead raynera
Date of Birth (mm/dd/yyyy)	14/09/2000
Place of Birth	naga city
2. Name	althea shanylle raynera
Date of Birth (mm/dd/yyyy)	11/10/2001
Place of Birth	naga city
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	Montreal
UPLOAD RESUME
CONTACT DETAILS	CONTACT DETAILS
Address	b4 l24 r.felipe st. ramaida subd. concepcion grande naga city
Contact Number	(966) 211-1760
Email Address	Email hidden; Javascript is required.
Fax Number	none