| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Ms. |
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| First Name | Amy Luzelle |
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| Middle Name | Estandarte |
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| Last Name | Medez |
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| Place of Birth | Kabankalan City, Negros Occidental, Philippines |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Other Eduction | Central Sterile Storage and Distribution Technician |
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| Current Occupation | Nurse / CSSD Personnel |
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| Occupation in Years | 8 years |
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| Occupation in Months | 10 months |
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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 | 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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| SPOUSE DETAIL | SPOUSE DETAIL |
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| Title | Mr. |
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| First Name | Albert |
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| Middle Name | Gajutos |
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| Last Name | Valenciano |
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| Birth Date (m/d/y) | 04/06/1967 |
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| Place of Birth | Catarman, Northern Samar, Philippines |
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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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| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
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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 | Alberta, Canada |
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| Province | Alberta, Canada |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | Block 6, Lot 8, La Villa Concha, Brgy. Hilamonan, Kabankalan City, Negros Occidental |
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| Contact Number | (961) 930-9813 |
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| Email Address | Email hidden; Javascript is required. |