PLACE: __________________________
DATE: ___________________________
NAME:_______________________ SURNAME: ________________________DATE OF BIRTH: ____________ PLACE OF BIRTH: ___________________
DOMICILE: ___________________________________ , DECLARE TO JOIN SEAMEN'S UNION OF SLOVENIA, LIMINJANSKA 94a LUCIJA, 6320 PORTOROZ, SLOVENIA.
I DECLARE THAT I AM / I AM NOT MEMBER OF ANY OTHER UNION.
SIGNATURE