Form view – Canadian Provincial Nominee & Immigration Services

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PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Gladice
Middle Name	Casidsid
Last Name	Lopez
Birth Date (m/d/y)	20/05/1978
Place of Birth	Manila
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Current Occupation	Customer Solution Process Associate
Occupation in Years	2
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	Not applicable
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Excellent
French	Fair
Specify Other Language	Not applicable
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Oscar
Middle Name	Bulaon
Last Name	Lopez Jr.
Birth Date (m/d/y)	03/25/1976
Place of Birth	Manila
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	Chef/ Restaurant Manager
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Regina Claire Lopez
Date of Birth (mm/dd/yyyy)	12/03/2012
Place of Birth	Manila Philippines
2. Name	Isaiah Lawrence Lopez
Date of Birth (mm/dd/yyyy)	05/10/2004
Place of Birth	Manila Philippines
3. Name	Marcus Gabriel Lopez
Date of Birth (mm/dd/yyyy)	02/11/2003
Place of Birth	Manila 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	Balanga City
Province	Bataan
UPLOAD RESUME	CV-Gladice-Lopez_B2B.pdf
CONTACT DETAILS	CONTACT DETAILS
Address	430 Gumamela St.
Contact Number	09763091197
Email Address	Email hidden; Javascript is required.