| DATE OF ENTRY |
2010-6-3 |
|
| CALL YOUR FAVORITE JOB N° I |
Documentary Purser |
|
| CALL YOUR FAVORITE JOB N° II |
Crew Purser |
|
| FAMILY NAME |
Loktionov |
|
| FIRST NAME |
Andriy |
|
| FURTHER NAMES |
Valentyn |
|
| DATE OF BIRTH |
1960-9-17 |
|
| PLACE OF BIRTH |
Russia |
|
| NATIONALITY |
Ukrainian |
|
| RELIGION |
Christian |
|
| MARITAL STATUS |
Divorsed |
|
| HOME ADDRESS / STREET & N° |
3app/20bld Chernyshevsky str. Izmail. Odessa region Ukraina |
|
| POSTAL CODE (ZIP) |
68600 |
|
| CITY |
Izmail |
|
| COUNTRY |
Ukraine |
|
| NEXT AIRPORT |
Odessa |
|
| YOUR MOBILE N° |
please contact mycruiseship.info |
|
| YOUR REGULAR PHONE N° |
please contact mycruiseship.info |
|
| YOUR E-MAIL |
please contact mycruiseship.info |
|
| YOUR ENGLISH LANGUAGE |
perfect |
|
| YOUR FRENCH LANGUAGE |
sorry I dont speak that language |
|
| YOUR GERMAN LANGUAGE |
medium |
|
| OTHER LANGUAGES |
Russian |
|
| FORMER EMPLOYMENTS - COMPANIES |
Mano Maritime |
|
| FORMER EMPLOYMENTS - COMPANIES |
Ukrainian Danube Shipping Co. |
|
| FORMER VESSELS & RANKS |
The Iris, Royal Iris - Chief Purser |
|
| FORMER VESSELS & RANKS |
Ukraina, Corina, Olvia, - Assistant Chief Purser |
|
| PASSPORT EXPIRE DATE |
2017 |
|
| VALID SEAMANS BOOK |
yes |
|
| SEAMAN BOOK - PLACE OF ISSUE |
Odessa Harbour Master |
|
| 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 |
