| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Student |
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| PERSONAL INFORMATION | PERSONAL INFORMATION |
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| Title | Ms. |
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| First Name | Mina |
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| Last Name | mozafari dargiri |
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| Place of Birth | bandar abbas |
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| Country of Citizenship | Iran |
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| EDUCATION | |
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| Other Eduction | Graduate student in architectural engineering |
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| Current Occupation | Holds an associate degree in graphics |
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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 | Mr. |
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| First Name | Mohsen |
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| Last Name | khalatbari |
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| Birth Date (m/d/y) | 1989/03/27 |
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| Place of Birth | ramsar |
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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 | ermia |
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| Date of Birth (mm/dd/yyyy) | 2013/10/02 |
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| Place of Birth | bandar abbas |
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| 2. Name | martia |
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| Date of Birth (mm/dd/yyyy) | 2015/12/20 |
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| Place of Birth | bandar abbas |
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| DO YOU HAVE ANY RELATIVES IN CANADA? | No |
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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 | bandarabbas |
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| Province | hormozgan |
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| CONTACT DETAILS | CONTACT DETAILS |
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| Address | zakeri st . palm nakhl 10 no10 |
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| Contact Number | (936) 193-9107 |
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| Email Address | Email hidden; Javascript is required. |