ALLIANCE ABROAD

GROUP

Information for platform

Basic information

 Given name and middle name as shown on the passport

________________Jhon Franco__________________________________________________
 Surname _____Mocha Gualoto_______________________________
 Telephone
+593___________963138759_______________________________________________________
_
 Skype ID ___________ live:.cid.6ed42515ecfe353e___________________________________
 Email __________________________________jhonmocha23@gmail.com____________
 Gender_____Male________________
 Country of citizenship _______Ecuadorian_________________________________________
 Date of birth
__________________________08/September/2002_____________________________________
_____
 Birth City
_______________________________Machala__________________________________
 Country of Birth ___________________Ecuador______________________________

Home Address

 Address
 Town/ City ____________Los Vergeles____________________________
 County/State ________________________Machala_________________________________
__Machala______
 ZIP/Postcode
______________ 070211____________________________________________
_____________________________________________________________

Emergency Contact Details

 Emergency contact name ____Leonardo Mauricio Mocha Gualoto_______

 Emergency contact number _+593 968455588__________
 Emergency contact relationship __________Brother_________________________________
 Emergency contact email ________maurizio87-7@hotmail.com _________________
Application
 How did you find out about this J1 program? ____I found out about it from a friend_____
 Education institution __Technical University Of Machala__________________
 Major field of study ______Pedagogy Of National And Foreign Languages____________
 City of your University_____________Machala___________________________
 How many semesters of university will be completed at the time of participation?
___seven___
 Graduation expected date
15/may/2025
 Scheduled start date for student's official summer vacation? 2024 16/February/2024
 Scheduled end date for student's official summer vacation? 2024 30/may/2024

Availability

 What date can you confidently begin your program?

_________________16/February/2024__________________
 What date do you need to be home to resume university?
_________30/may/2024_____________________