| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
|---|
| Title | Mr. |
|---|
| First Name | Bashir |
|---|
| Middle Name | Mohammad |
|---|
| Last Name | Sediqi |
|---|
| Place of Birth | Kabul Afghanistan |
|---|
| Country of Citizenship | Afghanistan |
|---|
| EDUCATION | |
|---|
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY
PRINCIPAL APPLICANT |
|---|
| English | |
|---|
| French | |
|---|
| MARITAL STATUS | Married |
|---|
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
|---|
| English | |
|---|
| French | |
|---|
| Specify Other Language | Pashto |
|---|
| SPOUSE DETAIL | SPOUSE DETAIL |
|---|
| Title | Ms. |
|---|
| First Name | Halima |
|---|
| Last Name | Sediqi |
|---|
| Birth Date (m/d/y) | 1981/5/20 |
|---|
| Place of Birth | Kabul Afghanistan |
|---|
| Country of Citizenship | Afghanistan |
|---|
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
|---|
| 1. Name | Reshad Ahmad |
|---|
| Date of Birth (mm/dd/yyyy) | 2006/9/10 |
|---|
| Place of Birth | Kabul Afghanistan |
|---|
| 2. Name | Shabnam |
|---|
| Date of Birth (mm/dd/yyyy) | 2004/6/8 |
|---|
| Place of Birth | Kabul Afghanistan |
|---|
| 3. Name | Fatima |
|---|
| Date of Birth (mm/dd/yyyy) | 2014/6/20 |
|---|
| Place of Birth | Kabul Afghanistan |
|---|
| 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 | Central |
|---|
| Province | Toranto |
|---|
| CONTACT DETAILS | CONTACT DETAILS |
|---|
| Address | Kabul Afghanistan |
|---|
| Contact Number | (078) 501-0992 |
|---|
| Email Address | Email hidden; Javascript is required. |