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Application Form # 13792 |
| FULL NAME: | Furchak Yaroslav Ivanovich |
| RANK: | Boatswain |
| HOME ADRESS: | |
| PHONE: | |
| FAX: | |
| MOBILE PHONE: | |
| E-MAIL: | |
| URL: | |
| NATIONALITY: | Ukraine |
| DATE OF BIRTH: | 1964.08.30 |
| PLACE OF BIRTH: | Chortkiv,Ternopil reg.,Ukraine |
| SPOKEN ENGLISH (0-5): | 5 |
| IN RESERVE / ON BOARD: | In Reserve |
| MARITAL STATUS: | Married |
| NUMBER OF CHILDREN: | 3 |
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