| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Anand |
| Last Name | Pramana |
| Place of Birth | Jember |
| Country of Citizenship | Indonesian |
| EDUCATION |
|
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Ms. |
| First Name | Oka |
| Last Name | Savira |
| Birth Date (m/d/y) | 19/02/1985 |
| Place of Birth | Jember |
| Country of Citizenship | Indonesia |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Kenzie |
| Date of Birth (mm/dd/yyyy) | 16/08/2010 |
| Place of Birth | Jember |
| 2. Name | Arshaka |
| Date of Birth (mm/dd/yyyy) | 15/04/2014 |
| Place of Birth | Jember |
| 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 | Alberta |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Perumahan puri indah residence E17 Tanggul wetan tanggul jember indonesia |
| Contact Number | (089) 562-2238 |
| Email Address | Email hidden; Javascript is required. |
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- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
