| DATE OF ENTRY |
2010-6-7 |
|
| CALL YOUR FAVORITE JOB N° I |
Security Officer |
|
| CALL YOUR FAVORITE JOB N° II |
Sport Instructor |
|
| FAMILY NAME |
Chernenko |
|
| FIRST NAME |
Sergiy |
|
| FURTHER NAMES |
Sergiy |
|
| DATE OF BIRTH |
1977-4-17 |
|
| PLACE OF BIRTH |
Odessa |
|
| NATIONALITY |
UKR |
|
| RELIGION |
Christian |
|
| MARITAL STATUS |
Married |
|
| HOME ADDRESS / STREET & N° |
Vilyamsa str. |
|
| POSTAL CODE (ZIP) |
65045 |
|
| CITY |
Odessa |
|
| COUNTRY |
Ukraine |
|
| NEXT AIRPORT |
Odessa |
|
| YOUR E-MAIL |
none |
|
| YOUR ENGLISH LANGUAGE |
perfect |
|
| YOUR FRENCH LANGUAGE |
sorry I dont speak that language |
|
| YOUR GERMAN LANGUAGE |
sorry I dont speak that language |
|
| OTHER LANGUAGES |
russian, ukrainian |
|
| PASSPORT EXPIRE DATE |
17.12.2017 |
|
| VALID SEAMANS BOOK |
yes |
|
| SEAMAN BOOK - PLACE OF ISSUE |
Odessa |
|
| 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 |
