| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Self Employed |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mrs. |
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| First Name | Remalyn |
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| Last Name | Lopez |
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| Place of Birth | San Manuel, Pangasinan, |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Occupation in Years | 1 |
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| Occupation in Months | 15 |
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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 | Conrado Allan |
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| Middle Name | Jubilado |
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| Last Name | Lopez |
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| Birth Date (m/d/y) | 30031990 |
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| Place of Birth | San Manuel, Pangasinan |
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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 | Rence Adriel U. lopez |
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| Date of Birth (mm/dd/yyyy) | 25092015 |
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| Place of Birth | Urdaneta, Pangasinan |
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| 2. Name | Eduardo Ed U. Lopez |
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| Date of Birth (mm/dd/yyyy) | 11042022 |
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| Place of Birth | Baguio City, Benguet |
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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 | Regina |
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| Province | Saskatchewan |
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| UPLOAD RESUME | Adobe-Scan-Nov-21-2023.pdf |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | #109, Ambassador Ramos Street, Guiset Norte, San Manuel, Pangasinan, Philippines |
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| Contact Number | (095) 005-6165 |
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| Email Address | Email hidden; Javascript is required. |