Aplication Form ... X... Engineer

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ROMTEHMAR LTD

Tel: 0240 517088

SEAMANS PARTICULARS AND APLICATIONS FOR EMPLOYMENT

Fax: 0240 512644

RANK: . ENGINEER Surname (family name) / Name: Adress: ROMANIA , loc Seaman book nr : Passport nr: RECORD OF PREVIOUS SERVICES VESSEL RANK

Birth date:

Place of birth: PHONE : MOBILE: Expiry date: Expiry date:

Age:

STR: Issued at: Issued at: (last 6 employments) ENGINE TYPE -Power

NR:

BL / SC / AP :

Issued date: Issued date:

SHIPP TYPE

FROM

TO

Months

Reason discharges FINISH CONTRACT

ITALIAN ENDORSMENT :

Nr:

Issued date: Issued date: Nr: Issued date: Cod STCW A-III/2 A-III/2 A-III/2 A-VI/1-1 A-VI/2-1 A-VI/1-4 A-VI/3 A-VI/4-1 Nr Issued date

Expiry date: Expiry date: Expiry date: Expires

CERTIFICATE OF COMPETENCE Nr: ENDORSMENT of CERTIFICATE (ATESTAT)

AQUIRED CERTIFICATES: 1 Maritime english and problems of comunication in human relationship 2 Transport and handling of dangerous, hazardous and harmful cargoes 3 Prevention of pollution of the marine environment MARPOL 73/784 Personal survival techniques 5 Proficiency in survival craft and rescue boats,other than fast rescue boats 6 Personal safety and social responsibilities on board ships 7 Advanced fire protection 8 Medical first aid

LANGUAGE SKILLS COMPUTER FAMILIARISATION

ENGLISH

ITALIAN

MARITAL STATUS: NR.CHILDRENs :

married Disponibile from:

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