| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Ms. |
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| First Name | Gugulethu |
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| Last Name | Moyo |
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| Place of Birth | Kwekwe |
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| Country of Citizenship | Zimbabwe |
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| EDUCATION | |
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| Other Eduction | Nurse aide |
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| Current Occupation | Branch Administrator |
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| Occupation in Years | 2 |
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| Occupation in Months | 24 |
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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 | Shona,Nyanja,Ndebele |
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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 | Bemba,Nyanja,Tonga,Chilozi |
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| SPOUSE DETAIL | SPOUSE DETAIL |
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| Title | Mr. |
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| First Name | Mervin |
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| Last Name | Mwape |
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| Birth Date (m/d/y) | 25/12/1991 |
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| Place of Birth | Zambia |
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| Country of Citizenship | Zambia |
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| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
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| 1. Name | Chelsea Rumbidzo |
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| Date of Birth (mm/dd/yyyy) | 27/02/2012 |
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| Place of Birth | Harare |
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| 2. Name | Annikah Naledi |
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| Date of Birth (mm/dd/yyyy) | 12/09/2017 |
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| Place of Birth | Harare |
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| 3. Name | Melvin Jnr |
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| Date of Birth (mm/dd/yyyy) | 28/06/2022 |
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| Place of Birth | Lusaka |
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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 | Vancouver |
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| Province | Vancouver |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | 3123/M Chamba Valley Lusaka Zambia |
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| Contact Number | (097) 359-6096 |
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| Email Address | Email hidden; Javascript is required. |