Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Other
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Mahdi
Last Name	Banaei
Place of Birth	Tabriz
Country of Citizenship	Iran
EDUCATION	Master's Degree/PhD
Current Occupation	Pharmacist
Occupation in Years	21
Occupation in Months	252
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	Ladan
Last Name	Bazmivash
Birth Date (m/d/y)	21/09/1979
Place of Birth	Tabriz
Country of Citizenship	Iran
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	paria
Date of Birth (mm/dd/yyyy)	16/09/2008
Place of Birth	Tabriz
2. Name	parham
Date of Birth (mm/dd/yyyy)	06/10/2013
Place of Birth	Tabriz
DO YOU HAVE ANY RELATIVES IN CANADA?	Yes
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
City/Town	Tabriz
Province	East Azerbaijan
CONTACT DETAILS	CONTACT DETAILS
Address	Rodaki street, Valiasr Tabriz-Iran
Contact Number	(437) 259-6236
Email Address	Email hidden; Javascript is required.