| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Self Employed |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Ridwan Gumilar Pratama |
| Middle Name | Gumilar |
| Last Name | Pratama |
| Birth Date (m/d/y) | 06/13/1989 |
| Place of Birth | Cirebon,Indonesia |
| Country of Citizenship | Indonesia |
| EDUCATION |
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| Other Eduction | Managemen Informatic |
| Current Occupation | Operation Warehouse |
| Occupation in Years | 2023 |
| Occupation in Months | February |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
|
| Specify Other Language | Can't |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
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| French |
|
| Specify Other Language | Can't |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Ms. |
| First Name | Pupu |
| Last Name | Pujianti |
| Birth Date (m/d/y) | 08/10/1993 |
| Place of Birth | Kuningan Indonesia |
| Country of Citizenship | Indonesia |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Zikri Putra Gumelar |
| Date of Birth (mm/dd/yyyy) | 05/04/2012 |
| Place of Birth | Cirebon,Indonesia |
| 2. Name | Zivana Latisha Azzahra |
| Date of Birth (mm/dd/yyyy) | 09/09/2022 |
| Place of Birth | Kuningan,Indonesia |
| 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 | QUEBEC |
| Province | Quebec |
| UPLOAD RESUME | inbound7737233348598099388.pdf |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Cirebon,Indonesia |
| Contact Number | 083141882903 |
| Email Address | Email hidden; Javascript is required. |
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- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
