| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Ms. |
| First Name | XZY SHANE |
| Middle Name | RIGAT |
| Last Name | DOMINGO |
| Place of Birth | Philippines |
| Country of Citizenship | Philippines |
| EDUCATION |
|
| Other Eduction | Doctor or Medicine |
| Current Occupation | Physician |
| Occupation in Years | 5 |
| Occupation in Months | 3 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| 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 | Mr. |
| First Name | JOHN VICTOR PAUL |
| Middle Name | RATAY |
| Last Name | AUSTRIA |
| Birth Date (m/d/y) | 24/08/1986 |
| Place of Birth | 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 | 14 years in Corporate World. IT by profession. |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | ZYJIRO JOHANN AUSTRIA |
| Date of Birth (mm/dd/yyyy) | 24/07/2020 |
| Place of Birth | 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 | ALBERTA |
| Province | EDMONTON |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 439 NAGANO BLVD BRGY RIZAL, POBLACION |
| Contact Number | (639) 190-0110 |
| Email Address | Email hidden; Javascript is required. |


