Subject: Victor Salazar - Contact
From: Ashish Dabral <[email-masked]>
To: asfaque ahmad <[email-masked]>
Date: Tue, 2 Apr 2019 01:12:02 -0700 (MST)

* 
        * Full Name (As mentioned in your passport) 
Victor Carlos Salazar Vignati 

        * Passport Number 
G33429979 

        * Complete Home Address (this is where your documents will be sent to) 
Street Address: Unidad Santa Fe, manzana 4, grupo 1, casa 5. Street Address Line 2: Colonia Cristo Rey City: CDMX State / Province: Alvaro Obregon Postal / Zip Code: 01170 Country: Mexico 

        * Phone Number 
(52) 5526912674 

        * Estimated Arrival Date in India 
29-04-2019 

        * Please answer the questions below: 
Yes No 
Have you ever been charged with any crime in any country (weather or not convicted)? 	- 	
Do you have drug or alcohol addictions? 	- 	
Do you have any medical conditions which would affect your ability to perform the assigned job? 	- 	
Is there any other information that you would like to disclose about your background or other factors which may affect your work or our organisation? 	- 	

        * Please attach a copy of your passport here 
[ https://www.jotform.com/uploads/lsmindia/73301346325448/4299699683525693454/Pasaporte.jpeg | Pasaporte.jpeg ] 

        * Please attach a clear passport size photo clearly showing your face here 
[ https://www.jotform.com/uploads/lsmindia/73301346325448/4299699683525693454/Foto.jpeg | Foto.jpeg ] 

    * 

02 
APR 

    * 
    * New 

Regards, 
Ashish Dabral