| DATE OF ENTRY |
2010-2-22 |
|
| CALL YOUR FAVORITE JOB N° I |
room boy |
|
| CALL YOUR FAVORITE JOB N° II |
cleaner |
|
| FAMILY NAME |
Dedi |
|
| FIRST NAME |
Dedi |
|
| FURTHER NAMES |
Dedi Mauludi |
|
| DATE OF BIRTH |
1972-3-25 |
|
| PLACE OF BIRTH |
Bogor |
|
| NATIONALITY |
Indonesia |
|
| RELIGION |
Moeslinm |
|
| MARITAL STATUS |
single |
|
| HOME ADDRESS / STREET & N° |
cipayung datar rt2/2megamendung Bogor west java |
|
| POSTAL CODE (ZIP) |
16770 |
|
| CITY |
bogor |
|
| COUNTRY |
indonesia |
|
| NEXT AIRPORT |
Soekarno Hatta Cengkareng |
|
| YOUR MOBILE N° |
+628568567314 |
|
| YOUR REGULAR PHONE N° |
+62 -251-8258550 |
|
| YOUR E-MAIL |
mauludi_dedi@yahoo.com |
|
| YOUR ENGLISH LANGUAGE |
medium |
|
| YOUR FRENCH LANGUAGE |
sorry I dont speak that language |
|
| YOUR GERMAN LANGUAGE |
sorry I dont speak that language |
|
| OTHER LANGUAGES |
English |
|
| FORMER EMPLOYMENTS - COMPANIES |
yasmin Hotel |
|
| FORMER EMPLOYMENTS - COMPANIES |
Jaya raya Hotel |
|
| FORMER VESSELS & RANKS |
Carnival Cruise Lnes Triumph 110.000 tones |
|
| FORMER VESSELS & RANKS |
Mt. Bumi Tanker Ship 1500 |
|
| PASSPORT EXPIRE DATE |
2010-11-10 |
|
| VALID SEAMANS BOOK |
no |
|
| SEAMAN BOOK - PLACE OF ISSUE |
2005 |
|
| NATIONAL LICENSE FOR SEAMAN |
no |
|
| GMDSS NAT. DOC. FOR SEAMAN |
no |
|
| I confirm all the above data are correct |
Yes |
|
| I confirm the right of Wave-Conn to publish my above insert personally data |
Yes |
