| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Joerem |
| Middle Name | Larida |
| Last Name | Descalsota |
| Place of Birth | Banga South Cotabato |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Current Occupation | Seafarer |
| Occupation in Years | 10 years |
| Occupation in Months | 120 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Moiselle |
| Middle Name | Nagnal |
| Last Name | Descalsota |
| Birth Date (m/d/y) | 03/07/1984 |
| Place of Birth | Leganes, Iloilo |
| 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 in Science and Education, Major in English. Teacher at John B. Lacson Maritime University. |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Aiyannah Xanthe N. Descalsota |
| Date of Birth (mm/dd/yyyy) | 02/06/2015 |
| Place of Birth | Iloilo City |
| 2. Name | Athara Bernice N. Descalsota |
| Date of Birth (mm/dd/yyyy) | 28/05/2018 |
| Place of Birth | Iloilo City |
| 3. Name | Joerem Larida Descalsota |
| 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 | Blk.7 Lot 46 Orchard A, Savannah Subdivision Abilay Norte, Oton Iloilo |
| Contact Number | (928) 285-2871 |
| Email Address | Email hidden; Javascript is required. |


