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A to Z Turismo Lda
Vilanculos, Mozambique
Email:
info@divebazaruto.com
Website: www.divebazaruto.com
Telephone: +27-3333-02792 Mobile:
+258-848 506 507
DIVE BAZARUTO
VOLUNTEER APPLICATION
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SURNAME:
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NAMES:
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DATE OF BIRTH:
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PASSPORT NUMBER:
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NATIONALITY:
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EMAIL ADDRESS:
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TELEPHONE NUMBER:
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PHYSICAL ADDRESS:
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MEDICAL AID/ INSURANCE NUMBER :
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MEDICAL AID/INSURANCE SOCIETY:
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NEXT OF KIN:
NAME:
RELATION:
ADDRESS:
CONTACT PHONE:
CONTACT EMAIL:
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FLUENCY IN ENGLISH (SPOKEN &
WRITTEN):
EXCELLENT / GOOD / AVERAGE /
POOR
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PERIOD OF VOLUNTEERING
(starts 1st of
each month):
2 WEEKS / 4 WEEKS
MONTH:
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PERSON RESPONSIBLE FOR PAYMENT:
RELATIONSHIP:
CONTACT EMAIL:
CONTACT PHONE NUMBER:
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To download PDF
file
Click here
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Fill in, sign and then
fax to +27-866286-958
or
Scan to email and send to
office@divebazaruto.com
For acceptance in the Dive Bazaruto Volunteer Program |
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