| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Hasel |
| Middle Name | Hara |
| Last Name | Eslana |
| Place of Birth | Pasig City, metro manila |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | Seafarer |
| Occupation in Years | 19 years |
| Occupation in Months | Seafarer |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Filipino |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Mary Grace |
| Middle Name | Capalad |
| Last Name | Eslana |
| Birth Date (m/d/y) | 04/25/1980 |
| Place of Birth | Obando Bulacan |
| 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 | Education: Bachelor of Science in Electronics and Communication Engineering Occupation: Total Quality Management Officer/Document Controller |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Grachelle Marie Eslana |
| Date of Birth (mm/dd/yyyy) | 04/20/2010 |
| Place of Birth | Manila |
| 2. Name | Rasel John Eslana |
| Date of Birth (mm/dd/yyyy) | 01/11/2016 |
| Place of Birth | Paranaque City |
| 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 | Saskatchewan |
| Province | Saskatchewan |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 99 Diamond St., Bernabe 3 San Dionisio, Paranaque City |
| Contact Number | (926) 708-7540 |
| Email Address | Email hidden; Javascript is required. |
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- Email Address: inquiry@cpnis.com
