| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Skilled Worker |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Stephen |
| Last Name | Widyarto |
| Place of Birth | Makassar |
| Country of Citizenship | Indonesia |
| EDUCATION |
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| Current Occupation | Regional sales manager |
| Occupation in Years | 15 |
| Occupation in Months | 180 |
| 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 | Novita |
| Last Name | Liwang |
| Birth Date (m/d/y) | 03111980 |
| Place of Birth | Makassar |
| Country of Citizenship | Indonesia |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Cathleen Widyarto |
| Date of Birth (mm/dd/yyyy) | 21032011 |
| Place of Birth | Makassar |
| 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 | Perumahan manado permai blok G no 12 B, jl lengkong wuaya, kelurahan ranomut, kec. Paal dua |
| Contact Number | (815) 432-4942 |
| Email Address | Email hidden; Javascript is required. |
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- Email Address: inquiry@cpnis.com
