| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | ERIC |
| Middle Name | Eric Fernandez |
| Last Name | Fernandez |
| Place of Birth | Manila |
| Country of Citizenship | Filipino |
| EDUCATION |
|
| Current Occupation | Painter/Scaffolder |
| Occupation in Years | 10 |
| Occupation in Months | 3 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | No |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | No |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Lorna |
| Middle Name | Lorna Valdez Fernandez |
| Last Name | Fernandez |
| Birth Date (m/d/y) | 29121982 |
| Place of Birth | Nueva Ecijiha |
| Country of Citizenship | Filipino |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | Graduate of college |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Erl Zyron V. Fernandez |
| Date of Birth (mm/dd/yyyy) | 05102010 |
| Place of Birth | Nueva Ecijiha |
| 2. Name | Princess Ellyza V. Fernandez |
| Date of Birth (mm/dd/yyyy) | 29112014 |
| Place of Birth | Nueva Ecijiha |
| 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 | Saskatchewan |
| Province | Saskatchewan |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 159 Kabulusan 2 Caloocan City, NCR, Philippines |
| Contact Number | (057) 785-6451 |
| Email Address | Email hidden; Javascript is required. |


