| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Ms. |
| First Name | Cherry Laine |
| Middle Name | Magallanes |
| Last Name | Go |
| Place of Birth | Talisayan |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | Nurse |
| Occupation in Years | 4 years |
| Occupation in Months | Staff Nurse |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
|
| Specify Other Language | Filipino |
| MARITAL STATUS | Common Law |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Filipino |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Marc Rey |
| Middle Name | Caballero |
| Last Name | Tacna |
| Birth Date (m/d/y) | 11/10/1988 |
| Place of Birth | Talisayan |
| Country of Citizenship | Filipino |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | College level |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Carl Gabriel G. Tacna |
| Date of Birth (mm/dd/yyyy) | 01/01/2014 |
| Place of Birth | Talisayan |
| 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 | Calgary |
| Province | Alberta |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | P-2 Del Carmen St., Poblacion, Talisayan, Misamis Oriental |
| Contact Number | (935) 356-9841 |
| Email Address | Email hidden; Javascript is required. |


