Destination Assistance / Family Need and Preferences

* fields are required

Title:
Mr. Ms. Mrs.
Full Name*:
Age*:
Date of birth*:
Company name:
Your Intermark Relocation Consultant:
Have you lived in another country?*
yes no
If yes, please list dates & places:

Current professional position:
Professional position overseas*:
Nationality*:
Current external telephone numbers, including country and city codes
- Office*:
- Home*:
- Mobile*:
- E-mail*:
Name of the hotel in Moscow:
Arrival date:
Duration of stay for orientation / Look-see*:
Does your spouse/partner relocate with you?*
yes no
Spouse / Partner
- Name:
- Mobile:
- E-mail:
- Current occupation and/or professional position:
- Nationality:
- Describe spouses's / partner's "out of home" activities (work, school, volunteer serives, etc.):

Intermark Relocation provides new opportunity to put you/your spouse in touch with one of our expatriate families of similar profile already living in Moscow so that you could ask them some questions about what it is like relocating to Moscow. Please confirm if you would like to use this opportunity*:
yes no

Do you have children?*:

yes no

	Sex	Relocation	School Request
Child 1:	male female	yes	yes
Child 2:	male female	yes	yes
Child 3:	male female	yes	yes
Child 4:	male female	yes	yes

If you are require schooling, which of the following schools would be of interest
Anglo-American School School with British Curriculum British International School English International School International School of Moscow French School German School Unsure
Additional relevant information concerning your children or their schooling

Approximate required move-in date:
Are you a corporate client?*
yes no
- What is the budgeted amount you will spend monthly on rent (US$) min__ - max__?:

In order that we give you information about activities which are important to you and your family, please describe the kinds of leisure activities you enjoy*:
Please give the name of the family member and the individual hobbies or interests which he/she enjoys:
Please describe any new activities you or family members would like to pursue*:
Would you like us to locate the closest church/synagogue/mosque?*
yes no
If yes, please specify:

Do you have any particular concerns, questions, or worries about your move overseas which we could answer of help you with before you arrive (e.g. pets, security, insurance, electrical appliances)?
Code from the picture*:
I agree on personal data processing*