Model CV QL

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CREWING / MANNING AGENT: QUEEN LIZ - ROMANIA TEL:.

0241549744
FAX: 0241512830
CURRICULUM VITAE AND SEASERVICE DETAILS E-mail: office@queenliz.ro

Rank: STCW:
Surname: Given Name:
Date of birth: Place of birth:
Home address, Street: Number:
Zip code: Town:
Phone number:

Seaman book Place/Date issued Date expires Medical visit Yellow fever valid E – mail:
number SB issued until

Passport Place/Date issued Date expires U.S.A VISA Place/Date issued Date expires
number

Cert. of comp. Number Rank Place/Date issued Date expires

Endorsement number Rank Place/Date issued Date expires

Foreign endorsement Number Rank Place/Date issued Date expires

Language English Italian German French Other


Speaking
Reading/Writing
Course attended:
BASIC TRAINING
Security awareness training - SSD
Maritime English/ME
THDC
Advanced fire fighting/AFF
PSCRB
Medical care
Human element, leadership and management - HELM
Proficiency in fast rescue boats
Bridge team and Resource management/BTM
Engine team management/ETM
Engine room simulator/ERS
Radar ARPA, Operational Level/ Management Level
G.M.D.S.S./G.O.C.
Ro-Ro Passenger Ships
Ship Security Officer
Ship Safety Officer
Tankers Familiarization/FOC
Specialized Training for Oil Tankers/SOT
Specialized Training for Chemical Tankers/SCT
Specialized Training for Liquefied Gas Tankers/SLG
ECDIS
Tanker management and self assessment
Ship handling and manoeuvring simulation
Familiarization with the requirements of ISM CODE, QMS/ ISO and EMS/ ISO
Dynamic Positioning

F-25,ed. 1, rev.0,pag.1 of 3
MANNING AGENT: QUEEN LIZ – CONSTANTA - ROMANIA
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CURRICULUM VITAE AND SEASERVICE DETAILS

Vessel type Engine type Date signed Date signed Trading


Name of vessel Owners Rank Notes
DWT/ GRT KW/HP on off area

Subsemnatul sunt de acord ca datele mele personale predate firmei SC QUEEN LIZ SRL (operator date personale nr.2461) sa poata fi transmise catre terti in strainatate. Am luat cunostinta
de dreptul la informare si accesul la baza de date a operatorului, conform Art. 12 – 18 din Legea 677/2001.
Semnatura aplicant: F-25,ed. 1,rev.0
MANNING AGENT: QUEEN LIZ – CONSTANTA - ROMANIA
3 of 3
CURRICULUM VITAE AND SEASERVICE DETAILS

Subsemnatul sunt de acord ca datele mele personale predate firmei SC QUEEN LIZ SRL (operator date personale nr.2461) sa poata fi transmise catre terti in strainatate. Am luat cunostinta
de dreptul la informare si accesul la baza de date a operatorului, conform Art. 12 – 18 din Legea 677/2001.
Semnatura aplicant: F-25,ed. 1,rev.0

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