| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Richard |
| Middle Name | Diaz |
| Last Name | Perez |
| Place of Birth | San Carlos City, Pangasinan |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Other Eduction | Vocational, Electrical and surveyor |
| Current Occupation | Sr. Supervisor, Civil and AGL Specialist |
| Occupation in Years | Civil & AGL Specialist since 2012 up to present |
| Occupation in Months | Civil & AGL Specialist June 2012 up to present |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Tagalog and Pangalatok |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Tagalog and Pangalatok |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Norvy |
| Middle Name | Clavel |
| Last Name | Perez |
| Birth Date (m/d/y) | 14 November 1987 |
| Place of Birth | Dagupan City, Pangasinan |
| 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 | Educatinal: High School Graduate |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Yuri Anne Clavel Perez |
| Date of Birth (mm/dd/yyyy) | 23 April 2010 |
| Place of Birth | San Carlos City, Pangasinan |
| 2. Name | Yeisha Mae Clavel Perez |
| Date of Birth (mm/dd/yyyy) | 07 May 2016 |
| Place of Birth | San Carlos City,Pangasinan |
| 3. Name | Richmond Noah Clavel Perez |
| Date of Birth (mm/dd/yyyy) | 14 July 2019 |
| Place of Birth | San Carlos 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 | Saskatchewan |
| Province | Yorton |
| UPLOAD RESUME | inbound1368903496.rtf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 021 M.Soriano Street, San Carlos City,Pangasinan |
| Contact Number | (909) 777-4965 |
| Email Address | Email hidden; Javascript is required. |
| Fax Number | 09097774965 |


