| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | MARIDEE |
| Middle Name | CHAVEZ |
| Last Name | DE LA CERNA |
| Place of Birth | DAVAO CITY PHILIPPINES |
| Country of Citizenship | PHILIPPINES |
| EDUCATION |
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| Other Eduction | with Masters Degree units earned |
| Current Occupation | MARKETING SUPERVISOR |
| Occupation in Years | 31 |
| Occupation in Months | 10 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
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| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | ALEX |
| Middle Name | BRIONES |
| Last Name | DE LA CERNA |
| Birth Date (m/d/y) | 05/21/1966 |
| Place of Birth | DAVAO CITY PHILIPPINES |
| 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'S DEGREE (INCOMPLETE) |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | ADRIAN MIGUEL C DE LA CERNA |
| Date of Birth (mm/dd/yyyy) | 09/29/1993 |
| Place of Birth | DAVAO CITY PHILIPPINES |
| 2. Name | ANGELO MARRIN C DE LA CERNA |
| Date of Birth (mm/dd/yyyy) | 08/11/1997 |
| Place of Birth | DAVAO CITY PHILIPPINES |
| 3. Name | ANDREI MANUELC DE LA CERNA |
| Date of Birth (mm/dd/yyyy) | 09/23/2002 |
| Place of Birth | DAVAO CITY PHILIPPINES |
| 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 | VANCOUVER |
| Province | BRITISH COLUMBIA |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | madeechavez@yahoo.com |
| Contact Number | (946) 332-0822 |
| Email Address | Email hidden; Javascript is required. |
| Fax Number | NA |


