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	Mrs.
First Name	Hiedilyn
Middle Name	Cuentas
Last Name	Rivera
Birth Date (m/d/y)	02/08/89
Place of Birth	San Pablo City, Laguna
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Other Eduction	Nursing
Current Occupation	Staff Nurse
Occupation in Years	13 years
Occupation in Months	156 months
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	Filipino
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
Specify Other Language	Filipino
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Kurt Kristian
Middle Name	Abdon
Last Name	Rivera
Birth Date (m/d/y)	11/11/86
Place of Birth	Lucena City
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	College graduate, currently working as a call center agent
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Kyle Kristoff C. Rivera
Date of Birth (mm/dd/yyyy)	06/28/19
Place of Birth	San Pablo City Laguna
2. Name	Kryz Keencade C. Rivera
Date of Birth (mm/dd/yyyy)	12/11/23
Place of Birth	San Pablo City Laguna
Place of Birth	hiedilynjuliocuentas08@gmail.com
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	Winnipeg
Province	Manitoba
UPLOAD RESUME	inbound1060865141226946849.pdf
CONTACT DETAILS	CONTACT DETAILS
Address	Purok 2 Brgy San Diego San Pablo City Laguna 4000
Contact Number	+639953387954
Email Address	Email hidden; Javascript is required.