A1 Level 1 : Learning activity 3 : Stage

31

MOVING TO A NEW PLACE

Home Tearch application
Gorm
Please write the first or main applicant’s surname here Castañeda
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) Yazmin

Give any other name(s)

you were previously known by Veronica

Date of birth
For example 06/12/1968 28/05/1994

Current address Race 5 pN°49 h 13 South

Postcode

Contact/correspondence
or safe address (if different
from above)

Contact telephone numbers(s) 7695731

Email address yvcastaneda4@misena.edu.co

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 Female x

What is your religion? Buddhist Hindu

Prefer not to say Christian Jewish
x
None Other
Muslim Sikh

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

What do you do? I am student

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

Castañeda Herrrera Castañeda
Last name
Dagoberto Martha Sebastian
First name
13/10/1961 11/12/1970 01/12/2003
Date of birth
Male Female Male
Gender
father Mother Brother
Relationship
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

Flat/apartment condominium Hotel

x

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.) house

Number of rooms five

Number of bathrooms three

Which floor (if located in a building) -------

Public utilities (gas, water, etc.) Gas, water, light and internet

Location Bogota City – Rafael uribe uribe

Price $40’000.000 pesos

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.

I want a house:
  a house with two floors and each floor has
Three bedrooms
three bathrooms
One kitchen
Living room
Dining room
Front garden
Terrace
And that this whole house veneered

G. Applicant´s signature
Name Yazmin Veronica Castañeda Herrera

Date July 22th, 2014

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