| 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 | Tierra Bryn |
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| Middle Name | Pantollano |
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| Last Name | Alcantara |
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| Place of Birth | Luna La Union |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Current Occupation | Clinical Instructor |
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| Occupation in Years | 13 |
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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 | Mr. |
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| First Name | Allan Jaedicke |
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| Middle Name | Galban |
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| Last Name | Alcantara |
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| Birth Date (m/d/y) | July 28, 1983 |
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| Place of Birth | San Fernando La Union |
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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 | Albryn Mae Banawis |
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| Date of Birth (mm/dd/yyyy) | November 21, 207 |
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| Place of Birth | San Fernando La Union Philippines |
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| 2. Name | Lex Alby Alcantara |
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| Date of Birth (mm/dd/yyyy) | February 25, 2013 |
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| Place of Birth | San Fernando La Union Philippines |
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| 3. Name | Zed Arvy Alcantara |
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| Date of Birth (mm/dd/yyyy) | December 12, 2018 |
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| Place of Birth | San Fernando La Union Philippines |
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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 | Saskatchewan |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | Zone 2 Cabaroan City of San Fernando La Union |
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| Contact Number | (095) 656-4641 |
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| Email Address | Email hidden; Javascript is required. |