| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Sofyan |
| Last Name | Anshory |
| Birth Date (m/d/y) | 04/09/1983 |
| Place of Birth | jakarta |
| Country of Citizenship | indonesia |
| EDUCATION |
|
| Other Eduction | bachelor |
| Current Occupation | ministry of youth and sports |
| Occupation in Years | ministry of youth and sports |
| Occupation in Months | ministry of youth and sports |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | nastassia |
| Last Name | octaviani |
| Birth Date (m/d/y) | 10/03/1984 |
| Place of Birth | jakarta |
| Country of Citizenship | indonesia |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | quinsha nazwa azzarine |
| Date of Birth (mm/dd/yyyy) | 06/10/2010 |
| Place of Birth | jakarta |
| 2. Name | qayser benzema |
| Date of Birth (mm/dd/yyyy) | 12/10/2014 |
| Place of Birth | jakarta |
| 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 | toronto |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | jl. duri kosambi jakarta barat |
| Contact Number | +6281991998890 |
| Email Address | Email hidden; Javascript is required. |
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