| 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 | AMELYN |
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| Middle Name | GUERRA |
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| Last Name | RIVERA |
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| Place of Birth | IBAAN, BATANGAS |
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| Country of Citizenship | PHILIPPINES |
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| EDUCATION | |
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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 | KARLO VENANCIO III |
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| Middle Name | DAYSON |
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| Last Name | RIVERA |
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| Birth Date (m/d/y) | 28/04/1981 |
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| Place of Birth | MAKATI, METRO MANILA |
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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 | KAMIE ANICA RIVERA |
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| Date of Birth (mm/dd/yyyy) | 07/03/2009 |
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| Place of Birth | IBAAN, BATANGAS |
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| 2. Name | KENDRA ARRIANY RIVERA |
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| Date of Birth (mm/dd/yyyy) | 09/12/2010 |
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| Place of Birth | IBAAN, BATANGAS |
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| 3. Name | MIGUEL VENANCIO VI RIVERA |
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| Date of Birth (mm/dd/yyyy) | 17/10/2014 |
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| Place of Birth | IBAAN, BATANGAS |
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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 | Regina |
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| Province | Saskatchewan |
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| UPLOAD RESUME | AGR.2021.pdf |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | amelynrivera@yahoo.com |
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| Contact Number | (998) 970-1694 |
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| Email Address | Email hidden; Javascript is required. |