Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	PNP
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Chiara Angela
Middle Name	Clapero
Last Name	Quico
Birth Date (m/d/y)	12/16/1991
Place of Birth	Philippines
Country of Citizenship	Australia
EDUCATION	Master's Degree/PhD
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Angel
Middle Name	Guibao
Last Name	Quico
Birth Date (m/d/y)	10/06/1991
Place of Birth	Philippines
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	Bachelor’s Degree
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Zander Alexis Quico
Date of Birth (mm/dd/yyyy)	12/10/2014
Place of Birth	Philippines
2. Name	Zaine Aleicar Quico
Date of Birth (mm/dd/yyyy)	11/26/2012
Place of Birth	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	Tingalpa
Province	Manitoba
CONTACT DETAILS	CONTACT DETAILS
Address	Queensland, Australia
Contact Number	+61414644349
Email Address	Email hidden; Javascript is required.