Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	GUADALUPE
Middle Name	GUERRA
Last Name	PEREZ
Place of Birth	ROSARIO BATANGAS
Country of Citizenship	PHILIPPINES
EDUCATION	College
Current Occupation	MIDWIFE
Occupation in Years	30YEARS
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
Specify Other Language	TAGALOG
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
Specify Other Language	TAGALOG
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	ERLITO
Middle Name	ANI
Last Name	PEREZ
Birth Date (m/d/y)	05/27/1967
Place of Birth	ROSARIO BATANGAS
Country of Citizenship	PHILIPPINES
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	AYESHA JANET PEREZ
Date of Birth (mm/dd/yyyy)	11/13/2000
Place of Birth	ROSARIO BATANGAS PHILIPPINES
2. Name	ELBERT GABRIEL G. PEREZ
Date of Birth (mm/dd/yyyy)	09/01/1999
Place of Birth	ROSARIO BATANGAS PHILIPPINES
3. Name	DECE ANNE G. PEREZ
Date of Birth (mm/dd/yyyy)	12/01/1993
Place of Birth	ROSARIO BATANGAS PHILIPPINES
DO YOU HAVE ANY RELATIVES IN CANADA?	No
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
City/Town	EDMONTON
Province	ALBERTA
CONTACT DETAILS	CONTACT DETAILS
Address	309 BRGY ALUPAY ROSARIO BATANGAS PHILIPPINES 4225
Contact Number	(095) 699-2035
Email Address	Email hidden; Javascript is required.
Fax Number	No