Судомеханик

Описание

Http://www.scf-group.ru/
http://www.unicom-cy.com/
Position:Alternative position:
Type of the Vessel: Alternative type:
Family Name: Date of Birth:
First Name: Place of Birth:
Middle Name: No. of Children:
Nationality: Religion:
Civil Status: Single Married Divorced Widowed Sex: Male Female
Street: Phone (Home):
City: Phone (Mobile):
Country: Phone (Contact):
Airport: E-mail:
Family & First Name: Relation:
Street: Phone (Home):
City: Phone (Mobile):
Country: E-mail:
Seaman Pspt (ID) No: Issued:Expired:
Travel Pspt No: Issued:Expired:
Civil Pspt No: Issued:Expired:
USA Visa type: Issued:Expired:
Level of English: Fluent Moderate Satisfactory
Native Language: Other Language:
Height: cmColour of Hair: Clothing size:
Weight: kgColour of Eyes: Footwear size:
Distinguished marks: No Yes:
PERMANENT ADRESS
NEXT OF KIN
NATIONAL IDENTITY DOCUMENTS / VISA
LANGUAGES Photo
APPLICATION FORM
PERSONAL DETAILS
PHYSICAL DETAILS

Issue Expiry
From To National Certificate of Competency:
Refrigerator Engineer officer of class
Certificate: DP Course (Induction)
Educational institution SpecializationDates (mm/yyyy)
City/Country Certificate: DP Course (Simulation)
EDUCATION: Certificate: Ice Navigation Training Certificate: Cargo/Ballast Operations
Certificate: Security Officer Training Certificate: HAZMAT + CFR 49
Certificate: Safety Officer Training Specialized training: chemical tanker
Specialized training: gas tanker
GMDSS: General Restricted Certificate: Medical care on board
Tanker endorsement:
Oil Chemical Gas
Support Operational Management
Familiarisation training: chemical tanker
Familiarisation training: gas tanker
Certificate: Bridge Team Management Endorsement to GMDSS certificate Familiarisation training: oil tanker Certificate: Proficiency in Survival Craft/RB National Certificate of Competency:
Ch.Engineer 2nd Eng. OOW Eng.
MSO SSO Without limitation
National Certificate of Competency:
Electrical Engineer officer of class
Rating forming a part of a Nav.watch
Rating forming a part of an Eng.watch
Ship's cook certificate
Certificate: Basic Safety Training
Certificate: Advanced Fire Fighting
Certificate: Medical first aid NATIONAL DOCUMENTS
City/Country Dates (dd/mm/yyyy)
Number Document
National Certificate of Competency:
Master Chief Mate OOW Nav.
Certificate: Ship Handling & Manoeuvring Specialized training: oil tanker
Certificate: ECDIS Training Certificate: RADAR observer & ARPA

NAME OF VESSEL FLAG TYPE VSL DWT TYPE ENG KW (HP) OWNERS/MANAGERS RANKFROM
(dd/mm/yyyy)TO
(dd/mm/yyyy)TOTAL
(mm/dd)
NAME OF COMPANYTITLE PHONE MOBILE FAX E-MAIL
For my personal data specified in the questionnaire be under the automated processing, transferring and storing with the purpose of employment, I herewith give my consent
С автоматизированной обработкой моих персональных данных, указанных в анкете, с их передачей и хранением в целях трудоустройства согласен
SIGNATURE DATE SUMMARY OF KNOWLEDGE AND EXPERIENCE ACQUIRED (Resume your career and describe your experience at sea, type of ships, engine, voyages): PREVIOUS SEA SERVICES (Complete sea service record for at least last 10 employments)
REFERENCES (Complete references for at least 2 last companies)
ADDRESS NAME OF PERSON

FOR OFFICE USE ONLY
REFERENCES ARE CHECKED BYNAME POSITIONDATESIGNATURE
INITIAL INTERVIEW
Original licenses sightedchecked
STCW-95 and Training Certificates sightedchecked
Experience confirmed by interviewyes no
Interviewers assessment:
RESULT OF INTERVIEW
Accept
Await PositionRe-Interview
Reject
NAME POSITIONDATESIGNATURE