| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mrs. |
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| First Name | VANESSA |
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| Middle Name | BAGASIN |
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| Last Name | PALERACIO |
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| Place of Birth | SANCHEZ MIRA,CAGAYAN |
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| Country of Citizenship | PHILIPPINES |
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| EDUCATION | |
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| Occupation in Years | factory worker |
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| Occupation in Months | nanny |
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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 | mandarin |
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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 | GEORGE |
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| Middle Name | CALIPJO |
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| Last Name | PALERACIO |
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| Birth Date (m/d/y) | 06/11/1976 |
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| Place of Birth | PAGUDPUD,ILOCOS NORTE |
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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 | GEORJA VENIZZE PALERACIO |
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| Date of Birth (mm/dd/yyyy) | 10/27/2013 |
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| Place of Birth | SANCHEZ MIRA,CAGAYAN |
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| 2. Name | VANESSA PALERACIO |
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| 3. Name | VANESSA PALERACIO |
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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 | TORONTO |
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| Province | ONTARIO |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | LAMTIN, KOWLOON,HONGKONG |
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| Contact Number | (639) 219-5908 |
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| Email Address | Email hidden; Javascript is required. |