Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Glena
Middle Name	Pulon
Last Name	Palmito
Place of Birth	La Trinidad Bemguet
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Current Occupation	Nurse
Occupation in Years	13 years
Occupation in Months	1 month
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	Very Good
French	Fair
Specify Other Language	Filipino
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Jefferson
Middle Name	Bay-an
Last Name	Palmito
Birth Date (m/d/y)	02/11/1988
Place of Birth	La Trinidad Benguet
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Jeff Alexander Palmito
Date of Birth (mm/dd/yyyy)	08/20/2012
Place of Birth	Baguio City
2. Name	Gaia Hyacinth Palmito
Date of Birth (mm/dd/yyyy)	01/12/2018
Place of Birth	Baguio City
3. Name	Cataleya Gem Palmito
Date of Birth (mm/dd/yyyy)	08/14/2021
Place of Birth	Baguio City
DO YOU HAVE ANY RELATIVES IN CANADA?	No
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
City/Town	Regina
Province	Saskatchewan
CONTACT DETAILS	CONTACT DETAILS
Address	JD 281 Bayabas Pico La Trinidad Benguet
Contact Number	(921) 789-1397
Email Address	Email hidden; Javascript is required.