| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mrs. |
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| First Name | Mafliah |
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| Middle Name | - |
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| Last Name | - |
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| Place of Birth | Pemalang |
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| Country of Citizenship | Indonesia |
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| EDUCATION | |
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| Other Eduction | Bachelor of nurse |
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| Current Occupation | Indonesia |
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| Occupation in Years | 4 |
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| Occupation in Months | 48 |
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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 | Mrs. |
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| First Name | Mafliah |
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| Middle Name | - |
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| Last Name | - |
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| Birth Date (m/d/y) | 28 may 1985 |
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| Place of Birth | Indonesia |
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| Country of Citizenship | Demak |
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| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
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| 1. Name | Khanza azkhadina sarvenaz toro |
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| Date of Birth (mm/dd/yyyy) | 21 september 2016 |
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| Place of Birth | Demak |
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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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| UPLOAD RESUME | inbound2502946509656483381.pdf |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | Ds tambirejo rt 004/002 kec gajah kab demak |
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| Contact Number | (081) 333-5888 |
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| Email Address | Email hidden; Javascript is required. |