Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Benjie
Middle Name	De Guzman
Last Name	Cruzat
Birth Date (m/d/y)	03/21/1976
Place of Birth	Philippines
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Current Occupation	Nursing Attendant
Occupation in Years	Physiotherapist Technician
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Excellent
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Excellent
French	Fair
Specify Other Language	Tagalog.
SPOUSE DETAIL	SPOUSE DETAIL
Title	Ms.
First Name	Cecilia
Middle Name	Datinguinoo
Last Name	Cruzat
Birth Date (m/d/y)	07-14-1972
Place of Birth	Philippines
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Cassandra Beatrice Cruzat
Date of Birth (mm/dd/yyyy)	04/25/2001
Place of Birth	Philippines
2. Name	Candice Brianna Cruzat
Date of Birth (mm/dd/yyyy)	09/22/2009
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	Toronto, Ontario, New Brunswick
Province	1
CONTACT DETAILS	CONTACT DETAILS
Address	35 Kalantiaw St. Barangay Masagana project 4 Quezon City
Contact Number	09664180094
Email Address	Email hidden; Javascript is required.