Rom Trust S.R.L. Form F-01-1 - APPLICATION FOR EMPLOYMENT (rev.5 / 13.02.
2020)
Family Name: SARBU Given Name: ILIE
Date and Place of birth: 08.05.1989 / CONSTANTA Height (m): 1.81 Weight(kg): 88 Overall size: XL Shoes size: 43 Wear glasses? No Dioptric left eye: N/A Dioptric right eye: N/A Father’s Name: ION Mother’s Name: VERONICA DANIELA Education: MARITIME UNIVERSITY OF CONSTANTA Between years: 2008- Rank/Rating: 2ND OFFICER 2012 Home address: STR MURELOR NR 11 , BL M1 , SC B , AP 99 , ET 10 , CONSTANTA , ROMANIA Phone no.1: 0772083402 Phone no.2: E-mail: ilie.sarbu21@yahoo.com Skype photo Language proficiency (delete as appropriate) English: fluent Other good language:italian , spanish MARITAL STATUS: SINGLE NEXT OF KIN: Family name:SARBU Given name:VERONICA DANIELA Date/Place of birth: 06.01.1959 / CONSTANTA Relationship:MOTHER Phone no.:0771034531 Children’s Name N/A Date of birth N/A PERSONAL DOCUMENTS No. Place issued Date issued Valid / Endorsed until National I.D. Card 1890508134123 CONSTANTA 30.10.2020 08.05.2030 Seaman’s Book 27724CT ANR CONSTANTA 12.03.2018 08.09.2023 Passport 053860646 JUD CONSTANTA 02.12.2020 02.12.2030 USA Visa N1846945 BUCHAREST / ROMANIA 12/02/2018 08/02/2023 Australian MCV Certificate of competency: OOW / 63533 ANR CONSTANTA 29.12.2020 16.09.2024 Rank & Number Endorsement I.M.O. STCW 78/95 CERTIFICATES Certificate Nr. Date issued Certificate Nr. Date issued Basic safety training 35908 18/12/2020 Medical Care Security Awareness / Ship Security Officer 5424 22.10.2013 Bridge Simulator/Engine Room Simulator Maritime English High Voltage Advanced fire-fighting 17591 13/05/2020 Basic training for Oil&Chemical Tanker 0867 08.10.201 3 9 Medical first aid Basic training for liquefied gas tanker Prevention of pollution MARPOL 73 / 78 Advanced training for oil tanker 0460 08.10.201 4 9 Transport & handling dangerous, hazardous Advanced training for chemical tanker 0382 08.10.201 cargoes 3 9 Proficiency in survival craft& rescue boats 19073 17/09/2019 Advanced training for gas tanker ECDIS 245 14.11.2014 Proficiency in fast rescue boats 911 03.06.202 2 G.M.D.S.S. – G.O.C. 5653 27.09.2019 Ship’s Handling & Manoeuvring Radar navigation, radar plotting, use of ISM / ISO Course A.R.P.A. Bridge / Engine Team & Resource 20191004SSBTM002 Vaccination against yellow fever expire: LIFE OF PERSON 04.10.2019 Management P R E V I O U S S E R V I CE - E X P E R I E N C E A T S E A Built Vessel’s Name Flag Type DWT/ ME/ BHP Rank Period Ship’s Managers and Crewing Agents GRT from – to (include telephone number) 2012 SPIRIT OF FRANCE CYPRUS RO/RO 9884 / 4 x MAN 2ND 13.06.2022 to P&O / STODIG SHIMANAGEMENT / TEL PAX 47592 7L 48/60/ OFFICER 27.06.2022 NO : 0341416800 2012 SPIRIT OF FRANCE CYPRUS RO/RO 9884 / 4 x MAN 2ND 10.05.2022 to P&O / STODIG SHIMANAGEMENT / TEL PAX 47592 7L 48/60/ OFFICER 26.05.2022 NO : 0341416800 2012 SPIRIT OF FRANCE CYPRUS RO/RO 9884 / 4 x MAN 2ND 02.04.2022 to P&O / STODIG SHIMANAGEMENT / TEL PAX 47592 7L 48/60 OFFICER 22.04.2022 NO : 0341416800 M/T SOHO SQUARE LIBERI OIL 114900/613 MAN B&W 2ND 2 0 . 1 0 . 2 0 2 1 to ZODIAC MARITIME 2 012 A TANKER 38 OFFICER 30.01.2022 TEL NO.:+0241672134 200 M/T VENICE A M A LT OIL 109637/620 MAN B&W 2ND 18.03.2021 to CARDIFF CREWING 2 A TANKER 02 OFFICER 24.07.2021 TEL NO : 0341463497 2009 M/T ERNE MALTA OIL/CHEM 10303/6764 WARTSILA 2ND 01.06.2020 to NEMO SHIPPING TANKER OFFICER 08.09.2020 TEL :0241554440 2005 M/T HISTRIA IVORY MALTA OIL/CHEM 40400/258 MAN B&W 2ND 28.03.2019 to HISTRIA SHIPMANAGEMENT TANKER 04 OFFICER 04.09.2019 TEL :0241694894 2013 M/T HISTRIA AMBRA LIBERIA OIL/CHEM 40400 / MAN B&W 2ND 22.03.2018 to HISTRIA SHIPMANAGEMENT TANKER 25949 OFFICER 21.09.2018 TEL :0241694894 2006 M/T HISTRIA CORAL MALTA OIL/CHEM 40400/ MAN B&W 3RD 15.06.2017 to HISTRIA SHIPMANAGEMENT TANKER 25804 OFFICER 11.11.2017 TEL :0241694894 2008 M/T HISTRIA TIGER LIBERIA OIL/CHEM 40400/ MAN B&W 3RD 18.08.2016 to HISTRIA SHIPMANAGEMENT TANKER 25804 OFFICER 01.03.2017 TEL :0241694894 2007 M/T HISTRIA AGATA MALTA OIL/CHEM 40400 / MAN B&W 3RD 27.10.2015 to 09.03.2016 HISTRIA SHIPMANAGEMENT Rom Trust S.R.L. Form F-01-1 - APPLICATION FOR EMPLOYMENT (rev.5 / 13.02.2020)
TANKER 25804 OFFICER TEL :0241694894
2005 M/T HISTRIA PERLA MALTA OIL/CHEM 40400 / MAN B&W 3RD 15.02.2015 to HISTRIA SHIPMANAGEMENT TANKER 25804 OFFICER 19.07.2015 TEL :0241694894
Date: 14.09.2022 Applicant signature: ILIE SARBU
Rom Trust S.R.L. Form F-01-1 - APPLICATION FOR EMPLOYMENT (rev.5 / 13.02.2020) Rom Trust S.R.L. Form F-01-1 - APPLICATION FOR EMPLOYMENT (rev.5 / 13.02.2020)