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  • Crew Data Form NEW

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    Asrilia Lia
    287 vistas2 páginas
    This crew data form provides personal and employment information for Arif Setyawan. It lists his hire date of August 20, 2019 and position as Assistant Waiter. It includes his address, phone number, email, passport details, languages spoken, emergency contact and dependent information. The form captures key biographical data to facilitate Arif's employment onboard.

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    This crew data form provides personal and employment information for Arif Setyawan. It lists his hire date of August 20, 2019 and position as Assistant Waiter. It includes his address, phone number, email, passport details, languages spoken, emergency contact and dependent information. The form captures key biographical data to facilitate Arif's employment onboard.

    Copyright:

    © All Rights Reserved
    Descargue como DOC, PDF, TXT o lea en línea desde Scribd
    Marcar por contenido inapropiado
    287 vistas2 páginas

    Crew Data Form NEW

    Cargado por

    Asrilia Lia
    This crew data form provides personal and employment information for Arif Setyawan. It lists his hire date of August 20, 2019 and position as Assistant Waiter. It includes his address, phone number, email, passport details, languages spoken, emergency contact and dependent information. The form captures key biographical data to facilitate Arif's employment onboard.

    Copyright:

    © All Rights Reserved
    Descargue como DOC, PDF, TXT o lea en línea desde Scribd
    Marcar por contenido inapropiado
    de 2

    FP1802 Crew Data Form

    Hire Date August 20 2019 MAPS ID


    (month) (day) (year)
    NAME Setyawan Arif Dept Food and Beverage
    (last) (first) Position Assistant Waiter
    Onboard/Ship
    Address Barepan 7 Moyudan
    RT:005, RW:016 Home Airport Yogyakarta – Indonesia: JOG

    City Sleman Postal Code 55563 Marital Status X


    Country Indonesia Single Married Divorced Widowed Separated

    Phone # +628122775652 Sex X


    (country code), (city code), # Male Female
    Email arif81lanang@gmail.co Personal Attributes Black Brown 168 cm 62 kg
    (hair) (eyes) (height) (weight)
    SS# (US Only) Date of Birth April 20 1981
    (month) (day) (year)
    ARC # Birthplace Sleman

    Citizenship / Country Indonesia

    Passport # C 3860532 Passport Issue Date July 10 2019

    (month) (day) (year)

    Passport Country / City of Issue Indonesia/ Yogyakarta Passport Expiry Date July 10 2024

    (month) (day) (year)

    Second Passport # 2nd Passport Issue Date

    (month) (day) (year)

    2nd Passport Country / City of Issue 2nd Passport Expiry Date

    (month) (day) (year)

    Seaman’s Book # B 068826 Seaman’s Book Issue Date Mei 27 2013

    (month) (day) (year)

    Seaman’s Book Country of Issue Indonesia Seaman’s Book Expiry Date Mei 26 2020

    (month) (day) (year)

    Nove
    C1D Visa # K 3486929 C1D Visa Expiry Date 19 2019
    mber
    (month) (day) (year)

    Date of last Physical Exam

    (month) (day) (year)

    Languages (Other than English) - Indonesia

    Emergency Contact Dependent Information

    Name Eni Kurniawati Name Date of Birth


    Relationship Wife

    Address Barepan 7 Moyudan

    RT:005, RW:016

    City/State Yogyakarta

    Country Indonesia

    Phone #

    Mobile # +6281227986586

    Sign off Date


    (month) (day) (year) Signature

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