Form view – Canadian Provincial Nominee & Immigration Services

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PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Ms.
First Name	Lorelei
Middle Name	S
Last Name	Lapan
Place of Birth	Olongapo
Country of Citizenship	Philippines
EDUCATION	Master's Degree/PhD
Current Occupation	Medical Specialist I
Occupation in Years	3
Occupation in Months	5
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Good
Specify Other Language	Filipino
MARITAL STATUS	Common Law
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Fair
Specify Other Language	Filipino
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Gerald
Middle Name	Castro
Last Name	Andaya
Birth Date (m/d/y)	03/08/1975
Place of Birth	Laguna
Country of Citizenship	Filipino
N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below	Gerald currently holds a position as Area Sales Manager, handling the Bicol area, a province located south of Manila. He has worked in their company since 2001. He is a College Graduate with a degree in BS in Management.
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Gerald Guiadcelle Seraphim Andaya
Date of Birth (mm/dd/yyyy)	12/09/2014
Place of Birth	Mandaluyong City
2. Name	Heaven Christopher Gerald
Date of Birth (mm/dd/yyyy)	08/07/2021
Place of Birth	Quezon 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	Mandaluyong
Province	NB
UPLOAD RESUME	Resume.docx
CONTACT DETAILS	CONTACT DETAILS
Address	#602 South Tower Lee Gardens Condominium, Lee street cor. Shaw Blvd, Lee street cor. Shaw Blvd
Contact Number	(917) 507-5758
Email Address	Email hidden; Javascript is required.