| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Student |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Adrian |
| Middle Name | Pridas |
| Last Name | Bautista |
| Place of Birth | Quezon City, Metro Manila |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | Sr. Safety Officer |
| Occupation in Years | 11 yrs |
| Occupation in Months | 132 Months |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Maricel |
| Middle Name | Dela Cruz |
| Last Name | Bautista |
| Birth Date (m/d/y) | 21/04/1983 |
| Place of Birth | San Carlos 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 | - High School Graduate (1996-2000) |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Mclyn Anne Dela Cruz |
| Date of Birth (mm/dd/yyyy) | 12/03/2002 |
| Place of Birth | San Carlos City, Pangasinan, Philippines |
| 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 | Winnipeg |
| Province | Manitoba |
| UPLOAD RESUME | Adrian-Bautista.pdf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 327 Brgy. Palaming, San Carlos City, Pangasinan, Philippines 2420 |
| Contact Number | (966) 150-8599 |
| Email Address | Email hidden; Javascript is required. |


