| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | lagura |
| Middle Name | Laluma |
| Last Name | Azenith grace |
| Place of Birth | Dueñas iloilo |
| Country of Citizenship | PH |
| EDUCATION |
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| Current Occupation | Industrial nurse |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
|
| 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 | LAGURA |
| Middle Name | Lapating |
| Last Name | Joey |
| Birth Date (m/d/y) | 14/06/1979 |
| Place of Birth | Lambunao iloilo |
| 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 | Seafarer |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | LAGURA,joaquin andrei |
| Date of Birth (mm/dd/yyyy) | 16/09/2014 |
| Place of Birth | Iloilo city philippines |
| 2. Name | Lagura,zoie andreia |
| Date of Birth (mm/dd/yyyy) | 21/07/2017 |
| Place of Birth | Iloilo city philippines |
| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Cabudian dueñas iloilo |
| Contact Number | (930) 778-7844 |
| Email Address | Email hidden; Javascript is required. |
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