| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Student |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | A N D R Y |
| Last Name | . |
| Place of Birth | UJUNG PANDANG |
| Country of Citizenship | Indonesia |
| EDUCATION |
|
| Other Eduction | Master Mariner Marine University BP3IP JAKARTA |
| Current Occupation | Captain |
| Occupation in Years | 15 |
| Occupation in Months | 1 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Indonesia |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | JANE |
| Last Name | . |
| Birth Date (m/d/y) | 19011982 |
| Place of Birth | KULAWI |
| 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 | My Wife Specialist Doctor Radiology working in Indonesia Hospital about 10 years.. |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 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 | TORONTO |
| Province | TORONTO |
| UPLOAD RESUME | CV-CAPTAIN-Andry-work-Barge-20.02.-2022.docx |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Btn HJ.Anne Ressa Blok B.No.19 Makassar Sulawesi-Selatan Indonesia Code Pos 90242 |
| Contact Number | (628) 134-3601 |
| 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
