| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Ms. |
| First Name | Glory Fena |
| Middle Name | Glory Fena Galope |
| Last Name | Galope |
| Place of Birth | Naguilian, La Union |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | Staff Nurse |
| Occupation in Years | 10 years |
| Occupation in Months | Staff Nurse |
| 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 | Jack Lord |
| Middle Name | SABIDO |
| Last Name | Galope |
| Birth Date (m/d/y) | 23/02/1980 |
| Place of Birth | Caba, La Union |
| 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 | Bachelor's Degree |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Jelyza Adeleine Galope |
| Date of Birth (mm/dd/yyyy) | 22/10/2012 |
| Place of Birth | San Fernando, La Union |
| 2. Name | James Joaquin Galope |
| Date of Birth (mm/dd/yyyy) | 11/2/2018 |
| Place of Birth | Naguilian, La Union |
| 3. Name | Glory Fena Galope |
| 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 | Winnipeg |
| Province | Manitoba |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 46 Sitio Yuma, Gusing Norte, Naguilian, La Union |
| Contact Number | (930) 943-4501 |
| Email Address | Email hidden; Javascript is required. |


