| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mrs. |
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| First Name | Shirley |
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| Middle Name | Gallardo |
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| Last Name | Fermalan |
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| Place of Birth | Calinoh |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Current Occupation | Online Selling |
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| Occupation in Years | 6 |
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| Occupation in Months | 66 |
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| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY
PRINCIPAL APPLICANT |
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| English | |
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| French | |
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| Specify Other Language | Tagalog |
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| MARITAL STATUS | Married |
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| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
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| English | |
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| French | |
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| Specify Other Language | Tagalog |
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| SPOUSE DETAIL | SPOUSE DETAIL |
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| Title | Mr. |
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| First Name | Milven |
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| Middle Name | Dalayap |
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| Last Name | Fermalan |
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| Birth Date (m/d/y) | 08171979 |
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| Place of Birth | Manila |
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| Country of Citizenship | Philippines |
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| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
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| 1. Name | Malik Ziyad Fermalan |
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| Date of Birth (mm/dd/yyyy) | 04092016 |
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| Place of Birth | Manila |
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| 2. Name | Calvin Klein |
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| Date of Birth (mm/dd/yyyy) | 12072021 |
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| Place of Birth | Manila |
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| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
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| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | Blk 3 lot 21 phase 2 st claire street sto nino village tunasan muntinlupa city philippines |
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| Contact Number | (063) 809-0984 |
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| Email Address | Email hidden; Javascript is required. |