| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Ms. |
| First Name | Lachica |
| Middle Name | Velmonte |
| Last Name | Rosalinda |
| Place of Birth | Brgy.Sampaguita Veruela Agusan Del Sur |
| Country of Citizenship | Pilipino |
| EDUCATION |
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| Occupation in Years | Butcher |
| Occupation in Months | Ofw |
| 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 | Lachica |
| Middle Name | MACadangdang |
| Last Name | Edgar |
| Birth Date (m/d/y) | 18/10/1964 |
| Place of Birth | Brgy Sampaguita Veruela Agusan Del Sur |
| Country of Citizenship | Pilipino |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Janre Lachica |
| Date of Birth (mm/dd/yyyy) | 01/27/2003 |
| Place of Birth | Brgy Sampaguita Veruela Agusan Del Sur |
| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| City/Town | Veruela |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Brgy Sampaguita Veruela Agusan Del Sur |
| Contact Number | (096) 574-5638 |
| Email Address | Email hidden; Javascript is required. |
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