| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Michael vincent |
| Middle Name | De Vera |
| Last Name | Galvez |
| Place of Birth | Solano Nueva vizcaya |
| Country of Citizenship | Philippines |
| EDUCATION |
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| Other Eduction | Undergraduate bachelors degree |
| Current Occupation | Operations manager of ice plant |
| Occupation in Years | 12 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| 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 | Ms. |
| First Name | Mitzi vanessa |
| Middle Name | Olonan |
| Last Name | Simbala |
| Birth Date (m/d/y) | 07/08/1977 |
| Place of Birth | Solano nueva vizcaya |
| Country of Citizenship | PH |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | College graduate |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Michaela Victoria D galvez |
| Date of Birth (mm/dd/yyyy) | 19/08/2002 |
| Place of Birth | Quezon city |
| 2. Name | Mikhail Viktor Philip D. Galvez |
| Date of Birth (mm/dd/yyyy) | 01/10/2003 |
| Place of Birth | Quezon city |
| 3. Name | Maria Eugenia S Galvez |
| Date of Birth (mm/dd/yyyy) | 05/02/2014 |
| Place of Birth | Cauayan isabela |
| 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 | Edmonton |
| Province | Alberta |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Elajamik ice plant tagaran road barangay tagaran purok 4 Cauayan citt |
| Contact Number | (927) 717-4945 |
| Email Address | Email hidden; Javascript is required. |


