Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Skilled Worker
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Gede
Middle Name	Agus
Last Name	Suyoga
Place of Birth	Anturan, Buleleng-bali
Country of Citizenship	Indonesia
EDUCATION	Secondary/High School
Other Eduction	Tourism senior high school
Current Occupation	F&B departmen
Occupation in Years	8 years
Occupation in Months	Waiter
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Good
French	Fair
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Good
French	Fair
SPOUSE DETAIL	SPOUSE DETAIL
Title	Ms.
First Name	Putu
Middle Name	Meli
Last Name	Yani
Birth Date (m/d/y)	17/05/1996
Place of Birth	Anturan, Buleleng - bali
Country of Citizenship	Indonesia
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Gede ardika yasa
Date of Birth (mm/dd/yyyy)	19/07/ 2010
Place of Birth	Anturan, Buleleng - bali
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
UPLOAD RESUME
CONTACT DETAILS	CONTACT DETAILS
Address	Banjar dinas pasar, desa Anturan, buleleng
Contact Number	(628) 774-3226
Email Address	Email hidden; Javascript is required.