Host Profile

General Information
Given Name Vismenda Family Name Bohl
Nationality Australian Date of Birth 10/04/1965 Bluecard : Yes( x ) No( )
Address 2 Foxglove Street, Mount Gravatt East, Qld. 4122
Phone No 07 33493718 Mobile 0411 552 292
Email address visduran@gmail.com Occupation Photo Services

Accommodation Details
Type of home House ( x ) Apartment ( ) Town house ( ) Flat/Unit( )
Other (please specify: )
How many meals are provided per day 2meals( ) 3meals( x ) 2 for weekdays and 3 for weekend( )
Room Type single Single( x ) Twin ( )
Number of Bathrooms 1 Number of Toilets 1
Smoking Yes( ) No( x ) Pet Details none
Hobbies camping Religion Catholic
Are you vegetarian? Yes( x ) No ( ) Will you accept vegetarians? Yes ( x ) No ( )
Guest Preference
Age 20 years and over Gender Female
Are you able to take under 18 years old student? *extra fee provide Yes ( ) No( x )
Are you able to provide transportation to school? *extra fee provide Yes ( ) No( x )
Special requests

Family Details
Relationship Gender Year of Birth Occupation Languages Spoken

Transport to City
By Fare Travel time Walk to transport stop
Bus 35 min 2 min

Remark

Homestay Fees
Option Price per week Remark

250

Homestay Fees Payment Method and account detail

Method Pay cash ( ) Bank Transfer ( x )
Bank detail Bank BSB: Account Number:
Name: Bank name:

International Exchange Foundation

Address:
ABN: 61 972 370 269
Level1, 121 Mains Road, Sunnybank, Qld 4109, Australia
Mobile: 0451 970 975