Subject: Fw: New Hire Details - Roman Huerta Torres
From: Saurabh Dadu <[email-masked]>
To: Asfaque Livesalesman <[email-masked]>
Date: Mon, 29 Jul 2019 04:01:02 +0000

Saurabh Dadu
LiveSalesman
India: +91 120 4332621 x 17
US: 1 240 949 2437
Cell: +91 9810175203

________________________________
From: JotForm <[email-masked]>
Sent: 28 July 2019 12:18 AM
To: Saurabh Dadu <[email-masked]>
Subject: New Hire Details - Roman Huerta Torres

        [https://cdn.jotfor.ms/assets/img/builder/email_logo_small.png]         Basic Information form for Contract

Full Name (As mentioned in your passport)       Roman Huerta Torres
Passport Number G32377846
Complete Home Address (this is where your documents will be sent to)    Street Address: Fernando de Alva Ixtlixochitl 11 Depto 107 D Col. Obrera
Street Address Line 2: Delegación Cuauhtemoc
City: Ciudad de Mexico
State / Province: Ciudad de Mexico
Postal / Zip Code: 06800
Country: Mexico
Phone Number    (+52) 5544367800
Estimated Arrival Date in India 23-09-2019
Please answer the questions below:
        Yes     No
Have you ever been charged with any crime in any country (weather or not convicted)?    -       [X]
Do you have drug or alcohol addictions? -       [X]
Do you have any medical conditions which would affect your ability to perform the assigned job? -       [X]
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?   -       [X]
Please attach a copy of your passport here      pasaporte2019.pdf<https://www.jotform.com/uploads/lsmindia/73301346325448/4400625296411184747/pasaporte2019.pdf>
Please attach a clear passport size photo clearly showing your face here        foto pasaporte.pdf<https://www.jotform.com/uploads/lsmindia/73301346325448/4400625296411184747/foto%20pasaporte.pdf>

You can edit this submission<https://www.jotform.com/edit/4400625296411184747?utm_source=emailfooter&utm_medium=email&utm_term=73301346325448&utm_content=edit_submissions&utm_campaign=notification_email_footer_submission_links&email_type=notification> and view all your submissions<https://www.jotform.com/submissions/73301346325448?utm_source=emailfooter&utm_medium=email&utm_term=73301346325448&utm_content=view_all_submissions&utm_campaign=notification_email_footer_submission_links> easily.