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	Mr.
First Name	Jezreel
Middle Name	Acasio
Last Name	Agne
Birth Date (m/d/y)	11/15/1986
Place of Birth	Malaybalay city Bukidnon
Country of Citizenship	Philippines
EDUCATION	College
Current Occupation	Oncology nurse, Industrial safety officer Nurse
Occupation in Years	3 years
Occupation in Months	36 months
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	Chavacano
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
Specify Other Language	Philippnes
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Jaidee
Middle Name	Puerto
Last Name	Agne
Birth Date (m/d/y)	10/13/1988
Place of Birth	Los banos laguna
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	Research specialist II, Masters in Research, Registered Nutrionist Dietician
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Jace Eli Puerto Agne
Date of Birth (mm/dd/yyyy)	06/05/2012
Place of Birth	Los banos laguna
2. Name	Julien Reid Puerto Agne
Date of Birth (mm/dd/yyyy)	5/24/2023
Place of Birth	Bay lguna
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
Province	Toronto ontario
UPLOAD RESUME	Agne-Jezreel-for-application-latest.pdf
CONTACT DETAILS	CONTACT DETAILS
Address	Blk 16 lot 24 arella residences bay laguna
Contact Number	09178880683
Email Address	Email hidden; Javascript is required.
Fax Number	NA