POSITION APPLY

READINESS TO START

NAME

MARIUSZ

SURNAME

ZAGÓRSKI

DATE OF BIRTH

05.04.1965

PLACE OF BIRTH

KRAKÓW

HOME ADDRESS

UL.ZAWIEYSKIEGO 11/22

POST CODE, CITY

31-619 KRAKÓW

NATIONALITY

POLSKA

E-MAIL

goral_65@wp.pl

TELEPHONE

605-565-006

MOBILE/FAX

MATRIMONIAL STATUS

MARRIED

NUMBER OF SUPPORTED CHILDREN UNDER AGE OF 18

NEXT OF KIN

NAME & ADDRESS

MAŁGORZATA ZAGÓRSKA       KRAKÓW 31-619 UL. ZAWIEYSKIEGO 11/22

NEXT OF KIN TELEPHONE/MOBILE

661-441-004

RELATIONSHIP

NAME OF BANK

BANK PEKAO

ADDRESS  OF BANK,

POST CODE, CITY

RYNEK STAROMIEJSKI 8 75-007 KOSZALIN

ACCOUNT NO EURO

03 1240 3653 1111 0010 1143 8439

SWIFT

PKO PPLPW

OWNER OF THE

BANK ACCOUNT

HOME ADDRESS OF THE OWNER

INSURANCE COMPANY

SUME OF INSURANCE

DOCUMENTATION

NUMBER

ISSUED

PLACE

VALID

PASSPORT

AS 8650551

17.04.2007

KRAKÓW

17.04.2017

SEAMAN’S BOOK

0235643

29.08.2006

SŁUPSK

UNLIMITED

TYPE OF LICENSE

ENG.OFF.WATCH

NO OF LICENSE:

SUM-54167-037181-1057/2012

20.12.2012

SŁUPSK

16.12.2017

STCW-95 COURSES

NUMBER

ISSUED

VALID

GMDSS