| 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 | Jeoffrey |
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| Middle Name | Mercado |
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| Last Name | Riego de Dios |
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| Place of Birth | Bato, Leyte |
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| Country of Citizenship | Philippines |
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| EDUCATION | |
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| Other Eduction | Bachelor of science in CUSTOMS ADMINISTRATION |
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| Current Occupation | Seafarer |
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| Occupation in Years | 12 yrs |
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| Occupation in Months | 3months |
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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 | DAISY |
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| Middle Name | Ramos |
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| Last Name | Riego de Dios |
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| Birth Date (m/d/y) | 05/06/79 |
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| Place of Birth | Ternate Cavite |
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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 | Crystal Riego de Dios |
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| Date of Birth (mm/dd/yyyy) | 01/02/2004 |
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| Place of Birth | Naic, Cavite |
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| 2. Name | Avril Jade Riego de Dios |
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| Date of Birth (mm/dd/yyyy) | 13/07/2006 |
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| Place of Birth | Naic, Cavite |
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| 3. Name | Jeoffrey Riego de Dios |
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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 | Calgary |
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| Province | Calgary |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | 049 De Leon St. Poblacion 2A, Maragondon, cavite |
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| Contact Number | (090) 821-9333 |
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| Email Address | Email hidden; Javascript is required. |