Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Arnold
Middle Name	Gazmin
Last Name	Fukuda
Place of Birth	Lumban Laguna Philippines
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	N/A
MARITAL STATUS	Common Law
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
Specify Other Language	N/A
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Jennylyn
Middle Name	Galleta
Last Name	Inson
Birth Date (m/d/y)	29/08/1990
Place of Birth	Cavite Philippines
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Keiji Fukuda
Date of Birth (mm/dd/yyyy)	07/08/2019
Place of Birth	Hagonoy bulacan Philippines
2. Name	Kairi Fukuda
Date of Birth (mm/dd/yyyy)	04/08/2021
Place of Birth	Lumban Laguna Philippines
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	Regina
Province	Saskatchewan
UPLOAD RESUME	Fukuda-resume-1.docx
CONTACT DETAILS	CONTACT DETAILS
Address	301 General luna street barangay wawa Lumban Laguna
Contact Number	(915) 389-8409
Email Address	Email hidden; Javascript is required.