| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Yessika |
| Last Name | Gianina |
| Birth Date (m/d/y) | 11/05/1988 |
| Place of Birth | Bandung |
| Country of Citizenship | Indonesia |
| EDUCATION |
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| Current Occupation | Environmental Inspector |
| Occupation in Years | 8 |
| Occupation in Months | 1 |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | Gianina |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Deva |
| Last Name | Adyanto |
| Birth Date (m/d/y) | 28/06/1974 |
| Place of Birth | Salatiga |
| Country of Citizenship | Indonesia |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | Diploma, 25 years work experience |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Sean |
| Date of Birth (mm/dd/yyyy) | 02/10/2014 |
| Place of Birth | Salatiga |
| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| Province | Saskatchewan |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Graha candi soba |
| Contact Number | +6281316463555 |
| Email Address | Email hidden; Javascript is required. |
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- Email Address: inquiry@cpnis.com
