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	Mark Anthony
Middle Name	Salac
Last Name	Lozano
Place of Birth	Pampanga, Philippines
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Current Occupation	Manufacturing operations manager
Occupation in Years	3
Occupation in Months	18
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Excellent
French	Fair
Specify Other Language	Filipino
MARITAL STATUS	Common Law
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Excellent
French	Fair
Specify Other Language	Filipino
SPOUSE DETAIL	SPOUSE DETAIL
Title	Ms.
First Name	Roda
Middle Name	Padilla
Last Name	Genetiano
Birth Date (m/d/y)	08/11/1988
Place of Birth	La Union, Philippines
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Ian Andre G. Lozano
Date of Birth (mm/dd/yyyy)	12/02/2009
Place of Birth	Pampanga, Philippines
2. Name	Jzykeiah Zoei G. Lozano
Date of Birth (mm/dd/yyyy)	03/09/2017
Place of Birth	Pampanga, 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	Red Deer
Province	Alberta
UPLOAD RESUME	Mark-Anthony-Lozano-Resume.pdf
CONTACT DETAILS	CONTACT DETAILS
Address	Block 15 Lot 40 Ethel Street, Xevera Subdivision, Tabun, Mabalacat City, Pampanga, Philippines
Contact Number	(921) 362-7585
Email Address	Email hidden; Javascript is required.