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General Data
Position
Alternative
Available From:
Surname
Name
Date of birth
Place of birth
Nationality
Home Phone
Mobile 1
Mobile 2
Mail Address
Passport No
Issued
Expiry Date
Seaman's Book No
Issued
Expiry Date
Height CM
Weight KG
Eyes Colour
Hair Colour
Skin Colour
Marital Status
Children (how many/age)
Nearest Airport
School Education
School Final Mark Date Place
Specialization Courses
Course Final Mark Date Place
Computer Skills
Employment Record(please start from the most recent one)
Company
Address
Telephone
Person in charge
Sign on date
Rank
Sign off date
Sign off reason
Salary
Notes
 
Company
Address
Telephone
Person in charge
Sign on date
Rank
Sign off date
Sign off reason
Salary
Notes
 
Company
Address
Telephone
Person in charge
Sign on date
Rank
Sign off date
Sign off reason
Salary
Notes
 
Company
Address
Telephone
Person in charge
Sign on date
Rank
Sign off date
Sign off reason
Salary
Notes
 
Company
Address
Telephone
Person in charge
Sign on date
Rank
Sign off date
Sign off reason
Salary
Notes
 
Languages Knowledge
Language Spoken Written Understanding
Medical Statement
Kind of illness Therapy
Ship Experience
Company Vessel Sign on Rank Sign off
STCW Courses
Course Conducted By Number Issue Place Issue Date Expiring Date
Personal Survival Techniques
Elementay First Aid
Fire Prevention & Fire Fighting
Personal Safety and Social Responsibility
Have you ever been denied for a foreign VISA? Yes No
Have you ever been the subject of a court of inquiry? Yes No
Have you ever used drugs? Yes No
Have you ever had problems because of alcohol? Yes No
Please list your hobbies
Religion
come Prenotare
Preventivi
lavoro a Londra
alloggi a Londra
studiare a Londra
Servizio all inclusive
Servizio work experience
Au Pair
Università inglesi

A.C. Easy London
Via Dacia, 30/a 00183 Roma
(Metro "Re di Roma")
Info Line
Risponde Marzia 06.70497133
Risponde Marzia
Risponde Maurizio 06.77209710
Risponde Maurizio
Cecilia Cecilia è tornata da Londra, è di nuovo in sede tutte le mattine.
cell. 0044.7508953089
  Fax: 06.70497133
info@londra-facile.com
lun./ven: 10-13 / 15.30-19 sab.: 10.30-13

Iscrizione 2010



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