E-mail
Surname, name 
Date of birth
Place of birth
Nationality
1. Passport:
  serial number
  number
  date of issue
  issued by
2. Registration according to the passport
3. Actual address

4. Phone numbers (please indicate the available one)

  home number
  contact number
5. Marital status:
  married married  
  divorced divorced  
  single single  
6. Children:
7. Education:
8. Lingue straniere:
9. Esperienza professionale (cominciando dall’ultimo posto di lavoro):
10. Electrical safety knowledge, admission to work with gas equipment, high-pressure vessels, work on loaders etc. :

11. Additional information about yourself (Hobbies, strong and weak points) :

12. Driving license (category) :
 
13. Driving license for loaders (please indicate the kind of license) :
14. Have you ever been brought to criminal responsibility?
  Yes No