| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | fatin natasha aina |
| Last Name | ahmad affendi |
| Place of Birth | kuala lumpur |
| Country of Citizenship | malaysia |
| EDUCATION |
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| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | kadek |
| Last Name | adhiwidhiantara |
| Birth Date (m/d/y) | 26051984 |
| Place of Birth | bali |
| Country of Citizenship | indonesia |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | maya navisha dewi |
| Date of Birth (mm/dd/yyyy) | 20062017 |
| Place of Birth | selangor malaysia |
| 2. Name | komang aivy helena dewi |
| Date of Birth (mm/dd/yyyy) | 11062019 |
| Place of Birth | bali indonesia |
| 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 | edmonton |
| Province | alberta |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | denpasar bali indonesia |
| Contact Number | (628) 581-2976 |
| Email Address | Email hidden; Javascript is required. |
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- Email Address: inquiry@cpnis.com
