| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Rechell |
| Middle Name | Francisco |
| Last Name | Fujimori |
| Place of Birth | Teresa, Rizal |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Other Eduction | N/A |
| Current Occupation | Full time mother |
| Occupation in Years | Factory worker |
| Occupation in Months | Housekeeper |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Tagalog(filipino) |
| MARITAL STATUS | Divorced/Separated |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Tagalog(filipino) |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Patrick James |
| Middle Name | San Andres |
| Last Name | Santiago |
| Birth Date (m/d/y) | 14/11/1984 |
| Place of Birth | Teresa, Rizal |
| 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 | Currently working as Safety Officer at Republic Cement Corporation Philippines |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Kyron Jace F. Santiago |
| Date of Birth (mm/dd/yyyy) | 26/01/2018 |
| Place of Birth | Binangonan, Rizal Philippines |
| 2. Name | Bella Yron F. Santiago |
| Date of Birth (mm/dd/yyyy) | 20/12/2019 |
| Place of Birth | Binangonan, Rizal Philippines |
| 3. Name | N/A |
| Date of Birth (mm/dd/yyyy) | N/A |
| Place of Birth | N//A |
| 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 | Alberta |
| Province | Alberta |
| UPLOAD RESUME | ![]() |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 81 C. Garrovillas St. Calumpang Sto. Cristo Teresa, Rizal |
| Contact Number | (997) 728-9415 |
| Email Address | Email hidden; Javascript is required. |
| Fax Number | N/A |



