First Name Address: Phone 1: Phone: E-mail Pele Nationality Amoncan Passport# Birth Date Height 5'11 Weight 175 Hair Color Brown Eye Color Blue Gender P.Iale Visa Type Visa Exp Date Middle: Last Name: _acc—bc City: State: Fr Zp: 33037 Perms: Country USA Date Last Checked-In 1/23/2013 3:26:00 PM Current Location SE USA (Florida) - Keys Do You Smoke?: No Will you submit to drug test?: Yes Do you require daily Medication? No Have you ever been convicted? If Yes Please Explain No If Yes Please Explain Wackenhut Background Check Completed: No CrewInsight Character Analysis Completed:No "Ideal" Position: Captain:Mato 20D 10 years experience as a dive boat captain in Florida Keys and a certified PDAI Assistant Instructor 1st Position: Captain Marital Status: Divorced STCW Certified? No 2nd Position: Bosun Team/Solo/WillTeam solo Dive Guide Yes Private/Charter: Either Team mate: Fishing Guide No Power/Sail Either Teammate 1st Position Electrician No Temp/Perm Either Teammate 2nd Position Carpenter No Minimum Salary: 545000.00 Spanish No Massage Therapist No Per Year French No Nurse/Paramedic No 1st License: USCG 100T Dutch No Nanny No 2nd License: None German No Helicopter Pilot No DiyeQualificalton: NONE Italian No Airplane Pilot Yes Chefs, from what Culinary School did you graduate? Engineer's self rating 1.10 Year:O Refrigeration: 0 Hydraulics:0 Electrical:? Please mark those cuisines in which you specialize: Please mark those with which you are proficient: No No Diabetic: No Pritildn: No Asian: -(7) Northern Lights: Yes Caterpillar: Yes Deutz: No Cummins: Yes MTU: No French Cuisine No Kosher: No Italian: Yes LowFat: No Detroit Yes KatIeWa: No Paxman: No Mercedes: No Mann: No DOEC: 1069 SE 17 Strooty. Fort Lauderdale. FL 33316 Tel 30 Rue Lacan. Saltine Du Port. Antibes, 06600 France Tel E-Mail: Internet Address: vnwtcrewunlimited.com EFTA_R1_0 1344759 EFTA02357984



