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
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
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
2012-08-09
2017-08-08
Personal safety & Social Responsibilities
Personal Survival Techniques
Basic Fire Fighting
Meloniasty