| 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 | IRMA |
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| Middle Name | DIMAPILIS |
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| Last Name | DE VERA |
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| Birth Date (m/d/y) | 05/09/1971 |
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| Place of Birth | Naic, Cavite |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Current Occupation | Nurse |
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| Occupation in Years | 30 |
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| Occupation in Months | Nurse |
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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 | Ronnie |
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| Middle Name | Perez |
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| Last Name | DE VERA |
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| Birth Date (m/d/y) | 11/22/1968 |
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| Place of Birth | Pangasinan |
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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 | Paul Mairon D.De Vera |
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| Date of Birth (mm/dd/yyyy) | 11/18/2000 |
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| Place of Birth | Naic,Cavite,Philippines |
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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 | British Columbia/Ottawa |
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| Province | Kelowna/Ottawa |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | 312 PALANGUE 1,NAIC, CAVITE |
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| Contact Number | 09173260607 |
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| Email Address | Email hidden; Javascript is required. |