| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mrs. |
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| First Name | Bernadette |
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| Middle Name | De Leon |
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| Last Name | Ferrer |
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| Place of Birth | Lingayen,pangasinan |
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| Country of Citizenship | PH |
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| EDUCATION | |
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| Current Occupation | Goverment employee |
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| Occupation in Years | 1yr and 10 months |
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| Occupation in Months | 22 months |
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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 | Tagalog |
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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 | Tagalog |
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| SPOUSE DETAIL | SPOUSE DETAIL |
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| Title | Mr. |
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| First Name | Alejandro Jr. |
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| Middle Name | Manggas |
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| Last Name | Ferrer |
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| Birth Date (m/d/y) | 09/26/1986 |
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| Place of Birth | Malasiqui,pangasinan |
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| Country of Citizenship | PH |
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| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
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| 1. Name | Mary Clarence D.Ferrer |
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| Date of Birth (mm/dd/yyyy) | 05/24/2015 |
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| Place of Birth | Lingayen,Pangasinan |
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| 2. Name | John Matthew D.Ferrer |
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| Date of Birth (mm/dd/yyyy) | 08/27/2016 |
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| Place of Birth | Lingayen,Pangasinan |
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| 3. Name | Bernadette Ferrer |
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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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| City/Town | Quebec |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | 580 Casaclang Street Libsong East Lingayen,pangasinan |
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| Contact Number | (960) 289-0122 |
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| Email Address | Email hidden; Javascript is required. |