| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Ms. |
| First Name | ana victoria |
| Middle Name | lobaton |
| Last Name | chuayana |
| Place of Birth | Bacolod City Philippines |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Other Eduction | Master's Degree in Nursing |
| Current Occupation | Clinical Instructor |
| Occupation in Years | 1 yr |
| Occupation in Months | January 2020 to present |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | willing to learn french |
| MARITAL STATUS | Common Law |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | willing to learn french |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Jessie |
| Middle Name | Saligumba |
| Last Name | Real |
| Birth Date (m/d/y) | 08241977 |
| Place of Birth | Bacolod 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 | Bachelors Degree in Radiology |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 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 | Montreal |
| Province | Quebec |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Block 3 Lot 28 A st., Hermelinda Homes Mansilingan Bacolod City Philippines |
| Contact Number | (917) 311-8117 |
| Email Address | Email hidden; Javascript is required. |


