Name : Robben.

W Date : 28/7/2021

Form Filling Exercise

Read the information between Laura and Billy. Then, fill the forms!

My name is Laura Fernandez and I am a manager at a famous

Fast Moving Consumer Goods Company. I graduated from Ohio
University. I live with my two children Liam & Jess. My husband's
name is Mike Fernandez. I speak French and English. I was born
in France on the 16th of August 1983.

Surname: Fernandez
First Name: Laura
Spouse's Name: Mike Fernandez
Occupation: Manager
Dependants: Liam & Jess Fernandez
Date of Birth: 16th August 1983
Mother Tongue: French

My name is Billy Smith and I am a Scientist. I graduated from

Monash University. I live with my three children Louis, Ben, and
Ann. My wife's name is Nath Smith. I speak Greek, Mandarin,
and English. I was born in Athens on the 1st of September 1985.

Surname: Smith
First Name: Billy
Occupation: Scientist
Dependants: Louis, Ben, Ann Smith
DOB: 1st September 1985
Marital Status: Married

Theressa Claudia
 Name : Robben. W Date : 28/7/2021

Form Filling Exercise

Filling out form below!

The following is an application letter written by Heru Wibisono. He wants to be a
member of "Dead Poet Society of St. Bernard". He is an avid writer of poetry as
well as a contemplating reader of poems written by famous and infamous poets all
over the western world. Read the letter and fill out the application form that
follows. Use the information from the letter.

December 11, 2021

Dear sir,
My name is Heru Wibisono. My friends call me Wibi for short. I am now 20 years old and healthy. I live at
432 Fenwick St., Elton Park, Georgia 30549. I come from Indonesia. I was born on 2nd of March 2001 in
Bantul, Indonesia. I have three sisters and no brother. I am currently a student of St. Bernard College. I am
a medical school students. My major is Gynecology. I am in my fourth year now. My hobbies are writing
and reading poetry, and doing yoga. I also love to go hiking and mount biking in my spare time.

I want to join the club because . My phone number is (706)434667.

Thank you very much for your attention.

Respectfully yours.

Heru Wibisono
Heru Wibisono.

Theressa Claudia