Form view – Canadian Provincial Nominee & Immigration Services

← Go back

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	PNP
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Ms.
First Name	Dina
Last Name	Marsiyanti
Place of Birth	Kudus
Country of Citizenship	Indonesia
EDUCATION	Bachelor's Degree
Current Occupation	Childhood educator
Occupation in Years	6
Occupation in Months	72
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
Specify Other Language	Javanese, Indonesian
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
Specify Other Language	Javanese, Indonesian
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mr.
First Name	Warsito
Last Name	Warsito
Birth Date (m/d/y)	12/06/1976
Place of Birth	Pati
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	Education. Bachelor degree Work experience. Administrative service manager 12years, farm supervisor
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Muhammad ulung cakra wardana
Date of Birth (mm/dd/yyyy)	31/01/2004
Place of Birth	Pati
2. Name	Nourille Aisya Cakrawardana
Date of Birth (mm/dd/yyyy)	13/08/2008
Place of Birth	Pati
3. Name	Iffat Akila Cakrawardana
Date of Birth (mm/dd/yyyy)	21/07/2009
Place of Birth	Pati
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	Saskatoon
Province	Saskatchewan
UPLOAD RESUME	inbound4695064178991883752.pdf
CONTACT DETAILS	CONTACT DETAILS
Address	Desa Pasuruhan rt 03 Rw 01 kecamatan kayen kabupaten pati jawa tengah
Contact Number	(081) 331-4968
Email Address	Email hidden; Javascript is required.