PERSONAL PARTICULARS

NAME
LAST : HARMSE
FIRST: LIONEL
MIDDEL: SEBASTIAN

TELEPHONE NO
HOME:
MOBILE: +27769084258
email [email protected]
ID NO: 9102065099082 AGE 25 Social security number A00284857
ADDRESS: 30 CAS MAARTENS STREET

TOWN AND PROVINCE: SONLANDPARK ,
VEREENIGING, GAUTENG 1929
BIRTH PLACE (TOWN AND PROVINCE): KZN – DURBAN

EMERGENCY CONTACT NAME & NUMBER (SOMEONE OTHER THAN SPOUSE, IE. PARENT, SIBLING): ED HARMSE +27741258570
MARITAL STATUS: SINGLE
Spouse or ex-spouse
Date of birth:

SPOUSE / FULL NAME N/A

EX-SPOUSE FULL NAME
Date Married: N/A
Date divorced: N/A
Tel no: N/A

MOTHERS FULL NAME + DATE OF BIRTH (D/M/Y)

FATHERS FULL NAME + DATE OF BIRTH (D/M/Y)
ESME HARMSE 20/03/1969
HENDRIK HARMSE 14/11/1961

PASSPORT INFORMATION –

PASSPORT NO: A00284857 Place issued: GAUTENG
Date/MONTH/YEAR issued: 11/07/2009 Expire Date/Month/Year 10/07/2019
Have you ever lost a passport: NO
Do you have relatives in the USA: NO
Do you have a criminal record: NO
___________________________________________________________________

PREVIOUS USA EMPLOYMENT AND VISA INFORMATION(only Visas issued in South Africa – Date/month/year))
1.MOST RESENT Employer’s name and location: TROY KUCK SILAGE & HAVESTING LLC, C/O SOUTHERN IMPACT 6747 FOXBRIAR DR TULSA OK 74132

Visa – Date/m/y issued: 23/08/2016 Visa expiry date/m/y 30/11/2016
USA date of arrival 1/09/2016 USA Departure date 30/11/2016
Visa number AND Type –number is stamped in red on Visa: L3044958
Contact person: TROY KUCK Tel no:
2.Employer’s name and location:

Visa – date issued Visa expiry date
USA date of arrival USA Departure date
Visa number and type:
Contact person: Tel no:
3.Employer’s name and location
Visa: date issued Visa: expiry date
USA: Date of arrival USA: Date of departure
Visa Number and type

Any other USA employment and/or Visits

4.Date arrived
Departure date
Visa Type

5. Date arrived
Departure date
Visa Type

6. Date arrived
Departure date
Visa Type
7.
8.
9.

NO
PREVIOUS VISA’s REFUSED? If yes, explain
Give date and reason for refusal, type of VISA
Name countries visited outside SA – Past 5 years only

Military exp? :
Period
Rank
Duties
NO
CHINA , CHUNCHUNG
NO
SOUTH AFRICAN EMPLOYMENT INFORMATION:
1.PRESENT Employer’s name and address: UNEMPLOYED
Comp name/or farm
P.O.Box or street name
Town
Province
Postal code
From: To: Position: Salary p.m:
Contact Person: Tel No:

2.Employer’s name and Address WORKED IN CHINA FOR 12 MONTHS

Comp name/or farm WECI INTERNATIONAL ENGLISH SCHOOL
P.O.Box or street name 9 TONGZIIJIE
Town CHUNGCHUN
Province CHINA
Postal code

From: 25/10/2015 To: 18/07/2016 Position: ENGLISH TEACHER
Contact Person: MEGGIE Tel No: 0086-13086860101

3.Employer’s name and address SLAYTER GYM THREE RIVERS

Comp name/or farm SLAYTER GYM THREE RIVIERS
P.O.Box or street name UMTATA STREET
Town THREE RIVERS , VEREENIGING
Province GAUTENG
Postal code 1939

From: 1 DEC 2014 To: 1 JULY 2015 Position: HEAD INSTRUCTOR
Contact Person: HR Tel No: 016 9312200
EDUCATIONAL HISTORY
Highest School education: GRD 12 Date: 2010
Name and address of school: OVERVAAL HIGH REYNOLD STREET FALCON RIDGE
Name: OVERVAAL HIGH
Street or Private bag REYNOLD STREET
Town FALCON RIDGE , VEREENIGING
Province GAUTENG
Postal code 1930

After School education: N/A
Name of institution
P.O. Box/street name
Town
Province
Postal code

Qualification Obtained: Date:

HEALTH CONDITION

Do you smoke? NO How many packs per day? N/A
Do you have any allergies / disabilities/ serious medical condition? NO
If yes, please explain :

Weight: 130 KG Height: 207 M
DRIVING SKILLS
License code: Type of vehicles you have experience with: DO YOU HAVE A VALID LICENSE IN SA FOR THE FOLLOWING: Years experience driving the following:
CODE 8 (normal car)
ISSUED:
EXPIRES: ALL
AUTO
MANUAL YES 13 YEARS Own/family farm Farm in SA Farm in US
CODE 10(10wheeler)(vastebak)
ISSUED:
EXPIRES: ALL
AUTO
MANUAL NO 2 YEARS Own/family farm Farm Farm in US
CODE 14 (CDL)(horse & trailer)
ISSUED:
EXPIRES: ALL AUTO
MANUEL NO 2 YEARS Own/family farm Farm in SA Farm in US
DO YOU HAVE A USA DRIVING LICENSE? YES
WHAT TYPE OF USA LICENSE?
CLASS CODE : A
USA DRIVERS LICENSE NUMBER H13872165
WHERE WAS IT ISSUED? BERTRAND, NE 68927