| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Self Employed |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Regina |
| Middle Name | Towang |
| Last Name | Panela |
| Place of Birth | Salcedo, Ilocos Sur |
| Country of Citizenship | Philippines |
| EDUCATION |
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| Other Eduction | Bachelor of Secondary Education (uniting) |
| Current Occupation | Business |
| Occupation in Years | 1 year teaching experience |
| Occupation in Months | N/A |
| 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 | Rolando |
| Middle Name | Sumao-i |
| Last Name | Panela |
| Birth Date (m/d/y) | 15/01/1984 |
| Place of Birth | Salcedo, Ilocos Sur |
| 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 | Automotive |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Jonson Towang Maco |
| Date of Birth (mm/dd/yyyy) | 11/05/2006 |
| Place of Birth | La Trinidad, Brnguet |
| 2. Name | Kevin Towang Maco |
| Date of Birth (mm/dd/yyyy) | 02/08/2008 |
| Place of Birth | La Trinidad, Benguet |
| 3. Name | Kathleen Towang Panela |
| Date of Birth (mm/dd/yyyy) | 29/05/214 |
| Place of Birth | La Trinidad, Benguet |
| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| City/Town | Toronto |
| Province | Ontario |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Balidbid, Salcedo, Ilocos Sur |
| Contact Number | (948) 355-8149 |
| Email Address | Email hidden; Javascript is required. |


