| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Ms. |
| First Name | GERLITA |
| Middle Name | DURIAS |
| Last Name | ILIO |
| Place of Birth | Sta. Ana, Manila |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | Nurse Associate |
| Occupation in Years | 11 |
| Occupation in Months | 132 |
| 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 | CHRISTIAN |
| Last Name | DE LARA |
| Birth Date (m/d/y) | 15/12/1987 |
| Place of Birth | Palompon, Leyte |
| 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 | Highest Educational attainment is Secondary Highschool. |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 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 | Regina |
| Province | Saskatchewan |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Blk 1 lot 4 Flamingo St. Countryside Village Phase V, Sunvalley, Paranaque 1700 PH |
| Contact Number | (028) 531-8277 |
| Email Address | Email hidden; Javascript is required. |


