| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Self Employed |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Jose jr. |
| Middle Name | Lingal |
| Last Name | Pera |
| Place of Birth | Sanjose batangas |
| Country of Citizenship | Filipino |
| EDUCATION |
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| Current Occupation | Driver |
| Occupation in Years | Bus driver |
| Occupation in Months | Bs driver |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
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| Specify Other Language | Tagalog arabic |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
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| French |
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| Specify Other Language | Tagalog |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Amie |
| Middle Name | Perez |
| Last Name | Pera |
| Birth Date (m/d/y) | 20 05 1977 |
| Place of Birth | Dagatan san jose batangas |
| 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 | Under graduate PT |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Patrick allen P.Pera |
| Date of Birth (mm/dd/yyyy) | 19 10 2000 |
| Place of Birth | Dagatan San Jose Batangas |
| 2. Name | Patricia Mae P.Pera |
| Date of Birth (mm/dd/yyyy) | 20 02 2004 |
| Place of Birth | Dagatan San Jose Batangas |
| 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 | Any place in canada |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Dagatan san jose batangas |
| Contact Number | (043) 781-9634 |
| Email Address | Email hidden; Javascript is required. |
| Fax Number | N/A |


