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	jansen
Middle Name	mejias
Last Name	polintan
Place of Birth	San Juan city
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Other Eduction	Certified International General Certificate in Occupational Health & Safety
Current Occupation	Biomedical Engineer / Safety Officer
Occupation in Years	15
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	Filipino
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Excellent
French	Fair
Specify Other Language	filipino
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	vanessa
Middle Name	ingua
Last Name	polintan
Birth Date (m/d/y)	07/04/1982
Place of Birth	San Juan City
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	BS Marketing
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Jan Nathaniel
Date of Birth (mm/dd/yyyy)	01/06/2006
Place of Birth	Quezon City
2. Name	Jan Mishael
Date of Birth (mm/dd/yyyy)	07/12/2008
Place of Birth	Quezon City
3. Name	Jan Gabriel
Date of Birth (mm/dd/yyyy)	18/02/2012
Place of Birth	CITY OF PaCALAMBA
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	CITY OF CALAMBA
Province	LAGUNA
UPLOAD RESUME	Polintan-CV.pdf
CONTACT DETAILS	CONTACT DETAILS
Address	Block 15 Lot 85 Phase 2A Santol Street, Majada In, Canlubang
Contact Number	(968) 986-8460
Email Address	Email hidden; Javascript is required.
Fax Number	NA