| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Dadang |
| Middle Name | Rudiyanto |
| Last Name | Hartono |
| Place of Birth | Jember |
| Country of Citizenship | Indonesia |
| EDUCATION |
|
| Other Eduction | Diploma of Nursing academy |
| Current Occupation | Staff nurse |
| Occupation in Years | Staff nurse |
| Occupation in Months | Staff nurse |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | R Shanti |
| Middle Name | Dewi |
| Last Name | Astriani |
| Birth Date (m/d/y) | 07/10/1983 |
| Place of Birth | Singaraja |
| Country of Citizenship | Indonesia |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | She is graduated of Bachelor of Nurse And Registered Nurse with working experience 12years |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Aisyah Nafisha |
| Date of Birth (mm/dd/yyyy) | 07/11/2019 |
| Place of Birth | Banyuwangi |
| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| UPLOAD RESUME | inbound281847282867276386.pdf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | perum griya indah Agus Salim D1 banyuwangi |
| Contact Number | (620) 812-4918 |
| Email Address | Email hidden; Javascript is required. |
Hi, How Can We Help You?
- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
