Ensayo

SUBJECT:

ENGLISH I

TEACHER:

SILVIA LORENA CARDENAS CAMPOS

STUDENT:

MARIO NAVARRO BARAJAS
OSCAR IVAN VARGAS

GROUP:

“1-4”

TOPIC:

PERSONAL INFORMATION



Mazatlan,Sinaloa September 24TH, 2012.


SCHOOL REGISTRACION FORM





1. NAME ___________________________________________________

2. FIRSTNAME 3.MIDDLE INITIAL 4.LAST NAME

5. ADDRESS_______________________________ 6.APT.#*_______________



7. CITY____________________8.STATE____________ 9.Zip CODE_________



_() __________________

10. AREA CODE 11. TELEPHONE NUMBER 12.SEX: male:Female:

__________-______-___________

15. SOCIAL SECURITY NUMBER



16. DATE OF BIRTH ______________________________

(MONTH) (DATE)(YEAR)



17. PLACE OF BIRTH _______________________





18. SIGNATURE_________________________



A: Patient B: Receptionist


A: Good morning
B: Good morning, how can I help you?A: I feel bad, I have a terrible headache.
B: Ok first I’m going ask you some personal information? We have to fill up this form, can we?
A: Oh sure.
B: Ok It’ll be just for three minutes, comeover here and sit down please.
Can you give me your complete name please?
A: My name is Mark Smith.
B: When were you born?
A: I was born in April 8th, 1985.
B: What’s your address?
A: It’s 2011Aleman Ave. Downtown.
B: Where are you from?
A: I’m from Mazatlan.
B: What is you postcode?
A: It’s 82120
B: May I have your phone numbers, please?
A: Ok, my home phone number is: 984 47 45, mycell phone is: 66 91 13 23 97
B: What about your work phone number?
A: Emm… Let’s see… oh yeah it’s: 983 33 33
B: Are you allergic to something?
A: Yes I am, I’m allergic to penicillin.
B: Are...