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	Roy
Middle Name	Viernes
Last Name	Fernandez
Place of Birth	Pangasinan
Country of Citizenship	Philippines
EDUCATION	College
Current Occupation	Farmer
Occupation in Years	Factory worker 9 years and 8mos
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
Specify Other Language	Korean
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Diana rose
Middle Name	Acosta
Last Name	Fernandez
Birth Date (m/d/y)	14-06-83
Place of Birth	Pangasinan
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Tyra mae
Date of Birth (mm/dd/yyyy)	13-04-2013
Place of Birth	Pangasinan
2. Name	Zamirah
Date of Birth (mm/dd/yyyy)	20-05-2019
Place of Birth	Pangasinan
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	Yukon/alberta
CONTACT DETAILS	CONTACT DETAILS
Address	Curareng,Alcala Pangasinan Philippines
Contact Number	(961) 751-3383
Email Address	Email hidden; Javascript is required.