| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Self Employed |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Lovely Shiela |
| Middle Name | Bernardo |
| Last Name | Taliño |
| Place of Birth | Nueva ecija |
| Country of Citizenship | Philippines |
| EDUCATION |
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| Occupation in Months | Pharmacy assistant |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
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| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
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| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Mark Ryan |
| Middle Name | Jimenez |
| Last Name | Taliño |
| Birth Date (m/d/y) | 08/03/1987 |
| Place of Birth | Zamboanga city |
| Country of Citizenship | Philippines |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | Bachelor's degree |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Zac Andrei Agustin b. Taliño |
| Date of Birth (mm/dd/yyyy) | 15/09/2016 |
| Place of Birth | Paranaque city |
| 2. Name | Sky Miguel b. Taliño |
| Date of Birth (mm/dd/yyyy) | 25/01/2022 |
| Place of Birth | Muntinlupa city |
| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | B7 L5 punzalan apartment Tierra villas ilaya Alabang |
| Contact Number | (905) 557-8432 |
| Email Address | Email hidden; Javascript is required. |


