| 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 | Glenn |
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| Middle Name | De La Cruz |
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| Last Name | Verano |
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| Place of Birth | Maasin City, Southern Leyte 6600 |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Current Occupation | OR Nurse |
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| Occupation in Years | 15 |
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| Occupation in Months | 180 |
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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 | None |
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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 | None |
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| SPOUSE DETAIL | SPOUSE DETAIL |
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| Title | Mrs. |
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| First Name | Krystal Jade |
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| Middle Name | Malicse |
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| Last Name | Verano |
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| Birth Date (m/d/y) | 15/07/1986 |
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| Place of Birth | Kiamba, Saranggani Province |
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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 | Flick Verano |
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| Date of Birth (mm/dd/yyyy) | 25/10/2012 |
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| Place of Birth | Cebu City, Philippines |
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| 2. Name | Gaius Verano |
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| Date of Birth (mm/dd/yyyy) | 04/03/2012 |
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| Place of Birth | Cebu City, Philippines |
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| 3. Name | Zyx Abellana |
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| Date of Birth (mm/dd/yyyy) | 07/08/2007 |
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| Place of Birth | Mandaue City, Philippines |
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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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| UPLOAD RESUME | inbound7752556661982949424.docx |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | Block 9, Lot 2, V and G Subdivision, Nangka, Consolacion, Cebu 6001 |
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| Contact Number | (995) 902-2066 |
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| Email Address | Email hidden; Javascript is required. |