Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Ketut
Middle Name	Elmi
Last Name	Awan
Place of Birth	Desa penglatan,bali
Country of Citizenship	Buleleng
EDUCATION	Secondary/High School
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Fair
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Komang
Middle Name	Ayu
Last Name	Wiadmini
Birth Date (m/d/y)	01011984
Place of Birth	Gobleg village
Country of Citizenship	Buleleng
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Putu jeashinta olivia nareswari
Date of Birth (mm/dd/yyyy)	22062012
Place of Birth	Penglatan village
2. Name	Made evano ravindra wijaksana
Date of Birth (mm/dd/yyyy)	08042016
Place of Birth	Penglatan village
DO YOU HAVE ANY RELATIVES IN CANADA?	No
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
City/Town	Toronto
CONTACT DETAILS	CONTACT DETAILS
Address	Irian island street,penglatan village,buleleng-bali
Contact Number	(628) 738-0395
Email Address	Email hidden; Javascript is required.