| 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 | Philippe |
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| Middle Name | Gene |
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| Last Name | Rudisill |
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| Place of Birth | Iowa |
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| Country of Citizenship | Unites states |
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| EDUCATION | |
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| Other Eduction | Some highschool |
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| Current Occupation | Tree worker |
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| Occupation in Years | 15 |
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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 | Rebecca |
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| Middle Name | Lynn |
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| Last Name | Gregoire |
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| Birth Date (m/d/y) | 20/12/1996 |
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| Place of Birth | Ontario |
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| Country of Citizenship | Canada |
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| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
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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 | Fort erie |
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| Province | Ontario |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | 1-66 Lillian place fort Erie ontario |
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| Contact Number | (289) 700-5417 |
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| Email Address | Email hidden; Javascript is required. |