| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Suratim |
| Middle Name | Suratim |
| Last Name | Suratim |
| Birth Date (m/d/y) | August,20 1970 |
| Place of Birth | Gresik |
| Country of Citizenship | INDONESIA: +62 82335944997 |
| EDUCATION |
|
| Other Eduction | Accounting diploma not passed |
| Current Occupation | Catering business owner |
| Occupation in Years | 4 years |
| Occupation in Months | 4 month |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Indonesia language |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | Indonesia language |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Suliasih |
| Middle Name | Suliasih |
| Last Name | Suliasih |
| Birth Date (m/d/y) | August 9,1983 |
| Place of Birth | Lumajang |
| Country of Citizenship | INDONESIA: +6282337380997 |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Galan Ghiffary Brillian |
| Date of Birth (mm/dd/yyyy) | Oktober,10 2006 |
| Place of Birth | Balikpapan |
| 2. Name | Aisyah Putri Kinasih |
| Date of Birth (mm/dd/yyyy) | March 28, 2022 |
| Place of Birth | Gresik |
| Place of Birth | raynerrayner198@gmail.com |
| 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 | Toronto |
| Province | Ontario |
| UPLOAD RESUME | inbound243105812323991443.pdf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Grand Nirwana Residence Block E Number 01 cerme Gresik east Java Indonesia |
| Contact Number | +6282335944997 |
| 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
