| 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 | Eko |
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| Middle Name | Sriyanto |
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| Last Name | Ginting |
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| Place of Birth | Semarang |
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| Country of Citizenship | Indonesia |
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| EDUCATION | |
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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 | Ms. |
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| First Name | Reni |
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| Last Name | Indriyani |
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| Birth Date (m/d/y) | 19/10/1975 |
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| Place of Birth | Tegal |
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| Country of Citizenship | Indonesia |
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| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
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| 1. Name | Ghafara Reines Upasama |
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| Date of Birth (mm/dd/yyyy) | 17/02/2006 |
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| Place of Birth | Semarang |
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| 2. Name | Almira Celona Reines Nariswari |
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| Date of Birth (mm/dd/yyyy) | 20/12/2009 |
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| Place of Birth | Semarang |
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| 3. Name | Alicia Reines Elshanum |
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| Date of Birth (mm/dd/yyyy) | 10/05/2015 |
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| Place of Birth | Semarang |
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| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
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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 | Edmonton |
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| Province | Alberta |
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| UPLOAD RESUME | inbound2640332924234836930.pdf |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | Amposari Raya No. 9F Semarang,Central Of Java,Indonesia |
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| Contact Number | (089) 760-9331 |
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| Email Address | Email hidden; Javascript is required. |