| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Investor |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mr. |
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| First Name | Ali Reza |
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| Last Name | Talebi |
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| Place of Birth | Kazeroon |
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| Country of Citizenship | Iran |
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| EDUCATION | |
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| Other Eduction | PhD |
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| Current Occupation | Yazd medical university |
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| Occupation in Years | 24 |
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| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY
PRINCIPAL APPLICANT |
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| English | |
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| French | |
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| MARITAL STATUS | Married |
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| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
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| English | |
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| French | |
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| SPOUSE DETAIL | SPOUSE DETAIL |
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| Title | Ms. |
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| First Name | Maryam |
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| Last Name | Nayeri |
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| Birth Date (m/d/y) | 21/09/1969 |
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| Place of Birth | Shiraz |
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| Country of Citizenship | Iran |
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| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
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| 1. Name | Amir Hossein |
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| Date of Birth (mm/dd/yyyy) | 12/08/1998 |
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| Place of Birth | Yazd |
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| 2. Name | Zahra |
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| Date of Birth (mm/dd/yyyy) | 13/11/2002 |
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| Place of Birth | Yazd |
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| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
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| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
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| City/Town | Vancuver |
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| Province | British colombia |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | Safayeh, Yazd, Iran |
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| Contact Number | (913) 153-2174 |
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| Email Address | Email hidden; Javascript is required. |