Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Student
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Glory Fena
Middle Name	Gomez
Last Name	Galope
Place of Birth	Naguilian, La Union
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Current Occupation	Nurse
Occupation in Years	6 years
Occupation in Months	4months
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Jack Lord
Middle Name	Sabido
Last Name	Galope
Birth Date (m/d/y)	23/02/1980
Place of Birth	Caba, La Union
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	Seafarer - Electrician
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Jelyza Adeleine Gomez Galope
Date of Birth (mm/dd/yyyy)	22/10/2012
Place of Birth	San Fernando, La Union
2. Name	James Joaquin Gomez Galope
Date of Birth (mm/dd/yyyy)	11/02/2018
Place of Birth	Naguilian, La Union
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	Winnipeg
Province	Manitoba
CONTACT DETAILS	CONTACT DETAILS
Address	Gusing Norte, Naguilian, La Union
Contact Number	(930) 943-4501
Email Address	Email hidden; Javascript is required.