Giving personal information

Read the information and then complete the application form.

My name is Joe Wilson. I am 24 years old and I am from The United States. I am a student and I live with my family at 245 Main Street, Reno, Nevada. Our postcode is 36592. Our phone numer is 775-856-4512, and my mobile is 775-358-1077. I am learning English at Reno Community College.

Reno Community College Library Application Form

Surname:	Cloze (1):	Home tel:	Cloze (2):
First name:	Cloze (3): JXUwMDEyJXUwMDI1JXUwMDBh	Mobile:	Cloze (4):
Address:	Cloze (5): JXUwMDZhJXUwMDA2JXUwMDAx Main Cloze (6): , Reno, Cloze (7):	Occupation:	Cloze (8):
Postcode	Cloze (9):

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Personal Details
First name:		Mike
Surname:		T Cloze (1): JXUwMDJk rnb Cloze (2): JXUwMDM5 ll
Address:		Cloze (3): JXUwMDZhJXUwMDAx Trinity Road, London SW18
Phone:		0 Cloze (4): JXUwMDYx 7 Cloze (5): JXUwMDZi 2- Cloze (6): JXUwMDY5 76-77 Cloze (7): JXUwMDZi
Age:		Cloze (8): JXUwMDZhJXUwMDA1
Occupation:		Engineer
Marital Status:		Single
Interests:		gym, squash, tai chi, Cloze (9):

Name	Cloze (1):
Surname	Cloze (2): JXUwMDE3JXUwMDIwJXUwMDAx
Age	Cloze (3): JXUwMDZhJXUwMDAy
House number	21A
Street name	Cloze (4):
City	Cambridge
Postcode	Cloze (5):
Phone number	Cloze (6):