| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | PNP |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mr. |
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| First Name | Fery |
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| Middle Name | Tri |
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| Last Name | Hardianto |
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| Place of Birth | Kebumen |
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| Country of Citizenship | Indonesia |
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| EDUCATION | |
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| Other Eduction | Diploma1 |
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| Current Occupation | Security |
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| Occupation in Years | 2020 |
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| Occupation in Months | December |
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| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY
PRINCIPAL APPLICANT |
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| English | |
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| French | |
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| MARITAL STATUS | Married |
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| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
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| English | |
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| French | |
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| SPOUSE DETAIL | SPOUSE DETAIL |
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| Title | Mr. |
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| First Name | Fery |
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| Middle Name | Tri |
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| Last Name | Hardianto |
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| Birth Date (m/d/y) | 30031979 |
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| Place of Birth | Kebumen |
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| Country of Citizenship | Indonesia |
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| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
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| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
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| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
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| City/Town | Armstrong |
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| Province | British Columbia |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | Gg arjuna no 24 perum pph rt 4 rw 6 kelurahan ngijo, kecamatan tasikmadu, kabupaten karanganyar, provinsi Jawa tengah, indonesia |
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| Contact Number | (271) 499-3090 |
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| Email Address | Email hidden; Javascript is required. |
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| Fax Number | 089691148719 |