IMO CREW LIST
(IMO FAL Form 5)
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Arrival |
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Departure |
Page Number
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1.1 Name of ship CITY OF ST. PETERSBURG |
1.2 IMO number 9473456
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1.3 Call sign 3FIM5 |
1.4 Voyage number 77
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2. Port of arrival/departure Saint Petersburg |
3. Date of arrival/departure 02.03.2012
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4. Flag State of ship Panama |
5. Last port of call Gdansk
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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 |
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1 |
Górtowski Paweł |
captain |
polish |
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2 |
Antosik Katarzyna |
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polish |
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3 |
Beling Błażej |
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polish |
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4 |
Boguszewska Honorata |
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polish |
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5 |
Ciszak Rafał |
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polish |
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6 |
Ciszkiewicz Grzegorz |
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polish |
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7 |
Dobraszczyk Wojciech |
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polish |
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8 |
Jankowski Piotr |
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polish |
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9 |
Kamionka Celina |
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polish |
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10 |
Kołakowska Martyna |
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polish |
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11 |
Mazurkiewicz Karolina |
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polish |
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12 |
Miroshnichenko Kostyantyn |
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ukrainian |
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13 |
Oponowicz Arkadiusz |
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polish |
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14 |
Paćwkowski Tomasz |
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polish |
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15 |
Piotrowicz Szymon |
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polish |
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16 |
Piskuła Krzysztof |
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polish |
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17 |
Ptaszyński Dawid |
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polish |
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12. Date and signature by master, authorized agent or officer
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