Deck Cadet

A PPL ICAT ION FOR M

APPL I E D RANK: READ I N ESS:

DECK CADET 07/2014

P ERSONAL I N FOR MAT IO N

RANK: DECK CADET

L AST NAME: ZAJKO FIRST NAME: IGA

NATIONALITY

OTHER NAMES: IZABELA : POLISH

BIRTH DATE OF

BIA Ł YSTOK,POLAND

SEX: FEMALE P LACE: B IRTH: 29/12/1

COLOUR OF COLOUR OF

MARITAL STATUS: SINGLE E YES: BLUE H AIR: BROW

HEIGHT(CM) 168 WEIGHT(KG) 56

FATHER'S

M OTHER'S NAME: KRYSTYNA N AME: MAREK

A DDRESS

LESZCZYNOWA

STREET 92A/4 POST CODE: 80-175

C ITY: GDANSK COUNTRY: POLAND

M OBILE: +48-790-***-*** EMAI L: ************@*****.***

N EX T OF K I N

F ULL NAME KAJA ZAJKO RELATION: TWIN SISTER

LESZCZYNOWA

A DDRESS: 92A/4 CITY: GDANSK COUNTRY: POLAN

DATE OF BIRTH 29/12/1993 MOBILE: +48-537-***-***

E DUCAT IO N

POLISH NAVAL

SCHOOL NAME: ACADEMY CITY: GDYNIA COUNTRY: POLAN

FROM: 2012 TO: 2016

C OURSE

I N FOR MAT IO N ISSUE DATE: EXPIRY DATE: No.

PERSONA GUM-542*-******-

SURVIVAL 19/06/2013 13/06/2018 10431/2013

B ASIC FIRE GUM-542*-******-

F IGHTING 19/06/2013 13/06/2018 10431/2013

E LEMENTARY 19/06/2013 13/06/2018 GUM-542*-******-

F IRST AID 10431/2013

PERS. SAFETY& GUM-542*-******-

SOC.RESP. 19/06/2013 13/06/2018 10431/2013

OT H ER

D OCU M E N TS No. ISSUE DATE: EXPIRY DATE:

SEAMAN'S BOOK 0264459 07/2013 VALID I NDEFINITELY

M EDICAL

CERTIFICATE 178/2013 13/06/2013 13/06/2015

L ANGUAGES

TOUNGE L EVEL OF

L ANGUAGE: POLISH E NGLISH: GOOD

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