| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Self Employed |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | farbod |
| Middle Name | فربد |
| Last Name | rad |
| Place of Birth | iran |
| Country of Citizenship | Iran |
| EDUCATION |
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| Current Occupation | director general |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
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| French |
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| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
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| French |
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| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | hadic |
| Last Name | vaziri |
| Birth Date (m/d/y) | 15/09/1991 |
| Place of Birth | iran |
| Country of Citizenship | Iran |
| N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below | acounting mba |
| 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 | ontario |
| Province | torento |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | iran-tehran-movahed |
| Contact Number | (098) 911-1751 |
| 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
