| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mr. |
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| First Name | Reynante |
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| Middle Name | Bolante |
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| Last Name | Antrajenda |
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| Place of Birth | Rizal |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Current Occupation | Teacher |
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| Occupation in Years | 24 |
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| Occupation in Months | 288 |
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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 | Mrs. |
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| First Name | Maryjane |
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| Middle Name | Elleran |
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| Last Name | Antrajenda |
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| Birth Date (m/d/y) | 15/01/1978 |
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| Place of Birth | Rizal |
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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 | Clyde Jarret Antrajenda |
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| Date of Birth (mm/dd/yyyy) | 09/09/2007 |
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| Place of Birth | Manila |
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| 2. Name | Cassandra Martha Antrajenda |
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| Date of Birth (mm/dd/yyyy) | 03/08/2012 |
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| Place of Birth | Mandaluyong |
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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 | Manitoba or Edmonton |
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| Province | Winnipeg |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | 16F Martirez del 96 Pateros Metro Manila |
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| Contact Number | (919) 399-5223 |
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| Email Address | Email hidden; Javascript is required. |