Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Lovell
Middle Name	Lovell Palomique
Last Name	Palomique
Place of Birth	Baguio city
Country of Citizenship	639178971600
EDUCATION	College
Current Occupation	Customer service representative
Occupation in Years	10+years
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	Marc louie
Last Name	Palomique
Birth Date (m/d/y)	22/02/1984
Place of Birth	Baguio
Country of Citizenship	639273476665
N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below	Driver gasoline boy
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Petterson Palomique
Date of Birth (mm/dd/yyyy)	30/04/2003
Place of Birth	Baguio
2. Name	Samantha Palomique
Date of Birth (mm/dd/yyyy)	14/10/2009
Place of Birth	Baguio
3. Name	Sophia Palomique
Date of Birth (mm/dd/yyyy)	06/06/2012
Place of Birth	Baguio
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	Saskatchewan
Province	Regina
CONTACT DETAILS	CONTACT DETAILS
Address	58 Crystal Cave
Contact Number	(917) 897-1600
Email Address	Email hidden; Javascript is required.