Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	PNP
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	YAKOB
Last Name	PALINO
Place of Birth	SA'DAN ULUSALU
Country of Citizenship	INDONESIA
EDUCATION	Bachelor's Degree
Other Eduction	UKSW
Current Occupation	TEACHER
Occupation in Years	2008
Occupation in Months	192
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Excellent
French	Fair
Specify Other Language	INDONESIAN
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	DHARMAWITA
Last Name	DENDE
Birth Date (m/d/y)	16/08/1981
Place of Birth	TORAJA
Country of Citizenship	INDONESIA
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	JONATHAN DAOAN PALINO
Date of Birth (mm/dd/yyyy)	12/06/2019
Place of Birth	TORAJA
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	SADAN PEBULIAN
Province	SACATSCEWAN
CONTACT DETAILS	CONTACT DETAILS
Address	SADAN PEBULIAN TORAJA UTARA, SULAWESI SELATAN INDONESIA
Contact Number	(813) 546-4871
Email Address	Email hidden; Javascript is required.