Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Alexander
Middle Name	Abella
Last Name	Leaño
Place of Birth	Quezon City, Philippines
Country of Citizenship	1101
EDUCATION	Master's Degree/PhD
Current Occupation	Teacher
Occupation in Years	10
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
Specify Other Language	Filipino language
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
Specify Other Language	Filipino language
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Vanessa
Middle Name	Marino
Last Name	Leaño
Birth Date (m/d/y)	21/08/1985
Place of Birth	Quezon City, Philippines
Country of Citizenship	1101
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Yvahn M. Leaño
Date of Birth (mm/dd/yyyy)	30/08/2012
Place of Birth	San Mateo, Rizal
2. Name	Alexandrei M. Leaño
Date of Birth (mm/dd/yyyy)	30/03/2016
Place of Birth	Quezon City
3. Name	Alex Jazz M. Leaño
Date of Birth (mm/dd/yyyy)	28/10/2017
Place of Birth	Quezon City
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	Quebec
Province	Philippines
CONTACT DETAILS	CONTACT DETAILS
Address	Blk 6 lot 5-A Northwind Sub.Brgy Nagkaisang Baton Novaliches Quezon City
Contact Number	(095) 648-1752
Email Address	Email hidden; Javascript is required.