Constanta Romania Web Site: E-Mail

Head OfficeConstanta Maritime University Nautical Base, floor 1, room 110, Constanta, Zip Code 900900

Constanta–Romania Web Site: E-mail:

Nave:Container VesselGeneral, CargoBulk Carrier,Oil TankerProduct ,TankerChemical TankerLNGLPGRo-RoPassengerMultipurposeReeferSupply VesselAnchor HandlingYachtCar Carrier

Phone/Fax: : +40 241 485 008 Mob: +0757 028 763 / +0731 537 802

WE HELP OUR CUSTOMERS TO BE MORE PRODUCTIVE

APPLICATIONFORM (SEA STAFF) / Available date / ATTACH
RECENT
PHOTO
HERE
(This paragraph to be fulfilled by crewing agency’s officer only) / Salary expectation

SEAFARER

INDENTIFICATION DETAILS:
LICENSED RANK :
LICENSE STCW CODE :
Position applied for: / FIRST NAME
SURNAME
NATIONALITY
PERSONAL DETAILS
MARITAL STATUS / RELIGION
DATE OF BIRTH / PLACE OF BIRTH
PASSPORT NO. / VALIDITY
SEAMAN’S BOOK / VALIDITY
ENGLISH LANGUAGE / PHONE / MOBILE
OTHER LANGUAGE / FAX / E-MAIL
HEIGHT / WEIGHT
OVERALL / SHOE SIZE
USA VISA-VALIDITY / STUDIES
PRESENT ADDRESS:
NEXT OF KIN NAME, ADDRESS, PHONE NO:
WIFE & CHILDREN
NAME & SURNAME / DATE OF BIRTH / PLACE OF BIRTH / RELATIONSHIP
1.
2.
3.
4.
5.
DOCUMENTS / CERTIFICATES / NO. / ISSUED / VALIDITY / AUTHORITY / PLACE OF ISSUED
CERTIF. COMPETENCY / ROMANIAN / CONSTANTA
ROMANIAN S. BOOK / ROMANIAN / CONSTANTA
HIGH VOLTAGE
DP INDUCTION
DP ADVANCED
DP UNLIMITED
DP MAINTENANCE
TANKERS / FTK / ROMANIAN / CONSTANTA
OIL TANKERS / STK / ROMANIAN / CONSTANTA
CHEMICAL TANKERS / STK / ROMANIAN / CONSTANTA
LIQUEFIED GAS TANK / STK / ROMANIAN / CONSTANTA
FAST RESQUE BOARS / BRS / ROMANIAN / CONSTANTA

RANK:

NAME:SURNAME:

RECORD OF PREVIOUS SEA SERVICE

* Please start nominate as first as backward

COMPANY (OWNER) / FLAG / RANK / SHIP’S PARTICULARS / DATES
NAME / TYPE / GRT / MAIN ENG/H.P. / FROM / TO

I.M.O. UP-DATED COURES

*CERONAV -ROMANIAN MARITIME TRANING CENTER - CONSTANTA

CERTIFICATES DETAILS
NO. / SERIES / PLACE OF ISSUED / ISSUED DATE / VALIDITY DATE / STCW’95 CODE
FIRE PREV. AND FIRE- FIGH.
PREVENTION OF POLLUTION / A-II/1;A-II/2;A-III/1; A-III/2
MEDICAL FIRST AID / A – VI / 4-1
TRANSP. AND HANDLING D.G. / A-II/1; A-II/2
RADAR PLOTTING / A – I / 12; A – II / 1
ARPA RADAR, BRIDGE TEAM. / A – I / 12; A – II / 2
ARPA SIMULATOR
MARITIME ENGLISH, PROBL / A-III/1; A-III/2
PROF. FAST RESCUE BOATS / A-VI / 2-2
ADVANCED FIRE-FIGHTING / A – VI / 3
ADVANCED MEDICAL CARE / A – VI / 4-2
GMDSS / A – IV / 2
G.O.C.
BRIDGE TEAM MANAG. / A – II / 2
PERSONAL SAFETY(PSSR) / A- VI / 1-4
TANKER FAM. / A – V / 1; 1 - 7
INERT GAS SYSTEM (I.G.S.)
SPEC. OIL TANKER OPERAT. / A – V / 1; 8-14
CRUDE OIL WASHING (COW) / A – V / 1.12
GAS TANKER FAM.
CHEM. TANKER FAM.
SAFETY EQUPMENT ON TANK / A – V / 1
SPEC. CHEMICAL TANKERS / A – V / 1; 15-21
SPEC. LIQUIFIED GAZ TANK. / A – V / 1; 22-34
PERS. SURVIVAL TECHNIQUE / A – VI / 1-1
PROF. IN SURV. CRAFT / A – VI / 2-1
RO-RO PASSENGER SHIPS / A – V / 2;1 up to A – V / 2;5
A – V / 3;1 up to A – V / 3;5
SHIP SECURITY OFFICER / A / 13.2
SHIP SECURITY AWARNESS / A / VI / 6; 1-4 , 6-8
ENGINE TEAM MANAGEMENT / A – III / 2; A – VIII / 2
ENDORSEMENT

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