| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mr. |
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| First Name | Rodrigo Jr. |
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| Middle Name | Bautista |
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| Last Name | Muda |
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| Place of Birth | Jose Abad Santos, Davao Occidental |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Current Occupation | Government Employed |
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| Occupation in Years | 20 |
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| Occupation in Months | 240 |
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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 | None |
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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 | None |
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| SPOUSE DETAIL | SPOUSE DETAIL |
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| Title | Mrs. |
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| First Name | Edna |
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| Middle Name | Quillobe |
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| Last Name | Rollan |
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| Birth Date (m/d/y) | 12/10/1979 |
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| Place of Birth | Digos City, Davao del Sur |
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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 | Akia Louis Andre R. Muda |
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| Date of Birth (mm/dd/yyyy) | 07/12/2008 |
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| Place of Birth | Digos City, Davao del Sur, 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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| Province | Saskatchewan |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | 1689 Lapulapu Extension, Zone 3, Digos City, Davao del Sur |
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| Contact Number | (082) 326-0008 |
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| Email Address | Email hidden; Javascript is required. |
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| Fax Number | None |