| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | muliadi |
| Middle Name | muliadi |
| Last Name | Edy |
| Place of Birth | Jakarta.indonesia |
| Country of Citizenship | Canadian |
| EDUCATION |
|
| Other Eduction | High school |
| Current Occupation | Not |
| Occupation in Years | Not job |
| Occupation in Months | Not job |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Single |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| SPOUSE DETAIL | SPOUSE DETAIL |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | muliadi |
| 2. Name | muliadi |
| 3. Name | muliadi |
| Place of Birth | Jakarta.indonesia |
| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| City/Town | Calgary |
| Province | Alberta |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Jakarta .indonesia |
| Contact Number | (628) 217-1780 |
| Email Address | Email hidden; Javascript is required. |
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- Email Address: inquiry@cpnis.com
