MOVING TO A NEW PLACE Home eearch application rm Pisase write the first or main applicant's surmame here Cantilo important: Please make sure you read all the information presented in this dacument carefully before you carmplete this form. A. Your details First name(s) Magiel Give any other name(s} Selene you were previausly known by Date of birth 180211997 For example 06/12/1968 Current address: (Crra 16 #4-61 barrio 20 de Julio Postcode Contact/corrsspondence orsate address (if different from above) Contact telephone 4219233 numbers(s) Email address mscantilloo@misena.edu.co Gere eau eeeDo you experience difficulties ve [_] no [x with reading orweriting? What's your gender? Mele Female What is your religion? Prelernot ta say [| beastie eee ] Muslim Sikh None Other B. Employment information Ifyou are working, please tell us: ves [ ] No [ X at do yu de? C. Your family or household ‘We nged 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. Cantillo Last name Fitst name Neely Date of birth 21/09/1995 DalT987 1/01/1991 poise male female female boyfiiend mother sister Relationship tayou (wits, san, etc}D. Your present accommodation/circumstances st the property type in which you live or best describes your circumstances. House Trailer Hostal x Flat/apartment condominium Hotel x Bungalow Cottage Terraced house te] = Detached house ‘Semi-detached house No fixed address x E. Your house preferences State your house preferences describing all the charecteristics you want your new home ta have. Hose type (apartment, cottage, etc.) Number of rooms Number of bathrooms Which floor (ff located ina building) Pu utilities (zas, water, etc.) Lacstion Price ‘aparment 3 2 iwa floor 935, water, electricity, telphone Santa Marta. 480.000seu ens) rissa TA eee ey F. Special requirements Write a more detailed description of the kind of hause you want to have. Spacios, beautiful and cozy. G. Applicant’s signature Name [ Masiel pate [ 0504/2045