APPLICATIONS FORM FOR COURSE FOR APM

Download the membership application:  

Course date:______________________________

Name:________________________________________________ ID-code:__________________________________

Citizenship:__________________________________ Place of birth:________________________________________

Address:__________________________________________ Zip-code & place________________________________

E-mail:____________________________________________ Phone:_______________________________________

Mobile:_____________________________________Occupation:____________________________________________

Present job:_____________________________________________________________________________________

Driving licence:___________ Height + weight:_______________________________ Eye colour:__________________

Employer’s name and foreman’s telephone:
________________________________________________________________________________________________
Schools, educations:______________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Knowledge of languages:___________________________________________________________________________
Military rank & experience:___________________________________________________________________________
________________________________________________________________________________________________
Free-time activitys:_______________________________________________________________________________
________________________________________________________________________________________________
Why do you apply for the course:_____________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Where did you hear about the course:_________________________________________________________________
________________________________________________________________________________________________
Do you have a criminal record:___________________________, if yes when, where and why?_____________________
________________________________________________________________________________________________
Reference (name and phone number):_________________________________________________________________
________________________________________________________________________________________________

I hereby confirm that this information is true and that I accept this rules for the course.
I understand that I do the course by my own risk.
I accept that APM pay me back the applications fee only if they have no place for me on the course.
I am on good health and have no any kind of mentally or physically problems that could make difficult for me to make this course.

Place, date, signature:_____________________________________________________________________________

Send this applications form with one passport photo and copies of your security courses (if you have done some before) to: Kaizenkan/APM, Hackstavägen 9, 184 32 Åkersberga, Sweden, no later than 2 weeks before the course.