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Seafarer Application Form

*. PERSONAL INFORMATION

RANK Engine cadet, Wiper ALTERNATIVE RANK (IF ANY) LAST NAME Czerniewski FIRST NAME Dawid

OTHER NAMES Daniel NATIONALITY Poland

PESEL 940******** MOUSTACHE Yes No BEARD Yes No

SEX M F BIRTH PLACE Kołobrzeg/Poland DATE OF BIRTH 09.05.1994...