Petrojobs.rec.ro / Application form for employment

Important points before you begin:
Petro Jobs does not make public, or pass on, registered employee personal details. When registering you must give a valid name and contact details. Failure to do this will result in the registration being terminated. The Employee's data: Petro Jobs does not in any way amend the personal data held in it's database. It is wholly the responsibility of our employers to check the reference of the candidate(s) selected. When registration is complete, a copy will be returned to your e-mail when it is fully reviewed by our department. Once you have registered on our database, there is no way of viewing your data again. As stated above, you will receive an e-mail with a copy of your provided data.

Important points before you begin:

Petro Jobs does not make public, or pass on, registered employee personal details.
When registering you must give a valid name and contact details. Failure to do this will result in the registration being terminated.
The Employee's data: Petro Jobs does not in any way amend the personal data held in it's database. It is wholly the responsibility of our employers to check the reference of the candidate(s) selected.
When registration is complete, a copy will be returned to your e-mail when it is fully reviewed by our department.
Once you have registered on our database, there is no way of viewing your data again. As stated above, you will receive an e-mail with a copy of your provided data.

Declaration:
I hereby certify that I have furnished all the information in good faith with the purpose of employment with your company and that all the data is true and can be proven against my original documents ( Passport, Seaman's book, professional certificates of discharge ), which I will produce at any time upon request by employing office, Master, Shipping Company and/or authorized authority. Should any discrepancy from all stated data arise, I will be fully responsible for the resulting consequences, including, but not limited to, full charges and costs caused by such fact to involved parties for my employment and for immediate repatriation from the ship.

Declaration:

I hereby certify that I have furnished all the information in good faith with the purpose of employment with your company and that all the data is true and can be proven against my original documents ( Passport, Seaman's book, professional certificates of discharge ), which I will produce at any time upon request by employing office, Master, Shipping Company and/or authorized authority. Should any discrepancy from all stated data arise, I will be fully responsible for the resulting consequences, including, but not limited to, full charges and costs caused by such fact to involved parties for my employment and for immediate repatriation from the ship.

PART I : personal data

Fields marked with (*) are mandatory !

* Your Rank

* Name	* Surename	Father`s name	* Permanent address

City	Country	* Date of birth	Place of birth

Email		* Phone	Phone 2 (Mobile)

Next of Kin (NOK) Name Surename		NOK Phone	NOK Relationship

Document	Number	Issued	Place	Valid until
Passport
Seaman`s book

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

Certificates	Place issued	Number	Date issued	Valid until
LIQ. GAS TANKERS
OIL TANKERS
CHEMICAL TANKERS
TANK FAMILIARIZATION
RO-RO PASSENGER SHIPS/PASSENGER SHIPS OTHER THAN RO-RO PASSENGER SHIPS A-V/2;A-V/3
PROFICIENCY IN FAST RESCUE BOATS A VI/2
SHIP SECURITY OFFICER

RATING COURSES / STCW-95 CODE	Place issued	Number	Date issued	Valid until
TRANSPORT AND HANDLING OF DANGEROUS, HAZARDOUS AND HARMFUL CARGOES A-II/4,A-III/4
MARITIME ENGLISH LANGUAGE TRAINING PHRASE VOCABULARY A-III/4
PREVENTION OF MARINE POLLUTION FROM SHIPS A-II/4,A-III/4
BASIC FIRE-FIGHTING A-VI/1-2
PERSONAL SAFETY AND SOCIAL RESPONSIBILITIES ON BOARD SHIPS A-VI/1-2
PERSONAL SURVIVAL TECHNIQUES A-VI/1-2
ELEMENTARY FIRST AID A-VI/1-2

OFFICERS COURSES / STCW-95 CODE	Place issued	Number	Date issued	Valid until
TRANSPORT AND HANDLING OF DANGEROUS, HAZARDOUS AND HARMFUL CARGOES A-II/1,A-II/2,A-III/1,A-III/2
MARITIME ENGLISH A-III/1, A-III/2; AII/1, A-II/2
PREVENTION OF POLLUTION OF THE MARINE ENVIRONMENT-MARPOL73/78- A-II/1,A-II/2,A-III/1,A-III/2
PROFICIENCY IN SURVIVAL CRAFT AND RESCUE BOATS, OTHER THAN FAST RESCUE BOATS A-VI/2,1-4
ADVANCED FIRE-FIGHTING A-VI/3
PERSONAL SAFETY AND SOCIAL RESPONSIBILITIES ON BOARD SHIPS A-VI/1;2.1.1.4
PERSONAL SURVIVAL TECHNIQUES A-VI/1,2.1.1.1
MEDICAL CARE A-VI/4-4-6// MEDICAL FIRST AID A-VI/4-1-3
RO-RO PASSENGER SHIPS/PASSENGER SHIPS OTHER THAN RO-RO PASSENGER SHIPS A-V/2;A-V/3
PROFICIENCY IN FAST RESCUE BOATS A-VI/2-1-4
BRIDGE TEAM AND RESOURCE MANAGEMENT A-VIII,B-VIII
RADAR NAVIGATION,RADAR PLOTTING AND USE OF ARPA operational level A-I/12,A-II/1
RADAR ARPA,BRIDGE TEAMWORK AND SEARCH AND RESCUE-management level A-I/12,A-II/2
GENERAL OPERATOR FOR GMDSS(GOC) COURSE A-IV/2
GMDSS A-IV/2
SHIP SECURITY OFFICER A-VI/5
ENGINE TEAM AND RESOURCE MANAGEMENT A-III/2
ELECTRONIC CHART DISPLAY AND INFORMATION SYSTEM A-II/1; A-II/2
SHIP HANDLING AND MANEUVERING SYSTEM A-II/1
TANK FAMILIARIZATION /A-V/1; 1-7
SPECIALIZED OIL TANKER/ A-V/1;8-14
SPECIALIZED CHEMICAL TANKER/A-V/1;15-21
SPECIALIZED GAS TANKER/ A-V;22-34

PART III : Sea Experience / Last 5 years - 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)

REASON: EOC (End Of Contract), SS (Ship Sold), COM (Change Of Management)

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(DRAMO)

G. WORKING WITHOUT ELECTRCIAN : YesNo

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?

YesNo

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

YesNo

C. Nearest airport:

Required Data

English	UNKNOWN POOR GOOD VERY GOOD
French	UNKNOWN POOR GOOD VERY GOOD
Italian	UNKNOWN POOR GOOD VERY GOOD
Spanish	UNKNOWN POOR GOOD VERY GOOD
German	UNKNOWN POOR GOOD VERY GOOD
Other	UNKNOWN POOR GOOD VERY GOOD

Desired salary	Currency	Available starting from