1

C.C.

#

PERSONAL PARTICULARS

Full Hame

Alisses

HANIRRATION INTERVIEW KEPORT

* 14

12

(English)

*

#

(English)

से

1}

*

(Chinese)

*

(Chinese)

*

(English)

(Chinese)

Age (in complete years)....... Sex Male

Place of Birth

Languages/Dialects Spoken

·

#

A

(ccc Mos)

ccc iles)

ccc Hos)

Maritel Status

Harried

Femele

Single

& A F

1

Chinese Province of residence

immediately before leaving Chine)

Physical No physical disability, injury or

disease apparent

Occusation

Doctor

Craftsman/Production works?

0 Nurse/Midwife/Medical Assistant Farmer/Hunter/Fisherman

D

Teacher

Other professional,

administrative and executive

worker

Artist, draughtsmen & technician

Clerical and sales staff

Military

Student

Housewife

Retired

llot working

Other occupation

(Photograph)

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