A. |
PERSONAL INFORMATION |
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First Name |
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Surname |
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Male
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Female
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Nationality |
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Date of Birth |
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Languages Spoken |
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PERSONAL CONTACT INFORMATION |
Email Addresses (Personal and Business) |
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Work Telephone Number |
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Home Telephone Number |
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Mobile Telephone Number |
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PRE-ASSIGNMENT VISIT |
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Arrival Date |
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Departure Date |
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Will your family be accompanying you? |
Yes
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No
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Has accommodation been arranged during your stay in South Africa? |
Yes
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No
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What passport do you currently hold? |
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Have you applied for the necessary visas required for this trip? |
Yes
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No
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FAMILY INFORMATION |
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Name of Spouse/Partner |
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Children's Name |
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Age |
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B. |
HOME FINDING INFORMATION |
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Would you like us to find you temporary living accommodation before you move into your permanent accommodation? |
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Type of Accommodation |
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Hotel with Kitchen
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Guest House
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Number of Bedrooms |
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Length of Stay |
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PERMANENT ACCOMMODATION |
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Are you intending to rent?
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Or purchase a home?
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Would your prefer: (please X) |
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House
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Apartment
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Townhouse
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Furnished
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Unfurnished
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Part-furnished
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No of Bedrooms |
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Lounges
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Seperate Dining Room
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No of Bathrooms |
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Garage Spaces
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Study
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Domestic staff quarters
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Gated Community
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Secure Complex
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Free Standing Home
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Any particular neighbourhood, if you know of any? |
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Additional Requests: |
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Length of Lease if renting |
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Preferred start date of lease |
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C |
FAMILY INFORMATION |
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SPOUSE/PARTNER |
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Date of family relocation (if different from yours) |
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Do they have any previous international work experience? |
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What languages does she/he speak? |
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CHILDREN INFORMATION |
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Name of Child |
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Name of Child |
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Date of Birth |
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Date of Birth |
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Gender |
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Gender |
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Grade |
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Grade |
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Languages Spoken |
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Languages Spoken |
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SCHOOLING |
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Do you require our assistance in finding a school for your children? |
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If yes, please X your preferences: |
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International School
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Private School
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State School
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Co-Educational
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Single Sex
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Secular
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Religious Affiliation (specify) |
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Pre-school
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Day Care
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Nanny
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Please specify any schools you are in interested in, if known |
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Would you like us to look into any after-school activities or extra-lessons for your children? |
Childs Name |
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Childs Name |
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Extra activity/lesson required |
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Extra activity/lesson required |
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During the week or weekend? |
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During the week or weekend? |
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Are there any additional children’s needs that we should know about? |
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OTHER FAMILY |
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Are there any other family members relocating with you? |
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PETS |
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Do you plan to bring pets? |
Yes
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No
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If yes, please indicate number and type (cats, dogs, etc) |
Yes
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No
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Do you require assistance or information? |
Yes
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No
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YOUR NEW HOME |
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COMMUNITY FAMILIARIZATION |
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Do you require us to help you with any of the following: |
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Neighbourhood orientation |
Yes
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No
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Banking Services |
Yes
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No
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Tax Registration |
Yes
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No
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Insurance – Medical, Housing, Life, Car, etc |
Yes
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No
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Doctors |
Yes
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No
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Dentists |
Yes
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No
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Local Hospitals |
Yes
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No
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Cost of Living expenses example |
Yes
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No
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Cost of running costs for personal transport |
Yes
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No
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Mobile phones, landlines, internet, etc |
Yes
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No
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Domestic Help (housekeeper, gardener, babysitter, etc) |
Yes
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No
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Groceries |
Yes
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No
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Furniture |
Yes
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No
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Appliances |
Yes
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No
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Shopping Centres |
Yes
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No
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Colleges/Universities |
Yes
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No
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Religious worship (please specify) |
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Expatriate Organisations |
Yes
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No
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Health Clubs and Gyms |
Yes
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No
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Language Training, Social activities or organisations |
Yes
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No
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Local Restaurants,Takeaways and Other Entertainment |
Yes
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No
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Playgrounds, Parks and Recreational Centres |
Yes
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No
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