| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Ms. |
| First Name | Santanina |
| Middle Name | Rico |
| Last Name | Gallardo |
| Place of Birth | Subangdaku, Mandaue City |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | Customer Service Assistant |
| Occupation in Years | 12 years |
| Occupation in Months | 3 months |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Common Law |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Ranel |
| Middle Name | Dingding |
| Last Name | Getaruelas |
| Birth Date (m/d/y) | October 11, 1991 |
| Place of Birth | Alcoy, Cebu, Philippines |
| Country of Citizenship | Philippines |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | Merchandiser for 13 years |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Wilhelmina Carmel Sophia Gallardo |
| Date of Birth (mm/dd/yyyy) | June 20, 2012 |
| Place of Birth | Perpetual Succour Hospital |
| 2. Name | Psyche Niña Therese G. Getaruelas |
| Date of Birth (mm/dd/yyyy) | March 25, 2019 |
| Place of Birth | Perpetual Succour Hospital |
| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| City/Town | Nova Scotia |
| Province | Saskatchewan |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | gallardo.santanina@yahoo.com |
| Contact Number | (992) 754-5601 |
| Email Address | Email hidden; Javascript is required. |


