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	DAISIE
Middle Name	DOLINTO
Last Name	PADILAN
Place of Birth	LA TRINIDAD, BENGUET
Country of Citizenship	FILIPINO
EDUCATION	College
Current Occupation	Nurse
Occupation in Years	13
Occupation in Months	156
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Excellent
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Excellent
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	ROCKY
Middle Name	LEUSEN
Last Name	VALERA
Birth Date (m/d/y)	11/06/1986
Place of Birth	TABUK, KALINGA
Country of Citizenship	Filipino
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	FAITH VAKERA
Date of Birth (mm/dd/yyyy)	23/01/2019
Place of Birth	LA TRINIDAD, BENGUET
2. Name	MATTHEW ROCKY VALERA
Date of Birth (mm/dd/yyyy)	20/10/2021
Place of Birth	LA TRINIDAD, BENGUET
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	Alberta
Province	Alberta
CONTACT DETAILS	CONTACT DETAILS
Address	KING KHALID HOSPITAL, ALKARJ, RIYADH, KSA
Contact Number	(050) 878-5116
Email Address	Email hidden; Javascript is required.