| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Bernardo |
| Middle Name | Salvoro |
| Last Name | Medina |
| Place of Birth | Manila |
| Country of Citizenship | Filipino |
| EDUCATION |
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| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Tagalog, Arabic |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Tagalog |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Saguiara |
| Middle Name | Kahar |
| Last Name | Medina |
| Birth Date (m/d/y) | Jan.19,1980 |
| Place of Birth | Cotabato City |
| 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 | Education: Work Experience: Secretary - Al-Baroom Group of Companies Food Server - Gulf Catering services |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Ranielle Rashid K. Medina |
| Date of Birth (mm/dd/yyyy) | March 27,2008 |
| Place of Birth | Las Piñas City |
| 2. Name | Reanna Raeesaah K. Medina |
| Date of Birth (mm/dd/yyyy) | July 19,2017 |
| Place of Birth | Maguindanao |
| 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 | Ontario |
| UPLOAD RESUME | My-Resume.pdf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | B1 L22 Lakersfield Subdivision Brgy. Toclong Kawit Cavite |
| Contact Number | (090) 655-5136 |
| Email Address | Email hidden; Javascript is required. |


