Form view – Canadian Provincial Nominee & Immigration Services

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PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Other
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Edwin
Middle Name	Andaya
Last Name	Fernandez
Place of Birth	Calasiao, Pangasinan
Country of Citizenship	Philippines
EDUCATION	Bachelor's Degree
Current Occupation	Businessman
Occupation in Years	6 years
Occupation in Months	72 months
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	Mrs.
First Name	Divina
Middle Name	Velasco
Last Name	Fernandez
Birth Date (m/d/y)	20/12/1979
Place of Birth	Dagupan City, Pangasinan
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	College graduate
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Kim Daphne V. Fernandez
Date of Birth (mm/dd/yyyy)	30/09/2003
Place of Birth	San Carlos City, Pangasinan, Philippines
2. Name	David Kirby V. Fernandez
Date of Birth (mm/dd/yyyy)	24/11/2007
Place of Birth	Dagupan City, Pangasinan, Philippines
3. Name	Kate Dimple V. Fernandez
Date of Birth (mm/dd/yyyy)	28/11/2014
Place of Birth	San Carlos City, Pangasinan, Philippines
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	Toronto
Province	Ontario
UPLOAD RESUME
CONTACT DETAILS	CONTACT DETAILS
Address	#308 Quesban Calasiao, Pangasinan
Contact Number	(930) 110-7429
Email Address	Email hidden; Javascript is required.