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Formularz Projekt Rimini
Personal information participants
Ingia katika Akaunti kwenye Google
ili uhifadhi majibu uliyoyaweka.
Pata maelezo zaidi
* Huonyesha swali ambalo sharti lijibiwe
Anwani ya barua pepe
*
Anwani yako ya barua pepe
Name and Surname
*
Jibu lako
Work Placement Sector/ Work tasks/ Structured course
*
Jibu lako
Students Skills and activities they can carry out during the internship
*
Jibu lako
Date of Birth
*
Siku
/
Mwezi
/
Saa
Place of Birth
*
Jibu lako
Nationality
*
Jibu lako
Sex (Male o Female)
*
Male
Female
ID_Document number
*
Jibu lako
Type of document (ID or passport)
*
ID
passport
Address, Post Code, City, Country (Post Code ex. 07-300)
*
Jibu lako
Allergies/Special needs
YES - NO (If YES - please specify)
*
Jibu lako
Medicines/Additional care.
YES-NO. (If YES - please specify)
*
Jibu lako
Smoker
*
YES
NO
Mobile phone number - student
(ex. +48 666777888)
*
Jibu lako
Email - student (only small signs, ex. jan.kowalski@gmail.com)
*
Jibu lako
Rooming preferences (alone / with other students from the same group)
*
Jibu lako
Mobile phone number - Mother (ex. +48 666777888 )
Jibu lako
Email - Mother (only small signs, ex. anna.nowaki@gmail.com)
Jibu lako
Mobile phone number - Father (ex. +48 666777888 )
Jibu lako
Email - Father (only small signs, ex. jan.kowalski@gmail.com)
Jibu lako
Nitumie nakala ya majibu yangu.
Wasilisha
Futa yaliyomo kwenye fomu
Kamwe usitume manenosiri kupitia Fomu za Google.
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Sera ya Faragha ya Google
Masharti
Maudhui haya hayajaundwa wala kuidhinishwa na Google.
Ripoti matumizi mabaya
-
Sheria na Masharti
-
Sera ya Faragha
Fomu
