| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Prasetyo |
| Last Name | Susanto |
| Place of Birth | Cilacap, Indonesia |
| Country of Citizenship | Indonesia |
| EDUCATION |
|
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Japanese |
| MARITAL STATUS | Divorced/Separated |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | - |
| Middle Name | - |
| Last Name | - |
| Birth Date (m/d/y) | - |
| Place of Birth | - |
| Country of Citizenship | - |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Audrey |
| Date of Birth (mm/dd/yyyy) | 23/12/02 |
| Place of Birth | Cilacap, Indonesia |
| 2. Name | Alloy |
| Date of Birth (mm/dd/yyyy) | 02/10/13 |
| Place of Birth | Kediri, 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 | Quebec |
| Province | Quebec |
| UPLOAD RESUME | inbound958987579320533812.pdf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 12sprast@gmail.com |
| Contact Number | (628) 139-2621 |
| 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
