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	Jo -Kervin
Middle Name	Aquino
Last Name	Bautista
Birth Date (m/d/y)	10/21/1986
Place of Birth	Tayug, Pangasinan
Country of Citizenship	PH
EDUCATION	Bachelor's Degree
Current Occupation	Offshore medic nurse
Occupation in Years	2
Occupation in Months	2
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
Specify Other Language	Tagalog
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
Specify Other Language	Tagalog
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Lovely
Middle Name	Manangan
Last Name	Bautista
Birth Date (m/d/y)	02/20/1991
Place of Birth	San Nicolas pangasinan
Country of Citizenship	PH
N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below	Primary public teacher in the philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Akeisha Brittani M. Bautista
Date of Birth (mm/dd/yyyy)	07/15/2011
Place of Birth	San Nicolas Pangasinan Philippines
2. Name	Ayesha Blythe M. Bautista
Date of Birth (mm/dd/yyyy)	02/04/2019
Place of Birth	Tayug, Pangasinan
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	Alberta or any province that requires my working experience
Province	Pangasinan Philippines
UPLOAD RESUME	inbound3222234195622542785.pdf
CONTACT DETAILS	CONTACT DETAILS
Address	Barangay San Isidro, San Nicolas, Pangasinan
Contact Number	+639772031726
Email Address	Email hidden; Javascript is required.