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	Mr.
First Name	Alfred
Middle Name	Cardenas
Last Name	Pascual
Birth Date (m/d/y)	March 05, 1982
Place of Birth	Santo Domingo, Nueva Ecija, Philippines
Country of Citizenship	Philippines
EDUCATION	Secondary/High School
Other Eduction	None
Current Occupation	Trailer Truck Driver
Occupation in Years	11yrs.
Occupation in Months	8
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Fair
French	Fair
Specify Other Language	English
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Good
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Helen Grace
Middle Name	Cortez
Last Name	Orgil
Birth Date (m/d/y)	December 23, 1987
Place of Birth	Santo Domingo, Nueva Ecija, 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	None
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Czetrina Shamita O. Pascual
Date of Birth (mm/dd/yyyy)	May 10, 2007
Place of Birth	Santo Domingo, Nueva Ecija, Philippines
2. Name	Earlgen O. Pascual
Date of Birth (mm/dd/yyyy)	June 23, 2008
Place of Birth	Santo Domingo, Nueva Ecija, Philippines
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	Manitoba
Province	Manitoba
CONTACT DETAILS	CONTACT DETAILS
Address	Santo Domingo, Nueva Ecija, Philippines
Contact Number	+966531659256
Email Address	Email hidden; Javascript is required.
Fax Number	N/A