Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Self Employed
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Franill
Middle Name	Cagsawa
Last Name	Fantilaga
Place of Birth	Northern Samar,Philippines
Country of Citizenship	Filipino
EDUCATION	College
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Fair
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Samuel
Middle Name	Martinez
Last Name	Fantilaga
Birth Date (m/d/y)	04/06/1976
Place of Birth	Capiz Roxas ,Philippines
Country of Citizenship	Filipino
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Eula Liezel C Fantilaga
Date of Birth (mm/dd/yyyy)	14/02/2011
Place of Birth	Paranaque
2. Name	Elijah Sam C Fantilaga
Date of Birth (mm/dd/yyyy)	26/11/2012
Place of Birth	Paranaque
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	Any city
Province	Any province
CONTACT DETAILS	CONTACT DETAILS
Address	4912 col e deleon 6th st.sto Nino paranaque citu
Contact Number	(927) 954-9721
Email Address	Email hidden; Javascript is required.