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APPLICATION FORM

PERSONAL DATA

POSITION(s)/ RANK -

Third Mate

APPLIED

FAMILY NAME, GIVEN

SZABO ZSOLT IOAN

NAME

DATE OF BIRTH

**/**/**** ***********

(dd/mm/yyyy)

PRESENT ADDRESS TEL.NO.+407********

Str.Dacia,nr.73,bl.20,sc.A,ap.5,Brasov,Romania.

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