| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Other |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Mr. |
| First Name | محمد |
| Last Name | میرسعید |
| Place of Birth | تهران |
| Country of Citizenship | ایران |
| EDUCATION |
|
| Current Occupation | کارمند |
| Occupation in Years | کارمند |
| Occupation in Months | کارمند |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Married |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| English |
|
| French |
|
| SPOUSE DETAIL | SPOUSE DETAIL |
| Title | Mrs. |
| First Name | پریسا |
| Last Name | سعیدی |
| Birth Date (m/d/y) | 08.01.1972 |
| Place of Birth | تهران |
| Country of Citizenship | ایران |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | رستا |
| Date of Birth (mm/dd/yyyy) | 14.06.2012 |
| Place of Birth | تهران |
| 2. Name | ثنا |
| Date of Birth (mm/dd/yyyy) | 01.06.2001 |
| Place of Birth | تهران |
| 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 | تورنتو یا اتاوا |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | تهران خ کاشانی خ تعاون خ آلاله پ24 ط1واحد 2 |
| Contact Number | (921) 321-9313 |
| 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
