Professional Documents
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Application Form
Application Form
Liepaja, LV 3401
Liepaja Trading & Shipping Agency Ltd. Tel: 371 63480440
Ap pl i c atio n for Se a S taff Emp l oyme nt Fax: 371 634 23576
ltsa @ apollo.lv
Position applied for: AB’S Date: 2010 MAY 26
Surname: M First Name: OLEG
Date of Birth: 1982 05 26 Place of birth: KLAIPEDA
Nationality: LITHUANIAN Departure airport: ESTONIA
Home address: Kretingos str..,1-39 Lithuania
Tel.: É0037068091008 È Marital status: not married
Number of children under the age of 18: 3
Next of Kin / Relationship /Address: NIKOLAJ N Pariziaus komunos str.10-5
Marine college: GRaduated
CERTIFICATES:
Description Number Place Issue Expiry
License of Competency
G r a d e:
Endorsement/ Watch keeping September
03579/02 LITHUANIA June 22,2011
G r a d e: 17,2002
Passport: Alien Citizen of country
EU