| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Student |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Ms. |
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| First Name | Regine |
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| Middle Name | Molina |
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| Last Name | Mangsat |
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| Place of Birth | Manaoag, Pangasinan |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Current Occupation | Tutorial Teacher |
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| Occupation in Years | 4 years |
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| Occupation in Months | 48 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 | 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 | Regine Mangsat |
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| 2. Name | Regine Mangsat |
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| 3. Name | Regine Mangsat |
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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 | Toronto |
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| Province | Ontario |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | Manaoag,Pangasinan |
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| Contact Number | (075) 600-6082 |
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| Email Address | Email hidden; Javascript is required. |
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| Fax Number | N/A |