| 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 | Agnes |
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| Middle Name | Javelona |
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| Last Name | Reyes |
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| Birth Date (m/d/y) | 03/29/1983 |
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| Place of Birth | Bacolod City, Philippines |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Current Occupation | Licensed Financial Advisor |
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| Occupation in Years | 6 |
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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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| 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 | Nikolai |
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| Middle Name | David |
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| Last Name | Reyes |
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| Birth Date (m/d/y) | 07/04/1981 |
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| Place of Birth | Quezon City, Philippines |
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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 | Joachim Nikhail Reyes |
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| Date of Birth (mm/dd/yyyy) | 12/13/2010 |
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| Place of Birth | Quezon City, Philippines |
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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 | Manitoba |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | Tivoli Greens Subd. Quezon City |
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| Contact Number | 09173002861 |
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| Email Address | Email hidden; Javascript is required. |