Download
1 / 1
20 likes | 173 Vues
Individual Identification General Information. DIVER: Ricardo Constantino [RICARDO]. Last update: 02-08-2007. Identification. Ricardo Jorge Martins Constantino. NAME:. DATE OF BIRTH: 30-12-1967. (Photo). Cc dos Barbadinhos 136BF BL3 5ESQ 1170-047 Lisboa Portugal. ADDRESS:.
E N D
Individual Identification General Information DIVER: Ricardo Constantino [RICARDO] Last update: 02-08-2007 Identification Ricardo Jorge Martins Constantino NAME: DATE OF BIRTH: 30-12-1967 (Photo) Cc dos Barbadinhos 136BF BL3 5ESQ 1170-047 Lisboa Portugal ADDRESS: EMAIL: ricardo@entrada.tv HOME PHONE: n/a BLOOD TYPE: A Rh+ PFO: No ID: 8418016 Portugal MOBILE PHONE: +351-966.307.804 In case of emergency, contact: Simone Constantino Wife RELATIONSHIP: NAME: +351-937.578.794 +351-961.712.660 TELEPHONE NO.1: TELEPHONE NO.2: Samuel Constantino Father RELATIONSHIP: NAME: +351-913.620.790 +351-939.774.153 TELEPHONE NO.1: TELEPHONE NO.2: Medical insurance / Doctor xxx SNS NO: Gata Simão DOCTOR: +351-218.840.800 +351-218.813.355 DAY TELEPHONE: NIGHT PHONE: Dan Europe [ALWAYS CALL FIRST] 121003.1048.0062 MM INSURANCE CO: POLICY NO / MEMBER: +39-064.211.8685 Yes TELEPHONE: DCS TREATMENT: Multicare 009900925 0004 4100 / Cliente 490774 INSURANCE CO: POLICY NO / MEMBER: +351-217.805.780 Not included TELEPHONE: DCS TREATMENT: xxx xxx INSURANCE CO: POLICY NO / MEMBER : +351-000.000.000 Not included TELEPHONE: DCS TREATMENT: OTHER IMPORTANT INFORMATION: none Medical history and allergies • Stopped smoking in 2004 • Last Medical Exams : 2007 Medicine taken regularly none
