F-IMS 5-01

IMSM COM
IMSP Section 16 VCP
Fleet Reg. OCP
Revision 01 / 2012 Page 1 of 4

BIO DATA
This form is to be filled by new applicants and forwarded to Manning Department.
Master to send bio data form of Company employees (with updated personal details) with monthly mail via e-mail to Manning
Department

PLEASE WRITE NEATLY IN CAPITAL LETTERS

RANK : ELECTRICAL OFFICER Date available:
Surname: BACIU First Name: RADU
Other names:
Date and Place of Birth: 01.07.1961 - TIRGU MURES
Fiscal Code :
Marital Status : MARRIED Children :2
Colour of Hair/Eyes: BROWN Height: 174cm Weight: 76 Kg

Present Address: ROMANIA , TARGU MURES , STR REPUBLICII 22 AP 5

Phone: 0265211402 Mob:0744708062 E-mail:radubaciu61@yahoo.com Nearest Airport : CLUJ NAPOCA

Next of Kin address and contact details (to be contacted in case of emergency) :
Surname : BACIU First Name : EMILIA

Phone: 0744621544 Mob: E-mail: baciu-emilia@yahoo.com

Languages : V=Very Good / G=Good / F= Fair / English:G Italian :F Spanish: French:F
P=Poor / N=No

Code Document Date of Date of

N.
DOCUMENTS Place of Issue
Number Issue Expiry
Seaman Book 5643 CT 13.12.2002 21.09.2013 CONSTANTA

000 Passport 050017793 17.12.2009 17.12.2014 MURES

20100901010001 01.04.’10 30.03.’15 BUCURESTI
001 US Visa

002 Periodical Medical Examination 3190 26.06.2012 CONSTANTA

Certificate of Competency
5766 04.12.1991 11.01.2015 CONSTANTA
Grade / Type ELECTRICIAN
030 Endorsement of Certificate (STCW-95) - - - -
Italian Endorsement of Recognition
032 - - - -
Certificate of Competency
Familiarization Tanker Endorsement
031 19730 26.06.2012 31.12.2016 CONSTANTA
FTK (1)
Italian Endorsement of Familiarization
031A - - - -
Tanker Endorsement FTK (1)
Specialized Oil Tanker Endorsement
033 18529 26.06.2012 04.02.2015 CONSTANTA
STK (2)
Italian Endorsement of Specialized Oil
033A - - - -
Tankers Endorsement STK (2)
Specialized Chemical Tanker Endorsement
034 18445 26.06.2012 31.02.2016 CONSTANTA
STK (2)
Italian Endorsement of Specialized
034A - - - -
Chemical Tankers Endorsement STK (2)

F-IMS 5-01 BIO DATA

TO BE FILED AT NAPLES OFFICE
RETENTION PERIOD: PERMANENT
 F-IMS 5-01
IMSM COM
IMSP Section 16 VCP
Fleet Reg. OCP
Revision 01 / 2012 Page 2 of 4

Italian Endorsement of Ship Security

027A
Officer

CERTIFICATES – STCW’S / IMO COURSES – TRAINING FAMILIARIZATION

Cod Place of Date of Date of Issued

Cert. No
e N. issue issue expiry by
General Operator Certificate
003 G.M.D.S.S. - - - - -
Specialized training for oil tanker
004 CONSTANTA 04.02.2010 04.02.2015 CERONAV 0002732
Radar Plotting certificate
005 - - - - -
Radar Arpa, Bridge Team work
006 Search and rescue – Management - - - - -
Level
007 Basic Fire Fighting - - - - -

008 Advanced Fire Fighting CONSTANTA 08.01.2010 08.01.2015 CERONAV 0010596

009 Tanker Familiarization (Oil Tanker) - - - - -

Prevention and Fighting Marine
010 CONSTANTA 21.01.2010 21.01.2015 CERONAV 0008855
Pollution from Ship
Medical First Aid/Elementary First
011 CONSTANTA 05.01.2010 05.01.2015 CERONAV 0009371
Aid
012 Medical care - - - - -

013 Personal survival Technique CONSTANTA 11.01.2010 11.01.2015 CERONAV 0010433

014 Fast of rescue boat Driver - - - - -

015 Inert Gas System Operation – I.G.S. - - - - -

016 Crude Oil Washing – C.O.W. - - - - -

017 Safety in Oil Tanker - - - - -

018 Maritime English CONSTANTA 19.01.2010 19.01.2015 CERONAV 0004221

019 Bridge Team Management - - - - -

Watch Keeping Arrangements and
020 - - - - -
Duties on the Bridge
021 Transport of dangerous goods CINSTANTA 15.01.2010 15.01.2015 CERONAV 0009325
Personal Safety and Social
022 CONSTANTA 25.01.2010 25.01.2015 CERONAV 0011094
Responsibility
023 Chemical Tanker Specialised CONSTANTA 09.05.2012 09.05.2017 CRONAV 00004187
Proficiency in Survival Craft and
025 CONSTANTA 13.010.2010 13.01.2015 CERONAV 0018221
Rescue boat
026 Chemical Tanker Familiarization - - - - -

027 S.S.O. – Ship Security Officer - - - - -

F-IMS 5-01 BIO DATA
TO BE FILED AT NAPLES OFFICE
RETENTION PERIOD: PERMANENT
 F-IMS 5-01
IMSM COM
IMSP Section 16 VCP
Fleet Reg. OCP
Revision 01 / 2012 Page 3 of 4

029 Engine Team Management - - - - -

Tanker Management & Self
035 Assessment (TMSA) including Risk - - - - -
Assessment, Accident Investigation and Vetting
Investigation Procedures

036 ECDIS Familiarization - - - - -

Ship Handling and Maneuvering
037 Simulation
- - - - -

038 ISO 9001 Familiarization - - - - -

039 ISO 14001 Familiarization - - - - -

040 ITALIAN Law 271/99 Familiarization - - - - -

041 Portable Gas Instrument Course - - - - -

042 FRAMO familiarization - - - - -

043 Liquid Cargo Handling Simulator - - - - -

044 Marine Automation / Hydraulics - - - - -

045 Draft Survey - - - - -

046 ISM Implementation Course - - - - -

Corrosion, Painting, Surface Treatment
047 Training
- - - - -

048 ISPS Code - - - - -

049 IMS Company Procedure Familiarization - - - - -

050 Operation at Sea Familiarization - - - - -

Company Revised PMS
051 - - - - -
Familiarization
052 Safety Officer Training - - - - -

053 Calibration & Use of Gas Instruments - - - - -

054 Calibration & Use of Breathing Apparatus - - - - -

055 Management of Chart Correction - - - - -

056 Refreshment of Company IMS - - - - -

057 Company’s SMART MPS - - - - -

058 Operation and Maintenance for L/BOATS - - - - -

059 HACCP Certificate - - - - -

Any other information about yourself:

I declare to have read the Company Job description for the rank assigned

Date : ______________________________ Signature : ________________________________

F-IMS 5-01 BIO DATA

TO BE FILED AT NAPLES OFFICE
RETENTION PERIOD: PERMANENT
 F-IMS 5-01
IMSM COM
IMSP Section 16 VCP
Fleet Reg. OCP
Revision 01 / 2012 Page 4 of 4

FOR OFFICE ONLY : COMPANY HAS VERIFIED THE AUTHENTICITY OF ABOVE CERTIFICATES/DOCUMENTS YES NO

SEA SERVICE (ascending order as per CDC)

TYPE Vessel Deck Officers
Name of Vessel / Flag Oil/Chem/Ga List : GRT & DWT Name of Company Rank PERIOD OF SERVICE TOTAL SERVICE
s/ Other Engineers
List: GRT / DWT / BHP / ME
        From To
    GRT DWT BHP Main Engine Type     day month year day month year years months days
STENA CONQUEST/NAPOLI OIL CHEM. 27463 47288 8580kw MAN B&W GESTIONI ARMATORIALI ELEC.OFF 02 03 07 10 08 07 0 5 8
STENA CONQUEROR/NAPOLI OIL CHEM. 27463 47288 8580kw MAN B&W GESTIONI ARMATORIALI ELEC.OFF 01 10 07 08 02 08 0 4 7
CARLOS G / NAPOLI OIL CHEM. 25382 40081 8580kw MAN B&W GESTIONI ARMATORIALI ELEC.OFF 18 03 08 04 09 08 0 5 16
RAY G / NAPOLI OIL CHEM. 25431 40158 11060kw MAN B&W GESTIONI ARMATORIALI ELEC.OFF 09 12 08 08 06 09 0 5 29
MV CHITALI PREM / NAPOLI BULK 51255 93312 13560 MAN STX GESTIONI ARMATORIALI ELEC.OFF 09 09 09 08 12 09 0 2 29
CARLOS G/ NAPOLI OIL CHEM. 25382 40081 8580kw MAN B&W GESTIONI ARMATORIALI ELEC.OFF 01 05 10 27 07 10 0 2 26
MV HISPANIC G / NAPOLI BULK 51255 93312 13560 MAN STX GESTIONI ARMATORIALI ELEC.OFF 22 09 10 08 01 11 0 3 16
MV BRITANNIA G/ NAPOLI BULK 64100 114671 13560 HYUNDAI MAN B&W GESTIONI ARMATORIALI ELEC.OFF 01 03 11 18 07 11 0 4 17
MV PANNONIA G / NAPOLI BULK 32884 57227 12900 MAN B&W GESTIONI ARMATORIALI ELEC.OFF 26 10 11 16 04 12 0 5 20
MV AQUITANIA G / NAPOLI BULK 64100 114671 13560 HYUNDAI MAN B&W GESTIONI ARMATORIALI ELEC.OFF 01 07 12
 
 
 
 
 
 

F-IMS 5-01 BIO DATA

TO BE FILED AT NAPLES OFFICE
RETENTION PERIOD: PERMANENT