| DATE OF ENTRY |
2010-1-28 |
|
| CALL YOUR FAVORITE JOB N° I |
2nd engineer |
|
| CALL YOUR FAVORITE JOB N° II |
3rd /4th engineer |
|
| FAMILY NAME |
BOUSSO |
|
| FIRST NAME |
OUSSEYNOU |
|
| DATE OF BIRTH |
1985-9-30 |
|
| PLACE OF BIRTH |
Ngathie Naoudé |
|
| NATIONALITY |
senegalese |
|
| RELIGION |
muslim |
|
| MARITAL STATUS |
single |
|
| HOME ADDRESS / STREET & N° |
cité comico ouakam villa N°144 |
|
| POSTAL CODE (ZIP) |
99000 |
|
| CITY |
DAKAR |
|
| COUNTRY |
SENEGAL |
|
| NEXT AIRPORT |
DAKAR |
|
| YOUR MOBILE N° |
Please contact my cruiseship.info |
|
| YOUR REGULAR PHONE N° |
Please contact my cruiseship.info |
|
| YOUR E-MAIL |
Please contact my cruiseship.info |
|
| YOUR ENGLISH LANGUAGE |
perfect |
|
| YOUR FRENCH LANGUAGE |
perfect |
|
| YOUR GERMAN LANGUAGE |
sorry I dont speak that language |
|
| OTHER LANGUAGES |
spanish |
|
| FORMER EMPLOYMENTS - COMPANIES |
fishing |
|
| FORMER EMPLOYMENTS - COMPANIES |
cargo |
|
| FORMER VESSELS & RANKS |
fishing vessel/2nd engineer |
|
| FORMER VESSELS & RANKS |
cargo/Chief engineer |
|
| PASSPORT EXPIRE DATE |
2010-12-31 |
|
| VALID SEAMANS BOOK |
yes |
|
| SEAMAN BOOK - PLACE OF ISSUE |
dakar |
|
| NATIONAL LICENSE FOR SEAMAN |
yes |
|
| 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 |
