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Name…………………………………………………………………………………………………

Phone…………………………………………………………………………………………………

Age……………………………………

Male/Female

Nationality…………………………………………………………………………………………

Email………………………………………………………………………………………………….

Do you have a work visa       Yes/No

Work visa number………………………………………………………………………………

Do you require a 2nd year visa   yes/No

How many days do you need to get your 2^nd year visa……………………….

Do you speak and understand good English……………………………………….

How long do you want to work for…………………………………………………….

Do you require accommodation Yes/no

Do you have transport  Yes/No

Are you traveling alone or with a group……………………………………………..

Names of other people in group ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..........................................................................................

Have you had farm experience Yes/No

If so what experience ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………................................................................................................................................