Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Lailanie
Middle Name	Lagos
Last Name	De Guia
Place of Birth	Balayan, Batangas
Country of Citizenship	Philippines
EDUCATION	Master's Degree/PhD
Current Occupation	Card Dealer
Occupation in Years	17
Occupation in Months	2
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	Tagalog
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
Specify Other Language	Tagalog
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Restituto
Middle Name	Hirang
Last Name	De Guia
Birth Date (m/d/y)	05/17/1965
Place of Birth	Manila
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Clare Angelique De Guia
Date of Birth (mm/dd/yyyy)	28/10/2007
Place of Birth	Makati
2. Name	Rylan Aeden De Guia
Date of Birth (mm/dd/yyyy)	08/30/2009
Place of Birth	Makati
3. Name	Cerese Angelee De Guia
Date of Birth (mm/dd/yyyy)	11/20/2010
Place of Birth	Manila
DO YOU HAVE ANY RELATIVES IN CANADA?	Yes
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
CONTACT DETAILS	CONTACT DETAILS
Address	2314 B Esmeralda St., San Andres Bukid, Manila
Contact Number	(925) 877-1029
Email Address	Email hidden; Javascript is required.