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ABOUT YOU SECTION
PERSONAL DETAILS
First Name
Last Name
{First Name}
{Last Name}
Date of Birth
{date of birth}
Home Country
City of birth
Date of Birth
Date of Birth
Nationality
Date of Birth
Gender
Gender
Relationship status
Relationship status
Religion
Religion
Is religion actively important in your daily life?
Date of Birth
CONACT & DACUMENTS
Mobile
Date of Birth
Date of Birth
Full postal address
Date of Birth
Passport Number
Passport Number
Passport expiry date
Date of Birth
VISA & ENTRY STATUS
Visa appointment status *
Date of Birth
Visa appointment date
Date of Birth
How long are you looking for a new placement?
Date of Birth
Do you have a valid passport?
Date of Birth
QUICK FACTS
Do you smoke?
Date of Birth
Would you agree not to smoke inside the family home?
Date of Birth
Are you scared of or allergic to animals?
Date of Birth
Dietary preferences or restrictions
Date of Birth
Can you swim?
Can you swim?
Can you ride a bicycle?
Date of Birth
Driving licence?
Date of Birth
Since where
Date of Birth
Any health conditions or allergies?
Please describe
Date of Birth
Date of Birth
Do you have a medical certificate?
Date of Birth
Relatives in Germany?
Relatives in Germany?
YOUR BACKGROUND
