| 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 |
| Country of Citizenship | Indonesia |
| EDUCATION |
|
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Japanese |
| MARITAL STATUS | Widow/Widower |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Adeline |
| Last Name | Sarfina |
| Birth Date (m/d/y) | 13/08/1978 |
| Place of Birth | Cilacap |
| Country of Citizenship | Indonesia |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Audrey |
| Date of Birth (mm/dd/yyyy) | 23/08/2002 |
| Place of Birth | Cilacap |
| 2. Name | Alloysius |
| Date of Birth (mm/dd/yyyy) | 02/09/2012 |
| Place of Birth | Kediri |
| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| City/Town | Alberta |
| Province | Alberta |
| UPLOAD RESUME | inbound7255046201496757137.pdf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Cilacap, Central Java, Indonesia |
| Contact Number | (628) 139-2621 |
| Email Address | Email hidden; Javascript is required. |
Hi, How Can We Help You?
- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
