Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Other
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Chiara Angela
Middle Name	Clapero
Last Name	Quico
Place of Birth	National Highway, Tandag City, Surigao del Sur
Country of Citizenship	Philippines
EDUCATION	Master's Degree/PhD
Other Eduction	Licensed Professional Teacher
Current Occupation	College Instructor
Occupation in Years	4 Years and 10months
Occupation in Months	58 months
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	Mr.
First Name	Angel
Middle Name	Guibao
Last Name	Quico
Birth Date (m/d/y)	06101991
Place of Birth	Tina, San Miguel, Surigao del Sur
Country of Citizenship	Philippines
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Zaine Aleicar
Date of Birth (mm/dd/yyyy)	26112012
Place of Birth	Tandag City, Surigao del Sur
2. Name	Zander Alexis
Date of Birth (mm/dd/yyyy)	10122014
Place of Birth	Brokenshire Hospital, Davao City
DO YOU HAVE ANY RELATIVES IN CANADA?	No
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
CONTACT DETAILS	CONTACT DETAILS
Address	Purok 6 -Magroyong, San Miguel, Surigao del Sur
Contact Number	(909) 408-2721
Email Address	Email hidden; Javascript is required.