Registration form for the Job Club programme
Personal data
Last name: ................................. First name: .........................................
Date of birth: ............ Registration number (in the registry): .............................
Address: ............................................................................................
Telephone: .............................. E-mail: ................................................
Marital status: married , single , separated
Nationality: ................................. Ethnic origin: .....................................
Studies (Describe separately each education form completed, starting with the most
recent):
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.......................................................................................................
Personal aptitudes and competences (acquired throughout one’s life and career, but do
not appear on any certificate or diploma):
.......................................................................................................
.......................................................................................................
.......................................................................................................
Professional experience (Mention in turn each professional experience starting with the
most recent):
.......................................................................................................
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Fields of interest (check the field / occupation you would like):
Agriculture: agriculturist , fisherman , fish breeder , fruit tree grower ,
vintner , farmer , others (specify) ..........................................................
Commerce and services: sales agent , commercial agent , cleaning agent ,
hairdresser , shoemaker , others (specify) ................................................