Adrian Luczak MCV(1).doc

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APPLICATION FOR SEAGOING APPOINTMENT

 



                   

 

 

 

 

 

 

 

 

 

RANK APPLIED

Deck Cadet / OS-Deck

PERSONAL DATA

Family Name

Łuczak

Birth Date

08.02.1992

First Name (s)

Adrian

Birth Place

Goleniów, Poland

Nationality

Polish

Sex

Male

Nearest Airport

Berlin

Civil Status

Single

Father’s Name

Łuczak

Mother’s Name

Kosek

 

HOME ADDRESS

Lubczyna, Kasztanowa 7a Street, Poland

 

 

Email Address

Adek2005@poczta.onet.pl

Mobile Phone

+48 793 102 354

NEXT OF KIN INFORMATION

Family Name,

First Name(s)

Łuczak Krzysztof

Address

Lubczyna, Kasztanowa 7a Street, Poland

 

 

Relationship

Brother

Phone

+ 48 603 218 255

REMARKS

Requested Rank

Deck Cadet / OS - D

Availability Date

ASAP

English Language Skills

Intermediate

Other Foreign Languages

German Advanced

Education

Maritime Academy of Szczecin,

Faculty of Navigation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List of documents

 

 

Document Name

Document Number

Issued by

Issue Date

Exp. Date

Passport

 

 

 

 

National Seaman Book

0250421

Maritime Office in Szczecin

2010-06-21

2014-12-31

Elementary First Aid

UMS-5425-109796-6793/2012

Maritime Office in Szczecin

2012-08-09

2017-08-08

              Personal safety & Social Responsibilities

UMS-5425-109796-6793/2012

Maritime Office in Szczecin

2012-08-09

2017-08-08

Personal Survival Techniques

UMS-5425-109796-6793/2012

Maritime Office in Szczecin

2012-08-09

2017-08-08

              Basic Fire Fighting

UMS-5425-109796-6793/2012

Maritime Office in Szczecin

2012-08-09

2017-08-08

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