| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mrs. |
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| First Name | Glorilyn |
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| Middle Name | Jacob |
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| Last Name | Romero |
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| Place of Birth | Butuan city |
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| Country of Citizenship | PH |
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| EDUCATION | |
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| Current Occupation | Book keeper |
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| Occupation in Years | 9 |
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| Occupation in Months | 7 |
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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 | Lorenzo Jr |
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| Middle Name | Ruiz |
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| Last Name | Romero |
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| Birth Date (m/d/y) | 01/16/1983 |
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| Place of Birth | Surigao del Norte |
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| Country of Citizenship | PH |
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| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
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| 1. Name | Ashley Lorraine J. Romero |
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| Date of Birth (mm/dd/yyyy) | 10/09/2007 |
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| Place of Birth | Caloocan City |
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| 2. Name | Ethan Dominic J. Romero |
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| Date of Birth (mm/dd/yyyy) | 02/17/2010 |
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| Place of Birth | Surigao City |
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| 3. Name | Ziv Allison J. Romero |
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| Date of Birth (mm/dd/yyyy) | 04/27/2014 |
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| Place of Birth | Surigao City |
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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 | Winnipeg |
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| Province | PH-SUN |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | P3 Brgy. Banbanonk, Anao Aon, Surigao del Norte |
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| Contact Number | (086) 827-4752 |
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| Email Address | Email hidden; Javascript is required. |