Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Other
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Samsul
Last Name	Arifin
Place of Birth	TRENGGALEK
Country of Citizenship	INDONESIA
EDUCATION	Secondary/High School
Other Eduction	driving and construction school
Current Occupation	Construction foreman
Occupation in Years	2018
Occupation in Months	October
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Fair
French	Fair
Specify Other Language	Mandarin
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Ms.
First Name	Aliska
Middle Name	Nurfajar
Last Name	Anggraini
Birth Date (m/d/y)	22/06/1992
Place of Birth	TRENGGALEK
Country of Citizenship	INDONESIA
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Ananda ramadhanuarta arifin
Date of Birth (mm/dd/yyyy)	21/07/2013
Place of Birth	TRENGGALEK
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	CALGARY
Province	ALBERTA
CONTACT DETAILS	CONTACT DETAILS
Address	NGRAYUNG village, GANDUSARI sub-district, TRENGGALEK city
Contact Number	(821) 323-5339
Email Address	Email hidden; Javascript is required.