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  • Application Form300 - Copie

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    Leah Rodriguez
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    The document is an application form for a position. It includes personal details of the applicant such as name, date of birth, contact information, education history, sea service experience aboard various vessels as a fitter, and copies of certificates and medical documents. The applicant is Romanian, speaks English and Italian, and has over 10 years of experience as a fitter on cargo, RO-RO, and technical vessels of various flags including Bahamas and Italy.

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    The document is an application form for a position. It includes personal details of the applicant such as name, date of birth, contact information, education history, sea service experience aboard various vessels as a fitter, and copies of certificates and medical documents. The applicant is Romanian, speaks English and Italian, and has over 10 years of experience as a fitter on cargo, RO-RO, and technical vessels of various flags including Bahamas and Italy.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    12 views2 pages

    Application Form300 - Copie

    Uploaded by

    Leah Rodriguez
    The document is an application form for a position. It includes personal details of the applicant such as name, date of birth, contact information, education history, sea service experience aboard various vessels as a fitter, and copies of certificates and medical documents. The applicant is Romanian, speaks English and Italian, and has over 10 years of experience as a fitter on cargo, RO-RO, and technical vessels of various flags including Bahamas and Italy.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    APPLIC9 ATION FORM

    DATE: 04-06-2014
    Position applied for
    Date of availability
    Salary expectation
    Surname
    Name
    Date / place of birth
    Marital status
    Foreign languages

    ION
    RADU
    24-10-1957
    Casatorit
    Engleza-Italiana, conversational.

    PICTURE

    CONTACT INFORMATION
    Home address Str.alunisului,nr.16,bl.F4,scA,ap.
    9 .TULCEA

    Phone
    Mobile
    Email

    0740766840
    Raduion1057@yahoo.com

    PERSONAL DETAILS & UNIFORM INFORMATION


    Hair Color-saten
    Eye Color- albastri
    Height (CM)-174
    Weight (Kg)-82

    SATEN
    ALBASTRI
    1,74.
    82.

    Uniform size
    Overall size
    Shoes
    Nearest airport

    NEXT OF KIN DETAILS


    Relationship (i.e. Wife, Father etc.)
    Name and Surname
    NOK Address (if same, write SAME)
    NOK Contact Number
    Age of Children (if applicable)

    PRE-SEA EDUCATION
    Name of school or academy

    Department

    FITTER

    CERONAV CT.

    From
    16-122003

    To

    Date of
    issue
    08-08-2013
    14-01-2014
    16-12-2003

    Date of
    expiry
    08-08-2018
    14-01-2015
    19-06-2014

    Fiter mechanic,strungar.

    PERSONAL DOCUMENTS
    Name of document
    National Passport
    National Seamans Book
    Certificate of Competency
    Endorsement

    Number

    Place of issue

    052033840
    15031CT
    15164

    TL
    CT
    CT

    WORK ON SEA CREWING AGENCY Address: 62,Dacia Street, Constanta, Romania Tel: +4 0241 582 475
    Mobile: +4 0736 026 709;

    +4 0757 620 365 E-mail: office@workonsea.ro website URL: www.workonsea.ro

    GL
    GL
    GL
    GL
    GL
    GL
    GL

    Date of
    issue
    19-06-2009
    19-06-2009
    19-06-2009
    19-06-2009
    19-06-2009
    09-07-2009
    09-07-2009

    Date of
    expiry
    19-06-2014
    19-06-2014
    19-06-2014
    19-06-2014
    19-06-2014
    09-07-2014
    09-07-2014

    1344
    347
    3950

    GL
    GL
    GL

    09-07-2009
    15-07-2009
    04-03-2011

    09-07-2014
    15-07-2014
    03-03-2016

    2223

    GL

    27-09-2013

    484

    GL

    23-07-2013

    23-07-2018

    349

    CT

    18-06-2010

    18-06-2015

    J5022-2B

    TL

    21-09-2013

    11-09-2023

    Name of document

    Number

    Place of issue

    Basic Safety Training


    Medical First Aid
    Basic Fire Fighting
    PSSR
    Personal Survival Techniques
    Familiarization Safety Training
    Transp. and handling of Dang.
    Cargoes
    Prevention of Pollution MARPOL
    Maritime English
    Prof. Survival Craft / Rescue Boats
    A.R.P.A.
    Advanced fire-fighting
    Medical Care
    Bridge/Engine Team Management
    SSD (Ship Security Duties)
    GMDSS GOC
    Dynamic Positioning Operators
    Certificate
    Tanker Familiarization
    Advanced Oil Tankers Certificate
    Advanced Chem. Tk. Certificate
    RO-RO Passenger
    National Medical Examinations
    Vaccination against Yellow Fever
    US C1/D Visa

    2595
    2595
    2595
    2595
    2595
    1344
    1344

    SEA SERVICE DETAILS


    Rank

    Company

    Name of vessel

    FITTER

    Stamford
    Comp.

    Dona Liberta

    FITTER

    PETRO-JOBS

    Micoperi 30

    ROM
    TEHMAR
    ROM
    TEHMAR
    ROM
    TEHMAR
    ROM
    TEHMAR

    Grande
    Nigeria
    Republica di
    Roma

    FITTER
    FITTER
    FITTER
    FITTER

    StradaGigante
    Republica di
    Amalfi

    GRT

    Engine /
    KW

    4430

    2800

    7764

    RO-RO

    56738

    18280

    RO-RO

    42001

    15270

    RO-RO

    14765

    6582

    RO-RO

    42574

    17294

    Flag

    Type

    Bahamas

    Cargo
    frig.
    Nava
    tehnica

    Italia
    Italia
    Italia
    Italia
    Italia

    Date From

    21-012012
    08-092011
    10-042008
    01-072007
    01-072007
    17-062006

    Date To

    24-09-2012
    24-11-2011
    24-09-2008
    50-0920081
    15-09-2007
    25-09-2006

    WORK ON SEA CREWING AGENCY Address: 62,Dacia Street, Constanta, Romania Tel: +4 0241 582 475
    Mobile: +4 0736 026 709;

    +4 0757 620 365 E-mail: office@workonsea.ro website URL: www.workonsea.ro

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