Dan Rus Ukr



 

Personal information

Fields with * must be filled in

 

Please, mark countries, where you want to practice


Denmark
Australia or
New Zealand

Norway




Your photo:

(only *.jpg files)

Surname*:
Name*:
Date of birth*: (only as DD/MM/YYYY)
Citizenship*:
Passport:

SN:    Date of issue:  (DD/MM/YYYY)   Date of expire: (DD/MM/YYYY) 

Place of birth:
Present address*:
Your phones*:
E-mail:
Sex*:         Height: cm        Weight: kg
Do you smoke?

If you have specific diet, please specify:

If you have health problems or disability, please specify:

Driving licence

 

Foreign language and level ( 1 - 5 ):

English:

Deutsch:

Dansk:

Other language:

 

Person, to notify in an emergency

Name:
Phone:

 

Information about your spouse

Your marital status:
Full name of your spouse:
Previous name:
Date of birth: (dd/mm/yyyy)
Place of birth:
Date of your marriage: (dd/mm/yyyy)
Address:
Phones:

 

Your children

   

Full name,
date of birth,
address:

   

 

Your father

Full name:
Date of birth: (dd/mm/yyyy)
Address:
Phones:

 

Your mother

Name:
Date of birth: (dd/mm/yyyy)
Address:
Phones:

 

Education and work 

experience in agriculture

 

All kinds of your education


   

    

Agricultural

School/University

Department/
Faculty

Started

year

Graduation

year

Speciality

   


 

Your work experience abroad:


   

Year

Total

months

Name and

type of farm

Your responsibility

   


 

Your agricultural and other experience in your country of origin since 16 year:


   

Year

Total

months

Name and

type of farm

Your responsibility

   


 

Your machinery experience

Tractor driving:
Total months Level

Combine operating:

Milking machines:

 

Please choose 3 branches, where you want to practice the most of all

Branch    
Cattle Pigs Poultry Minks Plant Horses Sheep
Please mark it as 1, 2 and 3    

 

Other

 

Your hobbies, and what do you do in your free time?
Please write a little about yourself, your family, and why you want to practice abroad?
What would you like to learn during practice?
What are your dreams for the future?
What will you do with money earned during your practice abroad?
Other remarks:

 

 


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