| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | MIRIAM |
| Middle Name | AMORA |
| Last Name | FUENTES |
| Place of Birth | Mesaoy, Davao Del Norte |
| Country of Citizenship | Philippines |
| EDUCATION |
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| Current Occupation | Teacher |
| Occupation in Years | 11yrs |
| 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 | HILTON |
| Middle Name | VENTURA |
| Last Name | FUENTES |
| Birth Date (m/d/y) | 01/05/1992 |
| Place of Birth | Pantukan Davao De oro |
| 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 | He Graduated of Bachelor in Science and Marine Transportation. He is a Seaferer for 8yrs . |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Flint Harry A. Fuentes |
| Date of Birth (mm/dd/yyyy) | 14/10/2015 |
| Place of Birth | Davao City, Philippines |
| 2. Name | Jette Asher A. Fuentes |
| Date of Birth (mm/dd/yyyy) | 14/02/2022 |
| Place of Birth | Tagum 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 | Purok 19, Pag- asa Mesaoy, New Corella, Davao Del Norte, Philippines |
| Contact Number | (916) 472-1525 |
| Email Address | Email hidden; Javascript is required. |


