*>A3E 2 OF DE 2

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1?| lli.w [i-k lilt-

1% presort jofj is (Give your fob tile <*od a IH io? oi yo*s posfciot#
Men it dbafho inai (O a $u carco e urna l*eve tescricao le sita po>i#>}

1*1 esMt fot* for

li

- Year s )
i

i neu ti ahatho actual poi I

name UHI arisi m art rny ei upJoyei tttdtvpe of Imsiitess are - O non eo ernie e$o lo neu empi KjaiM eo tipo le eijcio sao
>

Tire name and adir ss of ary prospective ottifoyer iGmiea-Btesanaie Attadiohqtealoifet ot emptoyniert ? 0
nome m endetest ito i*euentneja<lOf i Gim8iss<Ri sii Anexr fetta oiwji; Kddo etnpru<d

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in irti ea-Bissa w*H ire < tw your oh fitil* ami e brief lescitpiiHi ofyoui posilo*!
Matite aipacao m M-BtssiH soia De a sua tifile M# Hove dsa ipo le sua posano

% aJ.y wililrf* Meli sala io va set CFA,

(OFA

1 My emptoyement fe espectetf te finish oi

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D-J
IT
1 , i,.
I I am expected to stati my employmert or
? :
S pi ' ' -i 1 ] il .it- i linai
Esimi |H evisfo par a comodai men traballi? in
-Si*w*l
j a persali wsrthml et uk $s of the
Wllitii the past year s, have you m a fanlY member hai t*Aeicuk>sis al Hunj r been tu close contaci
-X- THE
hitt<j
ISSCRIRE X
a) Nos urtili *.'; anvrs, voce osi um ine ubi d< facilito tnlio tuber attese do pittata on sieve ejn tomai ps>xm* coir naia posse
cantiiJeiuihse

1 Ai I
OPRATE BOX [tA CASE
fPy C^RIEE

dopttiis?

pirns
Doyen art acco!n|> Miyiitjiar;ii^'meinttei have any jrtiyiicator ment ii rfsordterfor wfncitthat person wClietpike social and or lieatth services otfcei
Sill!
than . . inedicafcon.ifiKiiM.) th^* stayi * 1 ^ Voce oi itili membro la *atnila ine *> aon^amha ten qialriet donnea fisc * mental pi a que esse
pessa vai pi ecisoi <l> setvigos sedai e o i de saude qe uao sejam medtwnentos. bnante a estfwfta?

t1 itao

Have you or any ineinbei of your family evei : Voce )u rtbjutn ineinlxo le stia fannia seuipie:

Oiniarti U. keen ari esteri ot ctuu eil will any crimini off orice ni any country?
pialqira pais?

C)

Silfi

p|N> L-1 Nao

Cern*otnekda. f oi pi eso ou aensado *te ^lakptei crime ei

H.x

II res

d) Been i efttsed artiiMSsroii to. ot oi tei ed |e leswe Citinea-Hiss i? SkN> i witstda a .lit issao. m ot dem de dewai ine Biss.* ?

Al plnnl lor .nyGuio--! ta>s,ai toHst<ji at ton vsas re.q. Per maaeirt Resident, vruduit W a l a , tempo aiy hrtsnoi iJesap iary Resrleit l-teiiir.
j
resid aida tenxroi te?

Ml!)

I Sin;

No*

Berna of aso*i a visa h travel io iutaea-Bissau?

t) lecnsatlo -tm visto para vteiar paia a Gom-Bmsait?

Sirto

I lles Li

In pet od of either i ea ; e et wa*. have yeti evw been invoked i lite ecmimismn of a war et ime or et dite aspirisi hiHmmrtv. sveli as wifiiil kifiunj.i
orini e, Stacks 3) upon, eimhwen entstrtivahoa or other intwimam acts couime} atj tst <: vihan ot pi idonei s of wi. o? tepo?fatteti of civifans?
Hope-iodo de paz eri -piena, voce j se ev!vea etti a ceirasse te wn ostie te guelfa >u atme comi a a hamamdade. iais corno: honHedif. tmertckmal.
tornii su iatrues a.tome. escr ivWooueimosatotesoimmoscormticoscoirtrachiscufwisteriliios le/.tetra, suattepoitatodecMs?

1I Mio 11

If yes answei yes" to any oftlie questtoiis c l to <j> .shove, you mast >t o^itie fef.iils in tle tux below maikert "Reiateii intonnatioir

Se situ i espotider "situ a akjuma las pet juntas cl aj! aerma voce <!eve for necet letalies ins c.ixa ahaixo mar cade "Inf onn.se oes lela
tionadas"

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ttuujthet>.iM!meyeaslurvyouc* .tsyfumly mendiet a:cmpiiiyimgyo<i in-snyortiei country ef cshzenslup or permaseni

resktemcelof more than srxm uttis?
Can ante os fftfenos cinco aros voce >u ^uaqnei metftlMO to frtiiAa me r> acompatAa em <pi.ii<iue- ontt o pais da c!a iaina
m resMencia peimmienie ivi mats dt sets theses?
If answer to miestion ?) is yes 8st coirihies ami Wtufi'o of stay

Sim

n
Nao

$e .. tespostaa questao 20 e siia s raises la eo t*- up * de p#iiwicM

Name
Norite

Ccuntt y
Pais

D<
i/h f stay Tempo le penmwencia

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C -J I M { Y-A

h an] *
partmle

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Apriredtion folly and timhi iity

Apfecac.io plena e ver l ideit ameni e

Y-A

I__I___I_____1 1 1

rii
sipiatme of applicant assai una do i^quei
ente

IWM12&5 05-2005)8

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To Ate
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