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Petrojobs.rec.ro / Application form for employment

PART I : Personal data

Fields marked with (*) are mandatory !

Fields marked with (~) only one is mandatory !

* Your Rank


* Name * Surename ~Identification code (CNP) * Permanent address
City Country * Date of birth Place of birth
Email * Phone Phone 2 (Mobile)
ITALIAN FISCAL CODE (if any) Next of Kin (NOK) NOK Phone NOK Relationship

Document Number Issued Place Valid until
~ Passport
Seaman`s book

Family Data

Name Date of birth Address Phone Relation

PART II : certificates / courses / Highest Competency certificate held


Issuing authority Grade / Level Certificate No. Date of issue Validity
National Certificate of Competency
STCW 95/ Endorsement


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Certificates Place issued Number Date issued Valid until

DYNAMIC POSITION CERTIFICATES Place issued Number
BASIC / INDUCTION DP
ADVANCED DP
MAINTENANCE DP ( ENGINE OFFICERS ONLY )
FULL DP
BASIC OFFSHORE SAFETY INDUCTION & EMERGENCY TRAINING
HELICOPTER UNDERWATER ESCAPE TRAINING INCLUDING EBS
FURTHER OFFSHORE EMERGENCY TRAINING


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RATING COURSES / STCW-95 CODE Place issued Number Date issued Valid until
HUMAN ELEMENT, LEADERSHIP AND MANAGEMENT


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OFFICERS COURSES / STCW-95 CODE Place issued Number Date issued Valid until

PART III : Sea Experience - Most recent experience on top line


Company Vessel Type DWT HP Main Engine Rank Date from Date to Reason

TYPE: OIL/TK (OIL TANKER),  CH/TK (CHEMICAL TANKER),  LPG/TK (LPG TANKER),  LNG/TK (LNG TANKER),  RO (RO-RO),  PAX (PASSAGER),  BK (BALK),  FERRY (FERRY),  GC (GENERAL CARGO),  CON (CONTAINER),  SUPPLY (SUPPLY VESSEL),  OH (OFF SHORE),  FPSO (FPSO),  AHTS (ANCHOR HANDLING),  TUG (CRANE BARGE),  OIL/CH TK (OIL/ CHEMICAL TANKER)  LPG-OIL/CH TK (LPG OIL/ CHEMICAL TANKER)  PSV (PIPE LAY VESSEL)  MPC (MULTIPURPOSE VESSEL)  MPSV (MULTIPURPOSE SUPPORT VESSEL)  ARV (ACCOMMODATION REPAIR VESSEL)  RO-PAX (RO-RO PASSAGER) 


REASON:
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Notes to sea experience

Deck officers & Pumpman:

A. Indicate type of cargoes loaded:


B. Where you loading different cargoes simultaneously?

C. Which kind of pumps you have been experienced with?

ENGINE /ELECTRICIANS OFFICER ONLY:

A. Please state if you have been sailing with UMS and which remote control systems are familiar to you:


B. MAIN ENGYNE TYPES:
        - 2 STROKES MONTHS
        - 4 STROKES MONTHS
C. PROPULSION TYPE:
        - FIXED PROPPELER MONTHS
        - CONTROLLABLE PITCH PROPELLER(CPP) MONTHS
D. INERT GAS GENERATOR TYPE:

        BOILER INDEPENDENT BURNER UNIT NITROGEN PLANT

E. BOILER TYPE:

        STEAM THERMAL OIL

F. CARGO PUMPS:

        ENGINE DRIVEN ELECTRIC DRIVEN STEAM DRIVEN HYDRAULIC DRIVEN(FRAMO)

G. WORKING WITHOUT ELECTRCIAN :

H.WORKING WITH REDUCED ENGINE PERSONNEL-Please list the ranks present on board.


PART IV : general

A. Have you ever been denied for a foreign visa?


B. Have you been the subject of a court of inquiry or involved in a marine accident?


C. Nearest airport:

LANGUAGES


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VISAS


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Visa Availability

*Desired salary *Currency *Available starting from

Do you want to subscribe to our job offers (Newsletter):
Doriti sa va abonati la ofertele noastre de joburi (Newsletter):

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