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Application Form, Fire Department
Name
*
First name
*
Permanent address
*
City
*
Postal code
*
Phone number
*
Cell phone
Date of birth (dd/mm/yyyy)
*
Social insurance number
Do you own a class 4A driving licence (to drive emergency vehicles)?
Yes
No
Do you have some experience or a training as a fireman?
On what type of schedule do you perform your work?
On week days, during the day
On week days, in the evening
On week days, overnight
Weekend, during the day
Weekend, in the evening
Weekend, overnight
On various shifts
Signature
*
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