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	Mr.
First Name	Jimmy
Middle Name	Castro
Last Name	Bautista
Place of Birth	Urdaneta City, Pangasinan
Country of Citizenship	Phil
EDUCATION	College
Other Eduction	Graduate of Associate in Radiologic Technology
Current Occupation	AFP Pensioneer
Occupation in Years	24 years and 6 months in the AFP
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Very Good
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Very Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Elizabeth
Middle Name	Aguirre
Last Name	Barroquillo
Birth Date (m/d/y)	10051974
Place of Birth	Bacolod city
Country of Citizenship	Phil
N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below	College (computer secretarial) /sales clerk at SM City
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Jose Miguelito B Bautista
Date of Birth (mm/dd/yyyy)	15062000
Place of Birth	Urdaneta City, Pangasinan
2. Name	Jessica Mae B Bautista
Date of Birth (mm/dd/yyyy)	26102001
Place of Birth	Urdaneta City, Pangasinan
3. Name	Jasmine Marie B Bautists
Date of Birth (mm/dd/yyyy)	19032007
Place of Birth	Urdaneta City, 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	Burnaby, BC
Province	Vancouver, Canada
CONTACT DETAILS	CONTACT DETAILS
Address	Zone 3, Brgy Inamotan, Manaoag, Pangasinan
Contact Number	(966) 750-4680
Email Address	Email hidden; Javascript is required.