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ONLINE MEMBERSHIP FORM
1. Username
Password
Confirm Password
Name of Head of Household:
2. Address:
Apartment number:
Street address:
City:
State:
Zip/postal code:
Upload Photo
3. Telephone No. : Home
Work :
4. Mobile No.:
5. Fax :
6 .Spouse :
7. Email:
Confirm Email:
8. Passports details :
Self:
Spouse
Passports numbers - Yours :
Passport Issue date :
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Passport Expiry date :
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9. Information on household members-including yourself :
First name
Relationship
Your Self
Date of birth
DD:MM:YY
Sex
Education & Occupation
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Female
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Female
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1987
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2012
Male
Female
10. Language you speak and indicate your proficiency in that
English Language :
excellent
good
fair
poor
11. Interests and Hobbies – and details:
12. Please select the pets you have:
Dog
Cat
Bird
Other
13. Does any one in your household Smoke?
Yes
No
14. Does any one in your household take Alcohol?
Yes
No
15. Maximum number of guest acceptable:
One
Two
Three
16. Please circle type of guests preferred
Couple
Family
Female
Male
No preference
17. Spare room attached toilet for Ambassadors available?
Yes
No
18. Diet
Vegetarian
Mixed
19. Have you participated in a home stay (or similar) program :
as a host
as a visitor
20. How have you participated in exchange programme other than home stay like day hosting?
21.What is / was your specific profession?
22.Would you like to participate in any bridge builder / profession-exchange?
23.Major places in India you have explored?
24.Which Countries you have visited?
25.Which treks have you trailed?
26. How well you are oriented of our History/ Geography/ Culture and Customs of India
If not well how do you plan to be oriented?
27.Blood Group
28. Are you Ready to-
a)
Provide room and board for a visiting Ambassador for the specified days and nights
b)
Involve this Ambassador in the daily activities of your family
c)
Participate in all official functions that are planned for hosts during the exchange program
d)
Attend training workshops
e)
Attend an interview, if requested
f)
Accept that the exchange is a public event and that the local and national media and Friendship force International in its publications may use the photograph and name of the Host.
g)
As a Host, willingly accept in your home people who may be of another race or religious preference, who may not speak your language, and who have customs with which you are unfamiliar.
29. Why you join Friendship Force?
Security Code:
Language Translator
Welcome to Nashik Exchange
Host Programs
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