| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Self Employed |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Romel |
| Middle Name | Rodillas |
| Last Name | Ragucos |
| Place of Birth | Sta.catalina Ilocos sur |
| Country of Citizenship | Filipino |
| EDUCATION |
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| Other Eduction | Authomotive |
| Current Occupation | Factory in Taiwan country |
| Occupation in Years | 5 years |
| Occupation in Months | 3 months |
| 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 |
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| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Julie anne |
| Middle Name | Rivad |
| Last Name | Ragucos |
| Birth Date (m/d/y) | 12/10/1992 |
| Place of Birth | Vigan city Ilocos sur |
| Country of Citizenship | Filipino |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Roanne aliah rivad ragucos |
| Date of Birth (mm/dd/yyyy) | 04/13/2014 |
| Place of Birth | Vigan city Ilocos sur |
| 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 | Florida |
| Province | Canada |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Kaohsiung taiwan |
| Contact Number | (096) 097-8846 |
| Email Address | Email hidden; Javascript is required. |
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