| 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 | rae gel |
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| Last Name | rivera |
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| Place of Birth | Metro Manila Philippines |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Other Eduction | bsn |
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| Current Occupation | nurse |
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| Occupation in Months | 3 |
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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 | Thai, Filipino, Cebuano, Vietnamese |
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| MARITAL STATUS | Common Law |
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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 | Vietnamese |
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| SPOUSE DETAIL | SPOUSE DETAIL |
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| Title | Ms. |
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| First Name | Quyen |
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| Last Name | Vu |
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| Birth Date (m/d/y) | November 11 |
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| Place of Birth | Vietnam |
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| Country of Citizenship | Vietnam |
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| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
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| 1. Name | Vu Gia Bao |
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| Place of Birth | Vietnam |
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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 | any |
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| Province | any |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | NCR Philippines |
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| Contact Number | (028) 856-0635 |
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| Email Address | Email hidden; Javascript is required. |