| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Family Class |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Mrs. |
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| First Name | Horieh |
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| Last Name | Yegani-Behambari |
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| Place of Birth | Somesara, Iran |
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| Country of Citizenship | Norway |
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| EDUCATION | - Secondary/High School
- Vocational/Trade/Apprenticeship
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| Current Occupation | Business owner (Daycare) |
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| Occupation in Years | 16 |
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| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY
PRINCIPAL APPLICANT |
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| English | |
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| French | |
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| Specify Other Language | Farsi and Norwegian |
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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 | Mr. |
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| First Name | Ghazanfar |
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| Last Name | Haji-Ghassemi |
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| Birth Date (m/d/y) | 11091955 |
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| Place of Birth | Yazd |
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| Country of Citizenship | Norway |
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| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
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| 1. Name | Omid Haji-Ghassemi |
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| Date of Birth (mm/dd/yyyy) | 09091985 |
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| Place of Birth | Tehran, Iran |
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| 2. Name | Hassan Jacobsen |
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| Place of Birth | Tehran, Iran |
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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 | Calgary |
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| Province | Alberta |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | 6309 Larkin Dr, Apt 315 |
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| Contact Number | (604) 220-4882 |
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| Email Address | Email hidden; Javascript is required. |