| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Student |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Ms. |
| First Name | Ani |
| Last Name | Meida |
| Place of Birth | Tasikmalaya |
| Country of Citizenship | Indonesia |
| EDUCATION |
|
| Current Occupation | Production Operator |
| Occupation in Years | 2023 |
| Occupation in Months | June |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Indonesia |
| MARITAL STATUS | Single |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| SPOUSE DETAIL | SPOUSE DETAIL |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| Place of Birth | Kabupaten Majalengka |
| 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 | Waterloo |
| Province | Ontario |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Cisambeng, Palasah, Majalengka, Jawa Barat, Indonesia |
| Contact Number | (000) 000-0000 |
| Email Address | Email hidden; Javascript is required. |
| Fax Number | 0 |
Hi, How Can We Help You?
- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
