| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Karen |
| Middle Name | Dangpason |
| Last Name | Lawagan |
| Place of Birth | Kalinga |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | Bureau of Fire Protection |
| Occupation in Years | 7 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Not speaking French |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Unable to speak french |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | George |
| Middle Name | Makisset |
| Last Name | Lawagan |
| Birth Date (m/d/y) | 24/01/1991 |
| Place of Birth | Mt Province |
| 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 | Graduated BS Public Administration, Entrepreneur, company Driver |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Klign D Lawagan |
| Date of Birth (mm/dd/yyyy) | 18/04/2013 |
| Place of Birth | Kalinga |
| 2. Name | George D Lawagan Jr |
| Date of Birth (mm/dd/yyyy) | 25/12/2015 |
| Place of Birth | Manila |
| 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 | Edmonton |
| Province | Alberta |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 2252 Garrido St, Sta Ana, Manila |
| Contact Number | (945) 510-6881 |
| Email Address | Email hidden; Javascript is required. |


