Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Roger
Middle Name	Avancena
Last Name	Tan
Place of Birth	Binalbagan Negros Occidental
Country of Citizenship	Philippines
EDUCATION	College
Current Occupation	Safety Officer
Occupation in Years	2011 to 2019 January
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
Specify Other Language	English
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
Specify Other Language	English
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Donna Mar
Middle Name	Fuentes
Last Name	Tan
Birth Date (m/d/y)	February 12, 1978
Place of Birth	Bacolod city
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Zouie Alizabeth Tan
Date of Birth (mm/dd/yyyy)	April 19,2007
Place of Birth	Bacolod city
2. Name	Jared F Tan
Date of Birth (mm/dd/yyyy)	September 29,2009
Place of Birth	Bacolod city
3. Name	Gabreil Zean F Tan
Date of Birth (mm/dd/yyyy)	February 6,2012
Place of Birth	Bacolod 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?
UPLOAD RESUME
CONTACT DETAILS	CONTACT DETAILS
Address	Deca Homes South Baragay Cabug BacolodCity
Contact Number	(094) 741-5133
Email Address	Email hidden; Javascript is required.