Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Other
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Efren
Middle Name	Valle
Last Name	Fernandez
Place of Birth	Manila
Country of Citizenship	Philippines
EDUCATION	Secondary/High School
Current Occupation	Duck Worker/Stevedore
Occupation in Years	5 years
Occupation in Months	60 months
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	Tagalog
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
Specify Other Language	Tagalog
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Julie An
Middle Name	Del Pilar
Last Name	Fernandez
Birth Date (m/d/y)	20/01/1992
Place of Birth	Manila
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Heteo Shakur D. Fernandez
Date of Birth (mm/dd/yyyy)	14/10/2009
Place of Birth	Manila
2. Name	Odysseus D. Fernandez
Date of Birth (mm/dd/yyyy)	25/02/2014
Place of Birth	Manila
3. Name	William Wayne D. Fernandez
Date of Birth (mm/dd/yyyy)	19/09/2016
Place of Birth	Manila
DO YOU HAVE ANY RELATIVES IN CANADA?	No
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
CONTACT DETAILS	CONTACT DETAILS
Address	PTGWO Bldg., AWU Compound, Roberto S. Oca St., Brgy.650, Port Area Manila 1018
Contact Number	(995) 544-8709
Email Address	Email hidden; Javascript is required.
Fax Number	(02) 8553 7719