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S E A M A N ' s A P P L I C A T I O N F O R M

For m/v:

CREWING MARINE AGENCY “A.T.T.-Bermudas”

Readiness

04.07.2017

JN:

SV

A.SEAMAN'S PERSONAL DETAILS

POSITION TO APPLY FOR

Motorman 2nd class/Eng. cadet

CERTIFIED FOR

NAME / SURNAME

Oleksandr Makhno

FATHER'S NAME...