| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Claricel |
| Middle Name | Quito |
| Last Name | Valencia |
| Place of Birth | San Fernando Pampanga Philippines |
| Country of Citizenship | Philippines |
| EDUCATION |
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| Occupation in Years | 10 |
| 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 | Ronald |
| Middle Name | Santos |
| Last Name | Valencia |
| Birth Date (m/d/y) | 07/03/1978 |
| Place of Birth | Sta Rita Pampanga Philippines |
| 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 | He’s currently working in UAE, and he apply for a working permit in Canada last February and his visa got approved last month. He will go to Canda within this year. |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Prince Aaron Valencia |
| Date of Birth (mm/dd/yyyy) | 23/04/2006 |
| Place of Birth | San Fernando Pampanga Philippines |
| 2. Name | Ethan Gabriel Valencia |
| Date of Birth (mm/dd/yyyy) | 30/11/2012 |
| Place of Birth | Angeles City Philippines |
| 3. Name | Clarisse Raghn Valencia |
| Date of Birth (mm/dd/yyyy) | 04/04/2018 |
| Place of Birth | Angeles City Pampanga Philippines |
| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| City/Town | Cochrane |
| Province | Alberta |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Block 6 Lot 6 Mawing 3 Residences Pulung Bulu San Fernando Pampanga |
| Contact Number | (045) 300-7500 |
| Email Address | Email hidden; Javascript is required. |


