Form view – Canadian Provincial Nominee & Immigration Services

PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING	Family Class
PERSONAL INFORMATION	PERSONAL INFORMATION
Title	Mr.
First Name	Haval
Middle Name	Qader
Last Name	Ismael
Place of Birth	Iraq-erbil
Country of Citizenship	Iraq
EDUCATION	Secondary/High School
LANGUAGE PROFICIENCY	LANGUAGE PROFICIENCY PRINCIPAL APPLICANT
English	Fair
French	Fair
Specify Other Language	Arabic
MARITAL STATUS	Married
LANGUAGE PROFICIENCY SPOUSE	LANGUAGE PROFICIENCY SPOUSE
English	Fair
French	Fair
Specify Other Language	Arabic
SPOUSE DETAIL	SPOUSE DETAIL
Title	Mrs.
First Name	Nadiya
Middle Name	Mohammad
Last Name	Khthir
Birth Date (m/d/y)	21/10/1981
Place of Birth	Iraq-erbil
Country of Citizenship	Iraq
N.B. Additional information on your spouse (if applicable), i.e. education, work experience could be provided on extra Space below	I do voluntary work such as cooking for immigrants in Kurdistan.
CHILDREN'S DETAIL (IF ANY)	CHILDREN'S DETAIL (IF ANY)
1. Name	Hedi
Date of Birth (mm/dd/yyyy)	19/09/2001
Place of Birth	Iraq-erbil
2. Name	Havana
Date of Birth (mm/dd/yyyy)	27/05/2003
Place of Birth	Iraq-erbil
3. Name	Hovan
Date of Birth (mm/dd/yyyy)	28/07/2015
Place of Birth	Iraq-erbil
DO YOU HAVE ANY RELATIVES IN CANADA?	Yes
WHERE DO YOU INTEND TO LIVE IN CANADA?	WHERE DO YOU INTEND TO LIVE IN CANADA?
City/Town	Ottawa
Province	Ontario
UPLOAD RESUME
CONTACT DETAILS	CONTACT DETAILS
Address	havanahaval14@gmail.com
Contact Number	(750) 868-5080
Email Address	Email hidden; Javascript is required.