| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Shaghayegh |
| Last Name | Sharafi |
| Place of Birth | Tehran |
| Country of Citizenship | Iran |
| EDUCATION |
|
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| Specify Other Language | No |
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| Specify Other Language | No |
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Mohammad |
| Last Name | Derakhshan |
| Birth Date (m/d/y) | 31/5/1984 |
| Place of Birth | Tehran |
| Country of Citizenship | Iran |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Johnna |
| Date of Birth (mm/dd/yyyy) | 11/9/2019 |
| Place of Birth | Toronto |
| 2. Name | Shanna |
| Date of Birth (mm/dd/yyyy) | 11/9/2022 |
| Place of Birth | Toronto |
| 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 |
| Province | Ontario |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 10 sifton court |
| Contact Number | (439) 996-4710 |
| Email Address | Email hidden; Javascript is required. |
Hi, How Can We Help You?
- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
