| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Arvin |
| Middle Name | Tri |
| Last Name | Hardaya |
| Place of Birth | Jambi |
| Country of Citizenship | Indonesia |
| EDUCATION |
|
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Spanish |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Ms. |
| First Name | Febiana |
| Last Name | Xxx |
| Birth Date (m/d/y) | 01021985 |
| Place of Birth | Jakarta |
| 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 | Bachelore degree |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Keenan Faeyza Hardaya |
| Date of Birth (mm/dd/yyyy) | 19022014 |
| Place of Birth | Bekasi |
| 2. Name | Kaira Faniza Hardaya |
| Date of Birth (mm/dd/yyyy) | 05072016 |
| Place of Birth | Bekasi |
| 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 | Edmonton |
| Province | Alberta |
| UPLOAD RESUME | inbound1366914699042774252.pdf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Jl. Pelangi I blok E.152, jakamulya, bekasi selatan, bekasi, west java, Indonesia. 17146 |
| Contact Number | (628) 111-7169 |
| 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
