| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | ELMER |
| Middle Name | BENEDIAN |
| Last Name | VERGARA |
| Place of Birth | PARANAQUE |
| Country of Citizenship | PHILIPPINES |
| EDUCATION |
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| Current Occupation | OFW-SEAFARER |
| Occupation in Years | 20 YEARS |
| Occupation in Months | 240 MONTHS |
| 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 | MARIA THERESA |
| Middle Name | CRUTO |
| Last Name | VERGARA |
| Birth Date (m/d/y) | 02/10/1974 |
| Place of Birth | PASIG CITY |
| 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 | MY WIFE IS A GRADUATE OF DENTAL TECHNICIAN. CURRENTLY EMPLOYED AT ZIRCON DENTAL LABORATORY. |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | JAMES PATRICK C. VERGARA |
| Date of Birth (mm/dd/yyyy) | 11/07/2000 |
| Place of Birth | PARANAQUE CITY |
| 2. Name | HEATHER DAWN C. VERGARA |
| Date of Birth (mm/dd/yyyy) | 17/03/2005 |
| Place of Birth | PARANAQUE CITY |
| 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 | VANCOUVER |
| Province | BRITISH COLUMBIA |
| UPLOAD RESUME | Blue-General-Personal-Resume.pdf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | UNIT B8 ET HOMES1 NAGA ROAD PULANGLUPA DOS LAS PINAS CITY |
| Contact Number | (977) 809-4678 |
| Email Address | Email hidden; Javascript is required. |


