| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Erwin |
| Middle Name | Ahmad |
| Last Name | Ardiansyah |
| Place of Birth | Bandung |
| Country of Citizenship | Indonesia |
| EDUCATION |
|
| Other Eduction | SMA KARYABUDI |
| Current Occupation | Selling |
| 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 | Nunung |
| Last Name | Nuraidah |
| Birth Date (m/d/y) | 21/7/1991 |
| Place of Birth | Sumedang |
| Country of Citizenship | Indonesia |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Nebia zerrin |
| Date of Birth (mm/dd/yyyy) | 20/10/2018 |
| Place of Birth | Bandung |
| 2. Name | Mahra alyanoor |
| Date of Birth (mm/dd/yyyy) | 21/10/2022 |
| Place of Birth | Sumedang |
| 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 | Calgary |
| Province | Alberta |
| UPLOAD RESUME |  |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Perum PPI RT 02/ RW 16 CINANJUNG TANJUNGSARI SUMEDANG |
| Contact Number | (082) 119-0156 |
| 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
