Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Self Employed
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Noel
Middle Name	Pineda
Last Name	Cruz
Place of Birth	Angeles City
Country of Citizenship	Philippines
EDUCATION	Secondary/High School
Other Eduction	Technical Drafting
Current Occupation	Painter
Occupation in Years	Painter
Occupation in Months	Painter
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Richelle
Middle Name	Palacio
Last Name	Cruz
Birth Date (m/d/y)	31101981
Place of Birth	Porac
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Henry Lawrence Cruz
Date of Birth (mm/dd/yyyy)	09052009
Place of Birth	Angeles City
2. Name	Earl Luis Cruz
Date of Birth (mm/dd/yyyy)	17052019
Place of Birth	Angeles 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?
City/Town	Quebec
Province	Ontario
CONTACT DETAILS	CONTACT DETAILS
Address	Block 53 lot24 district 6 EPZA Pulung Cacutud Angeles City
Contact Number	(091) 739-9188
Email Address	Email hidden; Javascript is required.