Шеф-повар

Описание

Positions applied for:
1)
2)
3)


Photo
Expected Salary:

Date of readiness:


Surname:

Name:


Father's name:

Mother's name:


Date of birth:

Place of birth:


Nationality:

Marital status:

N of children under 18

Home Address (fact)

E-mail:

Contact Phone:

Skype:

Next of kin:

Relation

Next of kin's phone:

Next of kin's address:

Height (cm):

Weight (kg):

Size of:
Overall (EUR):

Shoes (EUR):

Eyes Colour:

Hair Colour:

Blood Group:

English:


PASSPORTS and CERTIFICATES

DOCUMENT
NUMBER
ISSUED DATE
VALID UNTIL
PLACE
TRAVEL PASSPORT:




SEAMAN'S BOOK:




CIVIL PASSPORT:




U.S. VISA:




OTHER VALID VISA:




CERTIFICATE OF COMPETENCY # 1




RANK / CAPACITY

ENDORSEMENT OF CERTIFICATE # 1




CERTIFICATE OF COMPETENCY # 2




RANK / CAPACITY

ENDORSEMENT OF CERTIFICATE # 2




CERTIFICATE
NUMBER
ISSUED DATE
VALID UNTIL
PLACE
BASIC SAFETY TRAINING




PROFICIENCY IN SURVIVAL CRAFT




ADVANCED FIRE FIGHTING




MEDICAL FIRST AID 
MEDICAL CARE 




SHIPS SECURITY OFFICER




DESIGNATED SECURITY DUTIES




SECURITY AWARENESS




SHIPS SAFETY OFFICER / ISM




GMDSS CERTIFICATE/ENDORSEMENT




RADAR NAVIGATION, RADAR PLOTTING AND USE OF ARPA




DANGEROUS & HAZARDOUS CARGOES




BRIDGE TEAM MNGT/
ENGINE ROOM RESOURCE MNGT




ECDIS GENERIC





SPECIFIC CERTIFICATES

BASIC TRAINING FOR OIL AND CHEMICAL TANKER




ADVANCED TRAINING FOR OIL TANKER




ADV. TRAINING FOR CHEMICAL TANKER




ADVANCED TRAINING FOR GAS TANKER




PROFICIENCY IN FAST RESCUE BOATS




ICE NAVIGATION




HIGH VOLTAGE EL. EQUIPMENT




ECDIS SPECIFIC




COOK / MESSMAN (MLC-2006)










FOREIGN SEAMAN'S ID / RECORD BOOKS
















DATE:

Signature:


EDUCATIONAL ESTABLISHMENT

GRADUATED FROM / Year
☐ /
DEPARTMENT

CURRENTLY STUDYING / Course
☐ /

PREVIOUS SEA SERVICE
FROM
TO
POSITION
SALARY
NAME OF VESSEL
SHIPOWNER
TYPE OF VESSEL
TYPE OF ENGINE
DWT
BHP
FLAG
CREWING AGENT
























































































































BRIEF INFORMATION ABOUT PREVIOUS EMPLOYERS
COMPANY
PERSON IN CHARGE
CONTACT DETAILS (Phone Number, e-mail)




































I hereby confirm that above information is true and correct to the best of my knowledge. I understand that this information will be held in the computer database due to my real or possible employment. Signing it, I willfully give my permission to collect and process my personal information and to use it in all and legal way. I give my permission for my personal information to be provided to the possible employers and any other persons, if such need arises for my employment. Besides, I permit the EUROBULK AGENCY LLC employees to request personal information (data) about me from my former employers.
Date:





Signature: