Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Aries
Last Name	Arianto
Place of Birth	Medan
Country of Citizenship	Indonesian
EDUCATION	Bachelor's Degree
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Fair
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Rini
Middle Name	Endang Puji
Last Name	Astuti
Birth Date (m/d/y)	28/03/1980
Place of Birth	Medan
Country of Citizenship	Indonesian
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Siti Azwa
Date of Birth (mm/dd/yyyy)	20/12/2006
Place of Birth	Medan
2. Name	Jauza Ghaniyyah
Date of Birth (mm/dd/yyyy)	16/06/2009
Place of Birth	Medan
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	Ottawa
Province	Ontario
UPLOAD RESUME	inbound6327771844986159118.pdf
CONTACT DETAILS	CONTACT DETAILS
Address	KOMP TASBI BLOK BB NO 25 Medan
Contact Number	(628) 137-6262
Email Address	Email hidden; Javascript is required.