| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Aditya |
| Middle Name | Aditya Wirmandiyatmoko |
| Last Name | Wirmandiyatmoko |
| Place of Birth | Karanganyar |
| Country of Citizenship | Indonesia |
| EDUCATION |
|
| Other Eduction | Diploma (hotel school) |
| Current Occupation | Seaman |
| Occupation in Years | 12 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Divorced/Separated |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Indonesian |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Rieana |
| Middle Name | Cynthia |
| Last Name | Yolanda |
| Birth Date (m/d/y) | 01071989 |
| Place of Birth | Karanganyar |
| Country of Citizenship | Indonesia |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Domenico Gavriel Adrian Shaka |
| Date of Birth (mm/dd/yyyy) | 07102016 |
| Place of Birth | Surakarta |
| 2. Name | Aditya Wirmandiyatmoko |
| 3. Name | Aditya Wirmandiyatmoko |
| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| Province | Alberta |
| UPLOAD RESUME | Document.docx |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Sidomulyo Rt.05/09, Dawung, Matesih, Karanganyar, Surakarta, Central Java |
| Contact Number | (821) 465-4254 |
| Email Address | Email hidden; Javascript is required. |
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- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
