| 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 | Khristine |
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| Middle Name | Astrero |
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| Last Name | Dacumos |
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| Birth Date (m/d/y) | 12/22/1982 |
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| Place of Birth | Luna, La Union |
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| Country of Citizenship | PHILIPPINEs |
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| EDUCATION | |
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| Current Occupation | none |
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| Occupation in Years | Elementary Teacher |
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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 | Filipino |
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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 | Filipino |
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| SPOUSE DETAIL | SPOUSE DETAIL |
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| Title | Mr. |
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| First Name | Ryan De |
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| Middle Name | Delos Santos |
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| Last Name | Dacumos |
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| Birth Date (m/d/y) | 04/10/1983 |
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| Place of Birth | Laguna |
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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 | Rhaichen A. Dacumos |
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| Date of Birth (mm/dd/yyyy) | 02/25/2005 |
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| Place of Birth | San Fernando, La Union |
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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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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | Purok 3, Darigayos, Luna, La Union 2518 |
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| Contact Number | 09158311138 |
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| Email Address | Email hidden; Javascript is required. |