Movinf to new place
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Servicio Nacional de Aprendizaje - SENA. Reservados todos los derechos 2013. A1 Level 1 : Learning activity 3 : Stage 1 A1 Level 1 : Learning activity 3 : Stage 3 MOVING TO A NEW PLACE Home earch application orm Please write the first or main applicant’s surname here Important: Please make sure you read all the informaon presented in this document carefully before you complete this form. First name(s) Give any other name(s) you were previously known by Date of birth For example 06/12/1968 Current address Postcode Contact/correspondence or safe address (if different from above) Contact telephone numbers(s) Email address A. Your details
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Transcript of Movinf to new place
Servicio Nacional de Aprendizaje - SENA. Reservados todos los derechos 2013.
A1 Level 1 : Learning activity 3 : Stage 1 A1 Level 1 : Learning activity 3 : Stage 3
MOVING TO A NEW PLACEHome earch application orm
Please write the first or main applicant’s surname here
Important: Please make sure you read all the information presented in this document carefully before you complete this form.
First name(s)
Give any other name(s)
you were previously known by
Date of birth
For example 06/12/1968
Current address
Postcode
Contact/correspondence
or safe address (if different
from above)
Contact telephone
numbers(s)
Email address
A. Your details
Servicio Nacional de Aprendizaje - SENA. Reservados todos los derechos 2013.
A1 Level 1 : Learning activity 3 : Stage 1
Do you experience difficulties
with reading or writing?
What´s your gender?
What is your religion?
Yes
Yes
Male
Prefer not to say
Muslim Sikh
Buddhist Christian
None
Hindu Jewish
Other(please specify)
No
No
Female
B. Employment information
C. Your family or household
If you are working, please tell us:
What do you do?
We need to know if other people will be moving with you. This will help us to know what type of home you will need. Please give their details below.
1st 2nd 3rd
Last name
First name
Date of birth
Gender
Relationship
to you (wife, son, etc.)
Servicio Nacional de Aprendizaje - SENA. Reservados todos los derechos 2013.
A1 Level 1 : Learning activity 3 : Stage 1
D. Your present accommodation/circumstances
E. Your house preferences
Tick the box against the property type in which you live or best describes your circumstances.
State your house preferences describing all the characteristics you want your new home to have.
House Trailer Hostal
Flat/apartment condominium Hotel
Bungalow Cottage Terraced house
Detached house Semi-detached house No fixed address
House type (apartment, cottage, etc.)
Number of rooms
Number of bathrooms
Which floor (if located in a building)
Public utilities (gas, water, etc.)
Location
Price
Servicio Nacional de Aprendizaje - SENA. Reservados todos los derechos 2013.
A1 Level 1 : Learning activity 3 : Stage 1
F. Special requirementsWrite a more detailed description of the kind of house you want to have.
G. Applicant´s signatureName
Date
