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Militaru George - AB Crewing

The document is an employment application for ship personnel. It requests personal details such as name, address, passport information, and details on licenses and certifications held. It also requests details on experience and employment history in various vessel types.

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Tavi Culea
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© Attribution Non-Commercial (BY-NC)
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118 views3 pages

Militaru George - AB Crewing

The document is an employment application for ship personnel. It requests personal details such as name, address, passport information, and details on licenses and certifications held. It also requests details on experience and employment history in various vessel types.

Uploaded by

Tavi Culea
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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S.C. AB CREWING S.R.L.

EMPLOYMENT APPLICATION FOR SHIP PERSONNEL

F 01-02

Application For Employment As: Engine Ca et !ate A"aila#le $or %oining: &'(&)(*)&+

P E R S O N A L P A R T I C U L A R S F A M I L Y

SURNAME: Militaru Middle Name: !ate o" #irt$: %&'()'%**% Marital Status: Single Address: Tul+ea- Str' Mi$ai .itea/u- Nr' 0&

First Name: George Nationalit : Romanian Pla+e o" #irt$: Tul+ea Name o" S,ouse:

Tele,$one No: Mo1ile: ()20343*2& Pass,ort No' (2%733&3) !ate o" Issue: 028(480(%3 US .isa Seaman #oo: No' 3%%40CT !ate o" Issue: %(8(480(%3 Medi+al +erti"i+ate: 3(27 !ate o" issue: (08(480(%3 #lood t ,e: 6eig$t: %)2 +m No

Nearest International Air,ort #u+$arest 5 Oto,eni 6'Coanda Pla+e o" Issue: Tul+ea !ate o" E9,ir : 028(480(%7 !ate o" E9,ir : Pla+e o" Issue: Constanta !ate o" E9,ir : (08(480(%2 !ate o" E9,ir : (08(480(%7 Clot$es si/e ; M < S$oe si/e: 4%

Gi=e ,arti+ulars o" our immediate "amil mem1ers and indi+ate our relations$i, >it$ t$em' Name8 Relations$i, !ate o" 1irt$ O++u,ation

EMERGENCY Ne9t o" ?in: Relations$i,: Tele,$one No' 6ome: L I C E Certi"i+ate National Li+en+e Grade Tele,$one No' O""i+e8Mo1ile: LICENCE PARTICULARS Cert No Issue !ate Address:

Pla+e o" Issue

.alidit

S.C. AB CREWING S.R.L.

F 01-02

N Endorsement S Tan:ers +erti"i+ate E Li@' gas tan:ers +ert C$emi+al tan:ers +ert Fast res+ue 1oat +ert' Ot$er "lag endorsem' Certi"i+ate o" Engine Cadet Com,eten+

43)*(

%(8(480(%3

Constanta

3%8%080(%&

S'T'C'A' COURSES Re" No Personal sur=i=al te+$ni@ues8Sur=i=al at Sea C O U R S E S Pro"i+ien+ in sur=i=al +ra"t and res+ue 1oatsot$er t$an "ast res+ue 1oats First Aid SeaB 9 C Ad=an+ed Medi+al CareB C Fire Fig$ting B9 C Ad=an+ed Fire Fig$ting B C Radar O1ser=ers Radar Simulator A'R'P'A' G'M'!'S'S 5 G'O'C' Tan:er "amiliari/ation Tan:er S,e+iali/ed training C$emi+al Tan:ers Ad=an+ed Training Li@ue"ied gas ad=an+ed training !angerous Cargo Maritime Englis$ D 6uman Relations$i, P'S'S'R' Fast Res+ue #oat Leader Pre=ention O" Pollution ROERO8Passenger S$i,s Pro"i+ien+ #ridge Team Management Pro"i+ien+ in Fast Res+ue #oats Ot$er ((%723 (%8(380(%3 ((%723 !ate o" Issue (%8(380(%3

((%723 ((%723

(%8(380(%3 (%8(380(%3

S,MMARY OF E-PERIENCE. in mont/s0


EFPERIENCE AS #UL? CARRIER ORE CARRIER CONTAINER CARRIER C6EMICAL TAN?ER REEFER OIL TAN?ER GENERAL CARGO OT6ERS TOTAL

S.C. AB CREWING S.R.L.

F 01-02

CPT C8O 08O 38O C!T

C8E %8E 08E 38E E8E ENGINEER APPLICANT TYPE OF ENGINE !URATION;Mont$s< NA.IGATING APPLICANT TYPE OF .ESSEL !URATION;Mont$s< #UL? CARRIER GENERAL CARGO CONTAINER CARRIER C6EMICAL TAN?ER REEFER OIL TAN?ER OT6ERS;S,e+i" < YES 8 NO YES 8 NO !uration ;Mont$s< NATIONALITY: MONT6S:

TOTAL

MAN #DA SULGER MA? STEAM TUR#INE8OT6ERS U'M'S' CRANE EFPERIENCE ;TYPE8MA?E< E9,erien+e >it$ Inmarsat E9,erien+e >it$ Multinational Cre> Reason For Lea=ing Last Com,an : A$et$er Agreea1le To A++e,t One Ran: Lo>er A$et$er Agreea1le To Hoin .essel Trading In Aar Gone

YES 8 NO YES 8 NO

Signature Inter=ie> !ate: Le=el o" Englis$ Inter=ie>er notes: Fleet Personnel !e,artment Notes: 8 %( Inter=ie>ed 1 : A,,earan+e: 8 %(

!ate o" a,,li+ation Result: Attitude: 8 %(

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