PART I : personal data

Fields marked with (*) are mandatory !

* Your Rank CNP

* Surname (Nume) * Name (Prenume) Father`s name * Permanent address * City
Nationality * Date of birth Place of birth * Phone * Phone 2 (Mobile)
Next of Kin (NOK) Name Surename NOK Phone NOK Relationship * Email Children

Document Number Issued Place Valid until
Passport
Seaman`s book

PART II : certificates / courses / Highest Competency certificate held

Issuing authority Grade / Level Certificate No. Date of issue Validity
National Certificate of Competency
STCW 95/ Endorsement

Certificates Place issued Number Date issued Valid until
LIQ. GAS TANKERS
OIL TANKERS
CHEMICAL TANKERS
TANK FAMILIARIZATION
RO-RO PASSENGER SHIPS/PASSENGER SHIPS OTHER THAN RO-RO PASSENGER SHIPS A-V/2;A-V/3
PROFICIENCY IN FAST RESCUE BOATS A VI/2
SHIP SECURITY OFFICER
ASSD
INTERNATIONAL HEALTH CERTIFICATE (YELLOW FEVER)
MEDICAL APTITUDE CERTIFICATE (ECOMED)

COURSES / STCW-95 CODE Place issued Number Date issued Valid until
ADVANCED FIRE-FIGHTING A-VI/3
MEDICAL FIRST AID A-VI/4;4-6
PERSONAL SURVIVAL TECHNIQUES A-VI/1,2.1.1.1
PERSONAL SAFETY AND SOCIAL RESPONSIBILITIES ON BOARD SHIPS A-VI/1;2.1.1.4
PREVENTION OF POLLUTION OF THE MARINE ENVIRONMENT-MARPOL73/78- A-II/1,A-II/2,A-III/1,A-III/2
TRANSPORT AND HANDLING OF DANGEROUS, HAZARDOUS AND HARMFUL CARGOES A-II/1,A-II/2,A-III/1,A-III/2
PROFICIENCY IN SURVIVAL CRAFT AND RESCUE BOATS, OTHER THAN FAST RESCUE BOATS A-VI/2,1-4
MARITIME ENGLISH A-III/1;A-III/2
SECURITY AWARNESS TRAINING & SECURITY TRAINING FOR SEAFARERS WITH DESIGNATED SECURITY DUTIES
RO-RO PASSENGER SHIPS/PASSENGER SHIPS OTHER THAN RO-RO PASSENGER SHIPS A-V/2;A-V/3
PROFICIENCY IN FAST RESCUE BOATS A VI/2
BRIDGE TEAM AND RESOURCE MANAGEMENT A-VIII,B-VIII
RADAR NAVIGATION,RADAR PLOTTING AND USE OF ARPA OPERATIONAL LEVEL A-I/12,A-II/1
RADAR ARPA,BRIDGE TEAMWORK AND SEARCH AND RESCUE-MANAGEMENT LEVEL A-I/12,A-II/2
GENERAL OPERATOR FOR GMDSS(GOC) COURSE A-IV/2
GMDSS A-IV/2
SHIP SECURITY OFFICER A-VI/5
ENGINE TEAM AND RESOURCE MANAGEMENT A-III/2
ELECTRONIC CHART DISPLAY AND INFORMATION SYSTEM A-II/1; A-II/2
SHIP HANDLING AND MANEUVERING SYSTEM A-II/1
TRANSPORT AND HANDLING OF DANGEROUS, HAZARDOUS AND HARMFUL CARGOES A-II/4,A-III/4
MARITIME ENGLISH LANGUAGE TRAINING PHRASE VOCABULARY A-III/4
PREVENTION OF MARINE POLLUTION FROM SHIPS A-II/4,A-III/4
BASIC FIRE-FIGHTING A-VI/1-2
PERSONAL SAFETY AND SOCIAL RESPONSIBILITIES ON BOARD SHIPS A-VI/1-2
PERSONAL SURVIVAL TECHNIQUES A-VI/1-2
ELEMENTARY FIRST AID A-VI/1-2
TANK FAMILIARIZATION /A-V/1; 1-7
ADV. OIL TANKER/ A-V/1;8-14
ADV.CHEMICAL TANKER/A-V/1;15-21
ADV. GAS TANKER/ A-V;22-34
HUMAN ELEMENT, LEADERSHIP AND MANAGEMENT-OPERATIONAL LEVEL
NAVAL ELECTRICAL SYSTEMS OF MEDIUM AND HIGH VOLTAGE
ISF MARLINS TEST&TEST OF SPOKEN ENGLISH
MEDICAL CARE A-VI/4, 4 TO 6


PART III : Sea Experience / Last 5 years - Most recent experience on top line

Company
Vessel
Type
DWT
HP
Main Engine
Rank
Date from
Date to
Reason

TYPE: OIL/TK (OIL TANKER),  CH/TK (CHEMICAL TANKER),  LPG/TK (LPG TANKER),  LNG/TK (LNG TANKER),  RO (RO-RO),  PAS (PASSENGER),  BK (BULK),  FERRY (FERRY),  GC (GENERAL CARGO),  CON (CONTAINER),  SUPPLY (SUPPLY VESSEL),  OH (OFF SHORE),  FPSO (FPSO),  AHTS (ANCHOR HANDLING),  TUG (CRANE BARGE),  DS (XCV),  DSD (DSC),  FSDF (SDF),  NAVY (ROMANIAN NAVY),  RIG (JACK-UP RIG),  TUG (TUG SUPPLY),  PSV (PUSHER VESSEL),  FSIV (FAST SUPPORT INTERVENTION VESSEL),  DPDS (DRILL SHIP),  OIL/CHTK (OIL/CHEMICAL TANKER),  LIVCARR (LIVESTOCK CARRIER),  FLOC (FLOATING CRANE),  RRP (RO-RO/PAX),  RSQ (RESCUE),  HSC (HIGH SPEED CRAFT),  ms (MILITARY SHIP) 

REASON: EOC (End Of Contract),  SS (Ship Sold),  COM (Change Of Management),  MEDICAL (Medical Reasons) 

REFFERENCE CONTACT DETAILS / this part is optional.

Company Name
Address
Phone No.
Fax / E-mail
Contact Person

Notes to sea experience

Deck officers & Pumpman:

A. Indicate type of cargoes loaded:

B. Where you loading different cargoes simultaneously?

C. Which kind of pumps you have been experienced with?

Enginers:

A. Please state if you have been sailing with UMS and which remote control systems are familiar to you:


PART IV : general

A. Have you ever been denied for a foreign visa?

B. Have you been the subject of a court of inquiry or involved in a marine accident?

Nearest airport:

Your Height (CM):

Your Eyes Color:

Your Weight (KG):

Your Shoes Size:

Required Data

English
French
Italian
Spanish
German
Other

Desired salary Currency IBAN Available starting from

PART V : upload scanned documents / this part is optional. (Flash plugin required)