| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Yasin |
| Middle Name | Afendi |
| Last Name | Muhammad |
| Place of Birth | Klaten Jawa Tengah |
| Country of Citizenship | Indonesia |
| EDUCATION |
|
| Other Eduction | International Relations |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Indonesia |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Indonesia |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Ms. |
| First Name | Wawat |
| Middle Name | Rahmawati |
| Last Name | Ridwan |
| Birth Date (m/d/y) | 24101984 |
| Place of Birth | Tangerang Banten |
| Country of Citizenship | Indonesia |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Salman Haykal Rahmansyah |
| Date of Birth (mm/dd/yyyy) | 10042016 |
| Place of Birth | Jogjakarta Indonesia |
| 2. Name | Ramzan Omar Ismailov |
| Date of Birth (mm/dd/yyyy) | 26012019 |
| Place of Birth | Magelang Indonesia |
| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| City/Town | Regina |
| Province | Saskatchewan |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Mertoyudan Magelang Central Java Indonesia |
| Contact Number | (857) 777-8371 |
| 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
