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Filter: Name/ID:
Work Status/Last Vessel Docs/Quals in order?
Med Exp Date: Fit for duty? MRM Crew No # [Certs]
Crew Name
(First, Middle,
Last Name)
Rank  Gender  Civil Status
Nationality  Birth Date/Place  Age 111
Address 1
Address 2
Phone/Mobile
Beneficiary Information  Relationship  Phone
Address
UNIFORM Sizes:  Shoes size  Overalls size  Shirt/Polo  Trouser/Pants
Spouse:
Father
Mother
EDUCATION:
Course
Year Graduated
Height (cm):  Carita Crew:
Weight (kg):
No. of Dependents: (below 21 years old)
1. Name of child:
Date of birth  Gender
2. Name of child:
Date of birth  Gender
3. Name of child:
Date of birth  Gender
4. Name of child:
Date of birth  Gender
Comments
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