IMO CREW LIST

(IMO FAL Form 5)

					x	Arrival			Departure		Page Number
Name of ship Malmo					1.2 IMO number 8116738
Call sign 4LVR					1.4 Voyage number 112432
2. Port of arrival/departure Trelleborg					3. Date of arrival/departure 14.05.2014
4. Flag State of ship Tanzania					5. Last port of call Świnoujście
6. No.		7. Family name, given names	8. Rank or rating	9. Nationality				10. Date and place of birth			11. Nature and number of identity document
1		Damian Rolewski	Master	Poland				18.02.1978 Jarosław			823455434554
2		Krzysztof Ignaczak	1^st mate	Poland				12.03.1969 Warsaw			123454323452
3		John Brown	2^nd mate	Ireland				23.12.1988 Dublin			456542345435
4		Jon Snow	3^rd mate	England				30.01.1980 Huddersfield			354645336345
5		Robb Stark	Bosun	England				11.01.1970 London			543246786548
6		Tytus Bomba	Cook	Poland				31.12.1979 Szczebrzeszyn			125487954215
7		Michał Głuś	Chief Engineer	Poland				19.02.1983 Radom			658468765487
8		Kamil Zdun	O/S	Poland				12.07.1983 Szczecin			432123187954
9		Radosław Rumian	O/S	Poland				01.01.1990 Bydgoszcz			432187641896
10		Bogusław Łęcina	Cadet	Poland				29.10.1985 Wrocłąw			874348979434
12. Date and signature by master, authorized agent or officer 10.05.2014 Rolewski Damian

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