Имя                                                   Елена Михайловна

Name                                                      Alena                                         

         1

LENA

Фамилия                                          Андрусевич 

Last Name                                              Andusevich                                                                                                                                                                                                                                                                                      

Дата рождения
Date of birth                                  

                                                                  07-04-97

Место жительства       ул.Дружбы 88

                                       д. Ольшаны 

                                      Столинский р-н Брестская обл. 225557

                                      Беларусь                                                                         

Home address             Druzhby str. 88

Belarus                         OLSHANY

                                      Brest oblast, Stolin reg.

                                      Belarus (Wit–Rusland)                                    

Фамилия и адрес гостевой семьи
Guest family name:

 Address:       

Telephone:

Name: Docter Guest family:

Adress:

Telephone:

Name Dentist Guest family:

Adress:

Telephone:

Name Apotheek:

Adress:

Telephone:

Дата пребывания в Нидерландах
Period of staying in Holland                      15-11-2006  till 10.01.2007                  

Имя и подпись члена комитета
Name and signature of the working group member

1

Andrusevich Alena

f

07.04.97

Number of children in the family: 2

Home name:

Lena

Mother: Tamara, nurse by profession, currently a housewife.

Father: Mikhail, currently unemployed.

Sister: Ekaterina, 8 years old.

Character: the girl is good tempered, disciplined, always

eager to help.

Fond of: playing sport games, drawing, likes small children,

likes studying, reading books, goes to music school.

Swimming: can swim.

Cycling: likes cycling.