You are on page 1of 2

Rank Surname Name Certificate of Competency Ready from (Date): Salary, USD: Briese Crew Management Branch / PIC

Odessa

Branch
Briese-Ukraine

1 Contact Details 2 Address 3 Personal


Country Code Tel. City Code Telephone Street Date of Birth Place and Country of Birth
+38
Mobile Phone City or Region Country Heights Weight Nationality
Years Old

Skype E-Mail Nearest Airport Size of Overall Size of Shoes

Insert Photo
A Passports and Ids B Visas D Education E Next of Kin
Date of Expiry Date of Expiry 1. Name of University, College, Academy Next of Kin Surname Name
Passport USA
Seaman's ID Schengen From: To: City: Degree: Street City

2. Name of University, College, Academy Telephone(s)


C Certificates
Medical Examination From: To: City: Degree: Notes
Yellow Fever Vaccination
Certificate of Competency
Basic Safety A Hatch / Hold C Cargoes E Navigation
Advanced Fire Fighting General No List General Cargoes
Proficiency in Survival Crafts Gantry Crane No Self-Pilotage No 5 Summary: For Official Use
Medical First Aid Pontoons No H/L No List Heavy-Lift Cargoes
Ice-Pilotage No - -
Medical Care Tween Deck No max unit, MT ECDIS No 1 - -
Experience

GMDSS GOC N ROC N Bulkheads No Bulk No List Bulk Cargoes


- -
Hazmat F Trade Areas - -
Hazmat 49 IMO No - -
List IMO Cargoes 2
ARPA B Cargo Gears List Trade Areas - -
Radar Observer Nu. SWL Cont. No Max. TEU - -
SSO NMF No x G Multinational Crew - -
ECDIS Liebherr No x D Hatch Covers 3
- -
ECDIS, Type Specific > indicate type(s) here Other No x
Indicate Type (Manufacturer)
Indicate Nationalities - -
Other: > - -

4 Sea-Service Æ Sea-Service for last 7 years or more, last contract on top Æ ВНИМАНИЕ: послужной список за последние 7 лет или более. Последний контракт на верху.
Rank Name of Vessel Type of Vessel Shipmanagement DWT Charterer Crewing Agency BoC EoC Duration
Flag Built Cranes Nu. x SWL Country Country City, Country Reason of Contract Completion Salary
Name of Vessel Type of Vessel Shipmanagement DWT Crewing Agency
1 Rank
> Flag > Built > Gears Nu. x SWL > Country > Country > City, Country > Reason of Contract Completion > $ Salary
Name of Vessel Type of Vessel Shipmanagement DWT Crewing Agency
2 Rank
> Flag > Built > Gears Nu. x SWL > Country > Country > City, Country > Reason of Contract Completion > $ Salary
Name of Vessel Type of Vessel Shipmanagement DWT Crewing Agency
3 Rank
> Flag > Built > Gears Nu. x SWL > Country > Country > City, Country > Reason of Contract Completion > $ Salary
Name of Vessel Type of Vessel Shipmanagement DWT Crewing Agency
4 Rank
> Flag > Built > Gears Nu. x SWL > Country > Country > City, Country > Reason of Contract Completion > $ Salary
Name of Vessel Type of Vessel Shipmanagement DWT Crewing Agency
5 Rank
> Flag > Built > Gears Nu. x SWL > Country > Country > City, Country > Reason of Contract Completion > $ Salary
Name of Vessel Type of Vessel Shipmanagement DWT Crewing Agency
6 Rank
> Flag > Built > Gears Nu. x SWL > Country > Country > City, Country > Reason of Contract Completion > $ Salary
Name of Vessel Type of Vessel Shipmanagement DWT Crewing Agency
7 Rank
> Flag > Built > Gears Nu. x SWL > Country > Country > City, Country > Reason of Contract Completion > $ Salary
Name of Vessel Type of Vessel Shipmanagement DWT Crewing Agency
8 Rank
> Flag > Built > Gears Nu. x SWL > Country > Country > City, Country > Reason of Contract Completion > $ Salary
Name of Vessel Type of Vessel Shipmanagement DWT Crewing Agency
9 Rank
> Flag > Built > Gears Nu. x SWL > Country > Country > City, Country > Reason of Contract Completion > $ Salary
Name of Vessel Type of Vessel Shipmanagement DWT Crewing Agency
10 Rank
Name of Vessel Type of Vessel Shipmanagement DWT Crewing Agency
10 Rank
> Flag > Built > Gears Nu. x SWL > Country > Country > City, Country > Reason of Contract Completion > $ Salary

You might also like