| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Ms. |
| First Name | VANESSA |
| Middle Name | BAGASIN |
| Last Name | PALERACIO |
| Place of Birth | SANCHEZ MIRA,CAGAYAN |
| Country of Citizenship | PH |
| EDUCATION |
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| Other Eduction | DOMESTIC WORK NC2 |
| Current Occupation | factory worker |
| Occupation in Years | 2 yrs |
| Occupation in Months | 8 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
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| Specify Other Language | mandarin |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
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| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | GEORGE |
| Middle Name | CALIPJO |
| Last Name | PALERACIO |
| Birth Date (m/d/y) | 06/11/1976 |
| Place of Birth | PAGUDPUD,ILOCOS NORTE |
| Country of Citizenship | PH |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | bus conductor/mechanical technology machine operator |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | GEORJA VENIZZE PALERACIO |
| Date of Birth (mm/dd/yyyy) | 10/27/2013 |
| Place of Birth | SANCHEZ MIRA,CAGAYAN |
| 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 | TORONTO |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | LAM TIN, HONGKONG |
| Contact Number | (639) 219-5908 |
| Email Address | Email hidden; Javascript is required. |


