SafeLane Somalia - Services Contract - Joaquim Jo Barbosa

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(Full name) Joaquim Jo Barbosa (Contractor ID No.

)
(Address) Beira, City Mozambique, 14º Bairro Manga road 6 house No. 1088

Nominated Person (if applicable)

NEXT OF KIN
DATE COMPLETED:

Please ensure that at least one of your nominated Next of Kin are able to speak English.

FIRST PERSON TO CONTACT IN CASE OF AN EMERGENCY


Relationship Uncle
First Name Candeiro Last name Miguel Antonio
Telephone Home N/A
Mobile +258 867171835/840651035
Professional Driver
Email miguelcandeiro1@gmail.com
Address Beira, City Mozambique 14.B – Manga road 33
Postcode 00258

SECOND PERSON TO CONTACT IN CASE OF AN EMERGENCY


Relationship Uncle
First Name Micheque Last name Felix Mpasso
Telephone Home N/A
Mobile +258 840158807
Professional Driver
Email mfmpasso@gmail.com
Address Beira, City Mozambique Inhamizua

Postcode 00258

Please ensure you have informed the people names above that they are
your nominated Next of Kin

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