A1 Level 1 : Learning activity 3 : Stage 3

MOVING TO A NEW PLACE

Home
Tearch
application
Gorm
Please write the first or main applicant’s surname here jhon jairo pava tafur
Important: Please make sure you read all the information presented in this document carefully before
you complete this form.

A. Your details
First name(s) jhon

Give any other name(s) jairo

you were previously known by

Date of birth 13/07/1985

For example 06/12/1968

Current address cra 34b casa 133

Postcode -------

Contact/correspondence calle 55a N°34-11 B. Las americas

or safe address (if different
from above)

Contact telephone 6029688-3212347434

numbers(s)

Email address jjmisterpower@hotmail.com

Servicio Nacional de Aprendizaje - SENA. Reservados todos los derechos 2013.

 A1 Level 1 : Learning activity 3 : Stage 1

Do you experience difficulties Yes No x

with reading or writing?

What´s your gender? Male x Female

What is your religion? Buddhist Hindu

Prefer not to say Christian Jewish

Muslim Sikh None Other x

(please specify)

B. Employment information
If you are working, please tell us: Yes x No

What do you do? operator hoist

C. Your family or household

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 rosa harold

First name elena santiago

Date of birth 15/04/1985 10/02/2014

Gender female male

Relationship wife son

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

Tick the box against the property type in which you live or best describes your circumstances.

House Trailer Hostal

x
Flat/apartment condominium Hotel

Bungalow Cottage Terraced house

Detached house Semi-detached house No fixed address

E. Your house preferences

State your house preferences describing all the characteristics you want your new home to have.

House type (apartment, cottage, etc.) apartment

Number of rooms two

Number of bathrooms three

Which floor (if located in a building) second

Public utilities (gas, water, etc.) gas, water, tv cable, telephone, electricity,
internet
Location green zone and commercial areas

Price 500.000

Servicio Nacional de Aprendizaje - SENA. Reservados todos los derechos 2013.

 A1 Level 1 : Learning activity 3 : Stage 1

F. Special requirements
Write a more detailed description of the kind of house you want to have.

apartment beautifull, located in a tranquil zone, safe and clean zone, with commercial and
populars areas, near of park and church.
with price cheap,
three bathrooms, two bedrooms, dining room, living room, kitchen and garage

G. Applicant´s signature
Name jhon jairo pava tafur
Date 23/05/2014

Servicio Nacional de Aprendizaje - SENA. Reservados todos los derechos 2013.