| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Julie Ann |
| Middle Name | Galan |
| Last Name | Poliquit |
| Place of Birth | Manila,Philipines |
| Country of Citizenship | Philippines |
| EDUCATION |
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| Current Occupation | Demtist |
| Occupation in Years | Dentist |
| Occupation in Months | 240 months(20years) |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
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| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Juniel |
| Middle Name | Afable |
| Last Name | Poliquit |
| Birth Date (m/d/y) | 11/24/1977 |
| Place of Birth | Pagadian City,Philippines |
| 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 | *Undergraduate of Veterinary Medicine |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Jillianne Mae G. Poliquit |
| Date of Birth (mm/dd/yyyy) | 03/07/1998 |
| Place of Birth | Cebu City,Philippines |
| 2. Name | Jeane Mae G. Poliquit |
| Date of Birth (mm/dd/yyyy) | 03/10/1999 |
| Place of Birth | Cebu City,Philippines |
| 3. Name | Justin Kyle G. Poliquit |
| Date of Birth (mm/dd/yyyy) | 09/13/2010 |
| 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 | Winnepeg |
| Province | Manitoba |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 0707 Purok Gugma Ballesteros Village,Pagadian City,Philippines |
| Contact Number | (905) 424-6701 |
| Email Address | Email hidden; Javascript is required. |
| Fax Number | None |
Hi, How Can We Help You?
- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
