From: AU PAIR APPLICATION FORM
To:
Sent: Sunday, August 29, 2010 10:30 AM
Subject: AU PAIR APPLICATION FORM FROM AN EUROPEAN CITIZEN - Ms Solange - phone 34- 6367-43042
SOLICITUD PARA ESTANCIA AU PAIR
DATOS PERSONALES / PERSONAL DETAILS
Nombre y apellidos:Solange Kvetiki
Surname and Christian name
Dirección. Calle Pare manyanet,n 12,2,2 –SPAIN
Address
Ciudad:Vilafranca Del Penedes
Teléfono:+ 34- 6367-43042
Why is the telephone number highlighted in yellow? We advise you not to call this number It could be a mobile phone scam
Town Telephone number
Fax: E-mail: info@intercontinental.pro.br
Fax number E-mail address
Fecha y lugar de nacimiento:05-11-1980- Pires do Rio- Brazil
Date and place of birth
Edad: 29 Nacionalidad: Brasilera/ Spanish
Age Nationality Passport number
Altura:1,66 Peso:56 Religión:Cristiana
Height Weight Religion
Profesión de su padre:Comerciante Profesión de su madre:Cuida idosa
Father’s profession Mother’s profession
Edad de sus hermanos: Edad de sus hermanos:Una 32
Age of Brothers Age of Sisters
Ocupación actual: Escritora
Actual Occupation
¿Cuáles son sus aficiones? Me encanta hacer deportes, hacer novas amistades.
Descreva su carácter? Soy tranquila, me encanta os animales y los niños, y las flores, mi familia para mi es todo.
What are your hobbies?
Describe your character
FORMACIÓN / EDUCATION
¿Cuántos años ha estudiado la lengua del país que va a visitar? 2 años
How many years you have studied the language of the country you wish to visit?
Nivel :mediano Bueno Suficiente Poco Ninguno
Level Good Sufficient Poor None
¿Qué otro idioma conoce?
Other languages spoken
¿Desea asistir a clases de idiomas? Si
Do you require classes?
¿Qué estudios tiene? Bachillerado
What studies do you have?
EXPERIENCIA / EXPERIENCE
¿Le gustan los niños? Mucho ¿De qué edad? Apartir de los siete años.
Do you like children? What age group?
¿Puede ocuparse de bebés? No
Can you look after babies?
¿Se podría ocupar de un niño minúsválido? No
Would you be able to look after a handicapped child?
¿Cuál es la experiencia que tiene con niños? Cuando tenia 16 años cuide de un niño de dois años por nueve meses.
Working experience with children
¿Ha trabajado como au pair? No ¿Dónde? Duración:
Have you already worked as an au pair? Where? For how long?
¿Qué tareas domésticas puede Vd hacer? Limpiar
What housework can you do?
¿Sabe usted cocinar? Si ¿Le gusta cocinar? Si ¿Sabe planchar? Un pouquito.
Can you cook? Do you like cooking? Can you iron?
INFORMACIÓN COMPLEMENTARIA / ADDITIONAL INFORMATION
¿Sabe conducir? Si ¿Desde cuándo? Tiempo ¿Sabe nadar? Si
Can you drive? Licence date Can you swim?
¿Fuma? No ¿Cuántos diarios? ¿Le gustan los animales? Me encantan.
Do you smoke? How many per day? Do you like animals?
¿Padece alguna alergia o enfermedad? No
Do you have any allergies? Are you in ill health?
¿Tiene usted una dieta especial? No
Do you have a special diet?
Aceptaría Vd. Una familia en:Madrid la ciudad,si, el campo no importa
Do you prefer a fimily living in… a town the country it doesn’t matter
Razones de su estancia:aperfeiçoamiento de la lengua española .
Reasons for your stay
He leído y comprendido todas las condiciones del régimen au pair
I have read and understood all the conditions as an au pair
Fecha: 12-08-20010 Firma:Solange kvetiki
Date Signature
Return-Path:
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From: AU PAIR APPLICATION FORM
To: ?
Subject: AU PAIR APPLICATION FORM FROM AN EUROPEAN CITIZEN - Ms Solange - phone 34- 6367-43042
Sender: AU PAIR APPLICATION FORM
Mime-Version: 1.0
Date: Sun, 29 Aug 2010 08:30:53 GMT
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the only thing that does not add up with this one is the location of the server http://www.iphacks.com/index.php and enter
It will show the IP in the middle of Brazil and not where the agency office is!
SAO PAULO - BRAZIL - SKYPE PASSAPORTE.ORG
(55) 11- 4521 4090
(55) 11- 4521 4090
From their website which could be copied by a scammer to produce the form above
Au-pair / Nanny / Housekeeper
M/BRAZIL AU-PAIR AGENCY-
... we can get you an Au-pair in 24h!!
... we can get you an Au-pair in 24h!!
This is a Free Au-pair Service only for Honest , Friendly and Reliable Host Families looking for a long term live in Au-pair / Housekeeper !
_ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ _ _ _
If you answer as many questions as possible you will facilitate a perfect match:
( if you prefer to fill our online form please click here http://site.intercontinental.pro.br/cadastro/formulario_familia.htm
Have you already chosen an Au-pair from my agency?What´s her name?
_ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ _ _ _
If you answer as many questions as possible you will facilitate a perfect match:
( if you prefer to fill our online form please click here http://site.intercontinental.pro.br/cadastro/formulario_familia.htm
Have you already chosen an Au-pair from my agency?What´s her name?
We would like to have an :
( ) Au-Pair/Housekeeper
( ) Female
( ) Male ( I can pay you US$ 100 if you hire a male Au-pair )
( ) Domestic Couple
( ) Au-Pair/Housekeeper
( ) Female
( ) Male ( I can pay you US$ 100 if you hire a male Au-pair )
( ) Domestic Couple
Please, send attached a picture of your family and house
Name
(father): Age:
Profession:
COMPANY ? Phone at work and web site :
(father): Age:
Profession:
COMPANY ? Phone at work and web site :
Name Age:
(mother):
Profession:
COMPANY ? Phone at work and web site:
(mother):
Profession:
COMPANY ? Phone at work and web site:
Your Home Address: State / Zip code: Country:
Phone: (WILL YOU ACCEPT COLLECT CALLS FROM THE CANDIDATES ? )
city:
Fax:
Nearest Tube or Train Station?
_ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ _ _ _
E-mail:
We live in: ( ) House ( ) Apartment How many rooms?
Will the Au-Pair have a room of her own: ( ) Yes ( ) No
There are ( ) members in our family
We have ( ) children- ages :
What´s your Religion?
Do you smoke?
How many days would your Au-Pair/Nanny work during each week ?:
From: _________ To: ____________ Hours: ____________
Tell us something about the duties you expect your Au-Pair/Nanny to perform
during the days with your children:
Phone: (WILL YOU ACCEPT COLLECT CALLS FROM THE CANDIDATES ? )
city:
Fax:
Nearest Tube or Train Station?
_ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ _ _ _
E-mail:
We live in: ( ) House ( ) Apartment How many rooms?
Will the Au-Pair have a room of her own: ( ) Yes ( ) No
There are ( ) members in our family
We have ( ) children- ages :
What´s your Religion?
Do you smoke?
How many days would your Au-Pair/Nanny work during each week ?:
From: _________ To: ____________ Hours: ____________
Tell us something about the duties you expect your Au-Pair/Nanny to perform
during the days with your children:
Is there any housework included:( )Yes ( )No If you answer Yes, please list duties:
How much will you pay your Au-Pair each week:
_ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ _ _ _
Will you help with her air ticket :( ) No ( ) Yes, naturally ( the Au-pair will reimburse you and my agency can guarantee this .
When a Host Family agrees send the air ticket , we will introduce the best and newest candidates and we will be responsible for her to reimburse or stay at least 1 year .
Will you pick her up from the airport ? ( ) no ( ) yes , naturally !
Which one is the nearest ?
_ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ _ _ _
What´s the age limit you prefer for your Au-Pair ?:
Does your Au-Pair/Nanny need to have a driving license: ( )Yes ( )No
Do you have any pet at home ?
We need our Au-Pair/Nanny for the period of: ______ months, Or: ____________________
We need her to start in our family from :
_ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ _ _ _
VERY IMPORTANT - All my Au-pairs speak Portuguese and they want to study another language :
1) What´s the name, tel number ( web site) and price of the nearest language school of your home ?
2) Would you agree to pay the school and deduct the expenses from her salary?
3) Will you help her to get the Student or the Au-pair Visa ?
Will you be patient if you hire a low speaking English Au-pair ?
Write us, besides this application, something about your family and your children which would concern your Au-Pair/Nanny, the rules in your house and everything you expect from a GOOD au-pair :
Please, send attached a picture of your family and house (very important)
Thanks!
Marcelo Toledo
Director
www.mbrazil.com.br
www.crew.com.br
Director
www.mbrazil.com.br
www.crew.com.br
phone- 5511-4521-4090
We have written to the company to confirm whether or not they sent the above email as we have not completed the form shown above including a picture of family & house (there is no family anyway just me)The street/town exists in Spain. Google name
Solange Kvetiki - --- - | XING
Spain - ---
Contact Solange Kvetiki! Join the business network XING - Membership is free and without ... Already a member? Log in and add Solange Kvetiki as a contact. ...www.xing.com/profile/Solange_Kvetiki
We have joined xing and contacted Solange Kvetiki asking her if she applied for the job. If she has not it is evident that she is a victim of identity theft by a scammer
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