Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Teotimo jr
Middle Name	Teotimo jr Lanzarote
Last Name	Lanzarote
Place of Birth	Kawayan,Biliran
Country of Citizenship	Philippines
EDUCATION	Vocational/Trade/Apprenticeship
Other Eduction	Electrian
Current Occupation	Automotive service trchnician
Occupation in Years	12 years
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
Specify Other Language	Arabic
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Dulce
Middle Name	Cachin
Last Name	Lanzarote
Birth Date (m/d/y)	30/march/1969
Place of Birth	Manila
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Juhaina Nicole C Lanzarote
Date of Birth (mm/dd/yyyy)	14/july/2011
Place of Birth	Marikina 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	Surrey
Province	Vancouver
CONTACT DETAILS	CONTACT DETAILS
Address	Blk14lot19phase1 H.Delacosta Homes5 Burgos Rodriguez Rizal
Contact Number	(906) 192-8308
Email Address	Email hidden; Javascript is required.
Fax Number	N/A