| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mr. |
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| First Name | Elmon |
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| Middle Name | Elmon Salazar |
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| Last Name | Salazar |
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| Place of Birth | Bagong silang caloocan city |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Current Occupation | Fastfood Manager |
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| Occupation in Years | 4 years |
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| Occupation in Months | March 3, 2017 |
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| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY
PRINCIPAL APPLICANT |
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| English | |
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| French | |
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| MARITAL STATUS | Single |
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| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
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| SPOUSE DETAIL | SPOUSE DETAIL |
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| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
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| 1. Name | Elmon Salazar |
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| 2. Name | Elmon Salazar |
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| 3. Name | Elmon Salazar |
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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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| City/Town | City |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | Phase 8b block31 lot 3 package 1 bagong silang caloocan city |
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| Contact Number | (916) 367-1269 |
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| Email Address | Email hidden; Javascript is required. |