| Contact Information | |
|---|---|
| First Name | MAREK |
| Last Name | BAJOR |
| Address | 17 YARROW DRIVE |
| KINGS NORTON | |
| City | BIRMINGHAM |
| State | |
| Province | |
| Zip/Postal Code | B389QR |
| Country | United Kingdom |
| Home Phone | 0121 - 4333763 |
| Work Phone | - |
| Fax | |
| michaelcyaine@yahoo.co.uk | |
| Alternate Email | |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | MAREK - BAJOR |
| Date of Injury | 26/07/1981 |
| Type of Injury | Traumatic |