| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | Mojtaba |
| Last Name | Omrani |
| Place of Birth | Iran |
| Country of Citizenship | Iran |
| EDUCATION |
|
| Other Eduction | Master in Teaching English |
| Current Occupation | Founder and chief executive |
| Occupation in Years | Own business |
| Occupation in Months | Own business |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Divorced/Separated |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | Mmm |
| Middle Name | Mmm |
| Last Name | Mmm |
| Birth Date (m/d/y) | 11/11/1111 |
| Place of Birth | Hhh |
| Country of Citizenship | Hhh |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | Hhhh |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 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 |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Mashhad |
| Contact Number | (933) 511-0302 |
| 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
