| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Ms. |
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| First Name | Mary ann |
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| Middle Name | Bautista |
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| Last Name | Cruel |
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| Place of Birth | Quezon city |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Current Occupation | Bank teller |
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| Occupation in Years | 15 yrs |
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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 | Common Law |
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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 | Willard |
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| Middle Name | Palazo |
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| Last Name | Fogata |
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| Birth Date (m/d/y) | 12/09/1979 |
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| Place of Birth | Manila |
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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 | Godric Cruel Fogata |
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| Date of Birth (mm/dd/yyyy) | 04/18/2010 |
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| Place of Birth | Manila |
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| 2. Name | Geisley Cruel Fogata |
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| Date of Birth (mm/dd/yyyy) | 10/28/2011 |
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| Place of Birth | Manila |
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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 | Saskatchewan |
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| Province | PH-00 |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | 149 Tugatog St. Bagong Barrio, Caloocan City |
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| Contact Number | (028) 936-9983 |
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| Email Address | Email hidden; Javascript is required. |