| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mrs. |
| First Name | Tina |
| Last Name | Jokar Deris |
| Place of Birth | Iran |
| Country of Citizenship | Iran |
| EDUCATION |
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| Current Occupation | Housewife |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mr. |
| First Name | Mehrdad |
| Last Name | Madadi Haghighi |
| Birth Date (m/d/y) | 22/12/1972 |
| Place of Birth | Iran |
| Country of Citizenship | Iran |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Mehra |
| Date of Birth (mm/dd/yyyy) | 22/11/2007 |
| Place of Birth | Iran |
| 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 | Toronto |
| Province | Ontario |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | 13 Profiti ilia, Livadia, Larnaca, Cyprus |
| Contact Number | (647) 231-2076 |
| 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
