SETHA e SUBANG TRAINEE APPLICATION Position applied for Trainee Duration Available starting date | Full name AL AYU SETS/AWATI Male Female Place /Date ofsinh SUBAMS (3. APRIL 2001 | Address Kp. RawoleL€. E1.tt Rw. O2 PESA, RAWALELE Kec DAWUAN _¢ AB: SUBANE Gry: CUBAN Postcode Telephone: _ [1. card Number: 5 Date of Expiry —_ [ Marital Status QELAIAR Religion: \SLAT™ Blood Type [evas ____]} Degree or [Name of school, University or other To } | training institutions. | ali | seseteremestioncairse |e i cariiicatat st] [ome 2 SuBRNIE 2 JACA BOR | Language | ig a Waiting | Poor wd] bxcellent | | Beatent | Poor | Geod | Beccient |] Poor | Good | Excelent | Poor | Good | Excellent | Poor | Good | fxcelient_| Poor | Good | ~txcelent | Poor | Good | cellent | Poor | Good | fxeellent | FAMILY INFORI ames ENANG LODIANGYAL | To A | Occupation: ' 3 - [Mother's Name. “WTU _NUREAYATI [age: 4 0 | Occupation: [Address ER. RAWACELE BU RW. 02 | Telephone ee Ore ERPRUELE Kec URWUAKT ERG: SuBRNE t person in case of emergencies Telephone | Applicant signature Date