| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | PNP |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mr. |
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| First Name | MARK |
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| Middle Name | ALEX |
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| Last Name | MPAGI |
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| Place of Birth | KIBAALE |
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| Country of Citizenship | UGANDA |
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| EDUCATION | |
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| Current Occupation | DAIRY FARM TECHNICIAN |
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| Occupation in Years | 6 |
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| Occupation in Months | 11 |
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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 | ARABIC |
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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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| SPOUSE DETAIL | SPOUSE DETAIL |
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| Title | Mrs. |
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| First Name | AGNES |
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| Last Name | NABUKALU |
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| Birth Date (m/d/y) | 23/9/1989 |
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| Place of Birth | KAMPALA |
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| Country of Citizenship | UGANDA |
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| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
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| 1. Name | NAMYALO PRETTY JOSEPHINE |
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| Date of Birth (mm/dd/yyyy) | 31/5/2008 |
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| Place of Birth | KAMPALA |
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| 2. Name | BYEGANJE MICHELLE ELIZABETH |
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| Date of Birth (mm/dd/yyyy) | 8/4/2010 |
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| Place of Birth | KAMPALA |
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| 3. Name | KITIBWA RAMONAH |
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| Date of Birth (mm/dd/yyyy) | 6/2/2015 |
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| Place of Birth | KAMPALA |
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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 | REGINA OR PRINCE ALBERT |
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| Province | SASKATCHEWAN |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | AL FANAR DAIRY FARM,11492 RIYADH |
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| Contact Number | (050) 907-8832 |
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| Email Address | Email hidden; Javascript is required. |