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First Name:
Middle Name:
Last Name:
Date of Birth:
Country of Origin:
Nationality:
Country of Residence:
City:
Province/Department:
Age :
E-mail :
Phone:
Fax:
Studies:
Marital Status:
Profession:

How many years has been workers, Dairy Hands, aeroponics, hydroponics or ranch hands for:
What kind of driver License do you have:
Country of the license:
How many years have had a license for:
How many years have driven for:
What do you drive now:
Do you have a car o a truck:
Languages:	English Hindi Gujarati Marathi
Other Languages:
Do you have employees:
How many:
Do you have children:
How many:

Do you have specific courses as a workers, dairy farmers, aeroponics, hydroponics or ranch hands:
Such as:
Do you have own computer:
Do you have experience in "supervision of other workers, dairy hands, aeroponics, hydroponics or ranch hand":
Stature-meter(s):
Stature-centimeters:
Weight-kilos:
Do you smoke cigarettes:
Do you have Mechanical Skills:
What is it the low temperature in your town during the winter-Centigrade:
Do you have updated passport:
Which country:
Would you be available to work outside up to 9 months per year away of your family, culture and country:
What is your favorite music:
Are you allergic to something:
To What:
Do you have back problems:
Can you raise 50 kilos without problem:
What is your favorite food:
How much would you like to make monthly in North America as a workers $:
If you are selected, are you ready to guarantee 3 years of working with the company:
Are you ready to accept the responsibility for your actions in relation to the work:
What would you like to ask:
Why do you think the rxindus.com should select you:

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