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A.1. PERSONAL PARTICULARS RANK

FAMILY NAME MARITAL STAT. DATE OF READINESS DESIRED SALARY
PHOTOS FIRST NAME CHILDREN UND18 A.3. CERTIFICATE OF COMPETENCY
FATHER’S NAME No ISSUED DATE COUNTRY ISSUER
DATE OF BIRTH NEXT OF KIN
NATION CERTIFICATE
NATIONALITY RELATIONSHI NATION GMDSS
P
PLACE OF BIRTH TELEPHONE EDUCATION
TELEPHONE (MOB) ADDRESS
ADDRESS & TEL(H)

A.2. PASSPORTS A.4. ENDORSMENT

No ISSUED DATE EXPIRY DATE ISSUER No ISSUED DATE EXPIRY DATE ISSUER
TRAVEL PASSPORT NATION CERTIFICATE
NATION SB GMDSS
VISA USA CYPRUS
SB CYPRUS PANAMA
SB PANAMA MALTA
SB MALTA NETHERLANDS
SB
NETHERLANDS

A.5. CERTIFICATE
No ISSUED DATE ISSUER No ISSUED DATE ISSUER
ARPA TANKER FAMILIRIAZIATION
RADAR OBSERVER & PLOTTING OIL TANKERS
PERSONAL SURVIVAL (V1/1) BASIC CHEMICAL TANKERS
SURVIVAL CRAFTS ( V1/2) LIQYIFIED GAS TANKER (IGS)
ADVANCED FIRE-FIGHTING(V1/3) CRUDE OIL WASHING
MEDCAL FIRST AID (V1/4) INERT GAS SYSTEM
MEDICAL CARE ECDIS
ELECTRICAL & ELECTRON ENG RO RO, PASSANGERS SHIPS
HAZARDOUS CARGOES PASSANGERS SHIPS
SHIPS SAFETY OFFICER DP OFFICER
SHIPS SECURITY OFFICER
SHIP HANDLING ARRANGEMENTS
BRIDGE TEAM & RESOURCE MGMT ENGLISH COURS FOR RATINGS

A.6. VACCINATION MEDICAL EXAMINATION

MEDICAL EXAMINATION YELLOW FEVER WIGHT OVERALL

E-mail: tenetcrew@gmail.com Tel +380933168755 – in Odessa

TENET MARINE COMPANY E-mail: mariupol@tenetmarine.com.ua Tel +380 933 168 733 – in Mariupol
E-mail: crimea@tenetmarine.com.ua Tel +380933168744 – in Crimea
A – Seaman’s Personal Details; B – Seaman’s Sea Service; C – Medical examination WWW.TENETMARINE.COM.U
A
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DRUG & ALCOHOL TEST CHOLERA HEIGHT SHOES
AIDS TEST P&I AMERICAN CLUB

B.1 SEA SERVICE

B.1.1. FOR DECK OFFICERS AND DECK RATINGS
MONTH
VESSEL COMPANY FLAG TYPE DWT GRT TEU CREW RANK FROM TILL S

B.1.2. FOR ENGINEER OFFICERS AND ENGINE RATINGS

VESSEL COMPANY FLAG TYPE ENGINE TYPE HP CREW RANK FROM TILL MONTHS

B.2. CARGO LIST / INFORMATION ABOUT CRANE (ONLY FOR EL ENGINEER)

SPECIFIC NAME/TYPE / NUMBER CARGO TANKS TYPE OF CARGO
VESSEL EXPERIENCE WITH OIL MAJORS VETTING INSPECTION
NAME OF THE CRANE & CAPACITY (ONLY FOR EL. ENG) (stainless steel or coated) PUMPS

E-mail: tenetcrew@gmail.com Tel +380933168755 – in Odessa

TENET MARINE COMPANY E-mail: mariupol@tenetmarine.com.ua Tel +380 933 168 733 – in Mariupol
E-mail: crimea@tenetmarine.com.ua Tel +380933168744 – in Crimea
A – Seaman’s Personal Details; B – Seaman’s Sea Service; C – Medical examination WWW.TENETMARINE.COM.U
A
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C.1. LEVEL OF FOREIGN LANGUAGES KNOWLEDGE ENGLISH: GERMAN: SPANISH:
RESULT (%) DATE ISSUER RESULT (%) DATE ISSUER
MARLIN TEST CES 4.1

E-mail: tenetcrew@gmail.com Tel +380933168755 – in Odessa

TENET MARINE COMPANY E-mail: mariupol@tenetmarine.com.ua Tel +380 933 168 733 – in Mariupol
E-mail: crimea@tenetmarine.com.ua Tel +380933168744 – in Crimea
A – Seaman’s Personal Details; B – Seaman’s Sea Service; C – Medical examination WWW.TENETMARINE.COM.U
A