Identification

1. Individual Identification General Information DIVER: Luís Magro [MAGRO] Last update: 17.JUN.2007 Identification NAME: Luís Manuel de Carvalho Magro DATE OF BIRTH: 07-06-1968 (Photo) Av. Dr. Fernando Ricardo Ribeiro Leitão, 16 – 8º B 2745-711 Massamá Portugal ADDRESS: EMAIL: lmagro@entrada.tv HOME PHONE: +351 214 396 984 BLOOD TYPE: A Rh+ PFO: No ID: 8107546-4 MOBILE PHONE: +351 932 642 298 In case of emergency, contact: Elsa Carla Pires Oliveira Leal Magro Spouse wife RELATIONSHIP: NAME: +351 962 833 033 +351 932 200 833 TELEPHONE NO.1: TELEPHONE NO.2: Fernando Joaquim Rodrigues Magro Father RELATIONSHIP: NAME: +351 932 662 105 +351 214 429 303 TELEPHONE NO.1: TELEPHONE NO.2: Medical insurance / Doctor 364064246 SNS NO: n/a DOCTOR: n/a n/a DAY TELEPHONE: NIGHT PHONE: Dan Europe [ALWAYS CALL FIRST] 193425.2038.0062-MM INSURANCE CO: POLICY NO / MEMBER: +39 0642118685 Yes TELEPHONE: DCS TREATMENT: Médis 408911991 00 INSURANCE CO: POLICY NO / MEMBER: +351 218 458 888 Not included TELEPHONE: DCS TREATMENT: SAMS 3167354 INSURANCE CO: POLICY NO / MEMBER : +351 213 811 905 Not included TELEPHONE: DCS TREATMENT: OTHER IMPORTANT INFORMATION: none Medical history and allergies • Allergic to adhesive • Wear glasses (1.5/0.5) • Hernia/Inguinal-both sides (2004) • Quit smoking in 2005 • Had pneumonia in 2005 • Last check-up: Medicine taken regularly -----