| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mr. |
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| First Name | Lawrence |
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| Middle Name | Matano |
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| Last Name | Kilimali |
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| Place of Birth | Mombasa Kenya |
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| Country of Citizenship | Kenya |
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| EDUCATION | |
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| Other Eduction | Certificate |
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| Current Occupation | Assistant safety officer |
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| Occupation in Years | Security guard patrol |
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| Occupation in Months | Assistant safety officer |
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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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| Specify Other Language | Swahili |
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| SPOUSE DETAIL | SPOUSE DETAIL |
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| Title | Mrs. |
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| First Name | Rose |
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| Middle Name | Nzai |
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| Last Name | Randu |
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| Birth Date (m/d/y) | 12/12/1987 |
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| Place of Birth | Malindi |
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| Country of Citizenship | Kenya |
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| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
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| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
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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 | Western Canada |
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| Province | Alberta |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | lawrencekilimali@gmail.com |
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| Contact Number | (974) 775-2418 |
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| Email Address | Email hidden; Javascript is required. |