| 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 | RIDEN |
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| Middle Name | SANTOS |
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| Last Name | JUAN |
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| Place of Birth | VALEANZUELA MM |
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| Country of Citizenship | PHILIPPINES |
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| EDUCATION | |
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| Current Occupation | SEAMAN |
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| Occupation in Years | 5 YEARS |
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| Occupation in Months | 60 MOTNHS |
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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 | Mrs. |
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| First Name | KATHLYN JOY |
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| Middle Name | FLORENTINO |
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| Last Name | JUAN |
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| Birth Date (m/d/y) | 24/02/1985 |
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| Place of Birth | CALOOCAN CITY |
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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 | DENNIELYN FLORENTINO JUAN |
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| Date of Birth (mm/dd/yyyy) | 10/02/2014 |
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| Place of Birth | MANILA |
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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 | WINNIPEG |
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| Province | MANITOBA |
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| UPLOAD RESUME | resume-old-seaman.docx |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | 211 JUAN ST. PANGHULO,OBANDO, BULACAN |
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| Contact Number | (921) 542-5329 |
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| Email Address | Email hidden; Javascript is required. |