Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mrs.
First Name	Andi
Last Name	Juarna
Place of Birth	Bandung.indonesia
Country of Citizenship	Indonesia
EDUCATION	Secondary/High School
Current Occupation	Mechanical enginer car
Occupation in Years	10 years
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Fair
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Fair
Specify Other Language	Indonesia
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Fitri
Last Name	Sulastri
Birth Date (m/d/y)	13-02-1990
Place of Birth	Bandung.indonesia
Country of Citizenship	Indonesia
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Jasmine almaira juarna
Date of Birth (mm/dd/yyyy)	08-12-2015
Place of Birth	Bandung
2. Name	M.abbiyu juarna
Date of Birth (mm/dd/yyyy)	10-10-2017
Place of Birth	Bandung
DO YOU HAVE ANY RELATIVES IN CANADA?	No
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
CONTACT DETAILS	CONTACT DETAILS
Address	Baladewa Utara no 12.bandung pajajaran
Contact Number	(122) 482-2090
Email Address	Email hidden; Javascript is required.