| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Erwin |
| Middle Name | Luna |
| Last Name | Reglos |
| Place of Birth | Manila |
| Country of Citizenship | Philippines |
| EDUCATION |
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| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
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| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Maria Angela |
| Middle Name | De Leon |
| Last Name | Reglos |
| Birth Date (m/d/y) | 11/03/1979 |
| Place of Birth | Isabela |
| 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 | College Graduate, experience in Banking Industry |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Angelique Dale Reglos |
| Date of Birth (mm/dd/yyyy) | 17/01/2007 |
| Place of Birth | Manila |
| 2. Name | Ambriel Ian Reglos |
| Date of Birth (mm/dd/yyyy) | 09/07/2019 |
| Place of Birth | Manila |
| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Block 2 Lot 9 Phase 4 Kamagong St. Sorrento Bacoor, Cavite |
| Contact Number | (920) 979-9698 |
| Email Address | Email hidden; Javascript is required. |


