Model CV QL
Model CV QL
Model CV QL
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
F-25,ed. 1, rev.0,pag.1 of 3
MANNING AGENT: QUEEN LIZ – CONSTANTA - ROMANIA
2 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
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