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FAMILY STATUS
You:
Name:
First name:
Address:
Post code:
Town:
Tel.:
Mobile phone:
Fax :
E-mail:
Your spouse or partner:
Name:
First name:
(if different)
Address:
Post code:
Town:
Tel.:
Mobile phone:
Fax :
E-mail:
Your age:
The age of your spouse or partner:
Number of children:
Age of the children:
PROFESSIONAL STATUS
You:
Professional status:
Diplomas or level of education:
Job experience:
Your spouse or partner:
Professional status:
Diplomas or level of education:
Job experience:
INSTALLATION PROJECT
What is the main reason behind your decision?
Quality of Life
Professional reasons
Professional project:
What is your planned professional project?
Will this project require you to have further training, if yes which?
What is the planned professional project for your spouse or partner?
Will this project require them to have further training, if yes which?
Potential contribution should you decide to create or buy a business:
Type of property you are looking for:
• Land
Surface area:
m²
Location:
Description of the needs:
• Premises
Surface area:
m²
Location:
Description of the needs:
Family project:
• Housing:
type of accommodation you are looking for:
Please select
Studio
F1
F2
F3
F4
F5
F6
Single-family detached home
Residence
Living area:
m²
Number of bedrooms:
With land attached:
m²
Location:
Please select
Centre of town
Agglomeration
Village
Countryside
Mountain
To build:
Price bracket:
To buy:
Price bracket:
To rent:
Estimated rent, all charges included:
Other descriptive elements:
• Desired services:
Schooling:
Health:
Leisure activities:
Culture:
Shops:
What type of transport are you planning to use?
You:
private
public
Your spouse or partner:
private
public
Your children:
private
public
OTHER USEFUL INFORMATION ABOUT YOUR PROJECT
PLANNED TIME-SCALE FOR YOUR INSTALLATION
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