| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Maria Kristine |
| Middle Name | Quito |
| Last Name | Lom |
| Place of Birth | Manila |
| Country of Citizenship | Philippines |
| EDUCATION |
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| Current Occupation | Nurse |
| Occupation in Years | 4 years |
| Occupation in Months | 48 months |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Yamnath |
| Last Name | Sapkota |
| Birth Date (m/d/y) | 02/11/1989 |
| Place of Birth | Jhapa |
| Country of Citizenship | Nepal |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | Assistant Manager in operation of Warner Bros. Theme Park |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Maryam |
| Date of Birth (mm/dd/yyyy) | 21/05/2021 |
| Place of Birth | United Arab Emirates |
| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| Province | Nova Scotia |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Abu Dhabi, United Arab Emirates |
| Contact Number | (052) 831-8930 |
| Email Address | Email hidden; Javascript is required. |
| Fax Number | Daugther of Lily Lim |


