FP1802 Crew Data Form

Hire Date 05 3 2019 MAPS ID

(month) (day) (year)
NAME Rodriguez Melvin Dept Guest services
(last) (first) Position butler
Onboard/Ship
Address Sanchez #2 El Centro
Home Airport

City Postal Code {25,000 Marital Status Yes

Country Single Married Divorced Widowed Separated

Phone # 829-783-0110 Sex Male

(country code), (city code), # Male Female
Email melvinandres10@gmail.com Personal Attributes brown brown 6”0 144
(hair) (eyes) (height) (weight)
SS# (US Only) Date of Birth 03 10 1997
(month) (day) (year)
ARC # Birthplace Hato Mayor del Rey

Citizenship / Country

Passport # SP1342162 Passport Issue Date 12 14 2015

(month) (day) (year)

Passport Country / City of Issue Passport Expiry Date 12 14 2021

(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 # Seaman’s Book Issue Date

(month) (day) (year)

Seaman’s Book Country of Issue Seaman’s Book Expiry Date

(month) (day) (year)

C1D Visa # C1D Visa Expiry Date

(month) (day) (year)

Date of last Physical Exam

(month) (day) (year)

Languages(Other than English)

Emergency Contact Dependent Information

Name Maria Victoria Musa Name Date of Birth

Relationship mother

Address 17/11/1964

Maria Victoria Musa

City/State Hato mayor del Rey

Country Dominican Republic

Phone #

Mobile # 829-377-4604

Sign off Date

(month) (day) (year) Signature