Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Nur
Middle Name	Nur Alam
Last Name	Alam
Place of Birth	46
Country of Citizenship	MY
EDUCATION	Secondary/High School
Other Eduction	Droving
Current Occupation	25
Occupation in Years	2027
Occupation in Months	03
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Fair
French	Fair
Specify Other Language	Malaysian
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Fair
Specify Other Language	Malaysian
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Nur
Middle Name	Nur Alam
Last Name	Alam
Birth Date (m/d/y)	25/03/1977
Place of Birth	46
Country of Citizenship	MY
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Nur Alam
Date of Birth (mm/dd/yyyy)	25/03/1977
Place of Birth	46
2. Name	Nur Alam
Date of Birth (mm/dd/yyyy)	25/03/1977
Place of Birth	46
3. Name	Nur Alam
Date of Birth (mm/dd/yyyy)	25/03/1977
Place of Birth	46
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	Eanny Place
Province	Non
CONTACT DETAILS	CONTACT DETAILS
Address	BKS 6/5, JALAN KEBUM SAYUR BUKIT BAKRI 84200 MUAR JOHOR
Contact Number	(017) 633-5879
Email Address	Email hidden; Javascript is required.
Fax Number	+60176335879