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	Mrs.
First Name	Roselyn
Middle Name	Pascua
Last Name	Dela Cruz
Birth Date (m/d/y)	11/21/1992
Place of Birth	Villasis Pangasinan
Country of Citizenship	Philippines
EDUCATION	College
Other Eduction	Bachelor of Science in Nursing
Current Occupation	Registered Nurse
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 and Ilocano
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
Specify Other Language	Tagalog and Ilocano
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Irenio
Middle Name	De Guzman
Last Name	Dela Cruz
Birth Date (m/d/y)	03/14/1990
Place of Birth	Asingan Pangasinan
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	Education: Vocational (NC2 Swine- Slaughter) Working Experience: 5 years as a Butcher
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Wilfred Nathan P. Garcia
Date of Birth (mm/dd/yyyy)	09/28/2013
Place of Birth	Urdaneta City Pangasinan, Philippines
2. Name	Thaddeus Aeron P. Dela Cruz
Date of Birth (mm/dd/yyyy)	02/29/2020
Place of Birth	Urdaneta City Pangasinan, 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	inbound3480336123244170035.pdf
CONTACT DETAILS	CONTACT DETAILS
Address	Tombod Villasis Pangasinan
Contact Number	+63 9660849155
Email Address	Email hidden; Javascript is required.