| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Self Employed |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mr. |
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| First Name | Gerard |
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| Middle Name | Tanteo |
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| Last Name | Lopez |
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| Place of Birth | Manila |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Current Occupation | Hotel worker |
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| Occupation in Years | 15 |
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| Occupation in Months | 180 |
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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 | 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 | Jessielyn |
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| Middle Name | Orqueza |
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| Last Name | Lopez |
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| Birth Date (m/d/y) | 19/1/1981 |
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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 | Alexis gaverielle Lopez |
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| Date of Birth (mm/dd/yyyy) | 22/1/2003 |
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| Place of Birth | Manila |
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| 2. Name | Faiythe gwaenelle lopez |
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| Date of Birth (mm/dd/yyyy) | 5/8/2004 |
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| Place of Birth | Manila |
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| 3. Name | Lynguelle sydney lopez |
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| Date of Birth (mm/dd/yyyy) | 1/8/2012 |
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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 | Toronto |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | Blk 1lot 20 phase 3E1 Kaunlaran Village caloocan Philippines |
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| Contact Number | (092) 086-4926 |
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| Email Address | Email hidden; Javascript is required. |