I.

PERSONAL INFORMATION

cezar c .matorre febuary 10 19 63

3E 58
3E prc license /dcoc blk 17 lot 5 tangeli st.phase 1villa luisa subsan ag
married same

II. SUMMARY OF SEA SERVICE RECORDS

for the past 10 years
MANNING AGENCY PRINCIPAL
status SEA WOLD
status SEA WOLD
status SEA WOLD
status SEA WOLD
status SEA WOLD
status SEA WOLD
status SEA WOLD
evic FEARDEAL
enter orient
enter orient AK

III. HEALTH INFORMATION REFERENCE

ANSWERS:
What is your recent travel history (Kindly indicate
APPLYING IN LUNETA W/ SOCIAL DESTANCE
the month in the space provided)

Location during enhance community quarantine

DASMARINAS CITY CAVITE
(March 17,2020 -Present)

Do you usually smoke? If yes, kindly indicate how many sticks per day: NO

Do you have any medicine maintenance ? specify NO

 When do you usually drink alcholic beverages? : NO

Do you have a tatoo? If yes, when it is located?: NONE

Do you have any history of Hospitalization, undergon

NONE
If yes, give details.

IV. SUMMARY OF DOCUMENTS

DOCUMENTS DATE OF ISSUANCE
SIRB (SEAMAN'S BOOK) 08-Aug-18
COC/COE/COP 20-Dec-26
ID LICENSE/SID: 10-8-18/1-12-20
DCOC (If applicable): 23-20-19
BASIC TRAINING: 8-5-15/ BT REF.9-9-20
VALID MEDICAL (If applicable):
Domestic quarantine yellow card (If Cook): YELLOW FEVER/ 2017

V. CONTACT PERSON IN CASE OF EMERGENCY:

NAME RELATIONSHIP
SUSAN T. MATORRE WIFE

VI. OTHERS ANSWERS:

SALARY DESIRED: AS PER COMPANY SALARY
DOCUMENTS VALID AND ON HAND? (YES or NO) YES
Availability for onboard ANYTIME

Note: Attached recent picture

and electronic copy of your SIRB, COP/COE/COC/DCOC ,ID License/SID and Certificate
 MORETA SHIPPING LINES INC.
ONLINE APPLICATION FORM

carugdog lezo aklan 9291456927 Juwhan Lluna

anytime matorrecezar1963@gmail.com
medium

NAME OF VESSEL IMO# TYPE OF VESSEL

MT ADMIRAL L OIL TKR
MT SEA HERMES OIL TKR
MT SEA VINE OIL TKR
MT ALPINE LEGEND OIL CHEM
MT HALCYONE OIL TKR
MT SEA HERMES OIL TKR
MT ADVENTURE OIL TKR
MT FAIR SPIRIT OIL TKR
MT NICOLAS ASPHALT
MT NIKI OIL TKR
 DATE OF EXPIRATION
08-May-28
20-Dec-26
10-8-23/ 1-12-25
21-20-24

LIFETIME

ADDRESS CONTACT NO. :

SAME 9613610204

ense/SID and Certificate of Sea Service issued by Last Employer.

A SHIPPING LINES INC.
E APPLICATION FORM

PERIOD COVERED
GRT KW TRADE AREA FROM TO POSITION/RANK
289,983 6,906 WW 11-Sep-17 13-1-18 3E
28,150 7,175 WW 21-1-17 09-Jun-17 3E
58,070 6,918 WW 19-4-16 13-12-16 3E
29,826 9,624 WW 30-6-14 16-4-15 3E
28,150 9,615 WW 06-May-15 13-1-16 3E
28,150 7,175 WW 28-12-13 23-5-14 3E
23,983 5,222 WW 01-Dec-13 15-9-13 3E
53,988 9,295 WW 19-6-11 15-9-12 3E
4,115 1,920 MEDITERANIAN 15-7-10 02-May-11 3E
22,847 8,502 WW 29-5-09 26-2-10 3E
FOR ENGINE APPLICANTS FOR ENGINE APPLICANTS
MAIN ENGINE MAKER AND MODEL strokes of main engine
MITSUBISHI 2 STROKE
BMW 2 STROKE
BMW 2 STROKE
BMW 2 STROKE
BMW 2 STROKE
BMW 2 STROKE
MITSUBISHI 2 STROKE
MISUBISHI 2 STROKE
YANMAR 4 STROKE
BMW 2 STROKE
FOR ENGINE APPLICANTS (Chief Engineer & Third Engineer)
GENERATOR ENGINE AND MAKER/MODEL
DAIHATSU
YANMAR
WARTSELA
YANMAR
BMW
YANMAR
DAIHATSU
DAIHATSU
CUMMINS
BMW
FOR ENGINE APPLICANTS (Chief Engineer & Third Engineer)
STROKES OF GENERATOR
4 SROKE
4 SROKE
4 SROKE
4 STROKE
4 STROKE
4 STROKE
4 STROKE
4 STROKE
4 STROKE
4 STROKE