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    CV Novomar

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    ihz29627

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    CV Novomar

    Uploaded by

    ihz29627
    13 views2 pages

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    13 views2 pages

    CV Novomar

    Uploaded by

    ihz29627

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    АPPLICATION FORM

    Positions applied for: or Date of readiness:


    Surname: Name:
    Father’s name: Mother’s name:
    Date of birth: Nationality:
    PHOTO
    Place of birth: Marital status:

    N of children under 18:


    Home Address: Contact Phone:
    E-mail: Skype/Telegram:
    Next of kin: Relation:
    Next of kin’s address: Next of kin’s phone №:
    Height (cm): Weight (kg): Size of Overall (EUR): Shoes (EUR):
    Eyes Colour: Hair Colour:
    Marine Education
    Name of maritime college or academy From
    Department Till
    PASSPORTS and CERTIFICATES
    DOCUMENT NUMBER ISSUED DATE VALID UNTIL PLACE
    TRAVEL PASSPORT:
    SEAMAN’S BOOK:
    CIVIL PASSPORT:
    U.S. VISA:
    OTHER VALID VISA:
    CERTIFICATE OF COMPETENCY # 1
    RANK / CAPACITY
    ENDORSEMENT OF CERTIFICATE # 1
    CERTIFICATE OF COMPETENCY # 2
    RANK / CAPACITY
    ENDORSEMENT OF CERTIFICATE # 2
    CERTIFICATE NUMBER ISSUED DATE VALID UNTIL PLACE
    GMDSS CERTIFICATE/ENDORSEMENT
    BASIC SAFETY TRAINING
    PROFICIENCY IN SURVIVAL CRAFT
    ADVANCED FIRE FIGHTING
    MEDICAL FIRST AID / MEDICAL CARE
    SHIPS SECURITY OFFICER
    DESIGNATED SECURITY DUTIES
    SECURITY AWARENESS
    SHIPS SAFETY OFFICER / ISM
    RADAR NAVIGATION, RADAR PLOTTING AND USE
    OF ARPA
    DANGEROUS & HAZARDOUS CARGOES
    BRIDGE TEAM MNGT/ ENGINE ROOM RESOURCE MNGT
    ECDIS GENERIC
    BASIC TRAINING FOR OIL & CHEMICAL TANKER
    CERTIFICATE
    ADV. TRAINING FOR OIL / CHEMICAL TANKER
    CERTIFICATE
    BASIC TRAINING FOR OIL AND CHEMICAL TANKER -
    ENDORSEMENT
    ADV. TRAINING FOR OIL / CHEMICAL TANKER -
    ENDORSEMENT
    BASIC/ADV. TRAINING FOR GAS TANKER ENDO
    HIGH VOLTAGE EL. EQUIPMENT
    ECDIS SPECIFIC
    COOK / MESSMAN (MLC-2006)
    YELLOW FEVER CERTIFICATE
    COVID-19 VACCINATION CERTIFICATE

    Date: 25.10.2022
    Prepared by: Quality Manager. Approved by: Crewing Director. Validated by: Quality Manager.
    1/2
    АPPLICATION FORM

    PREVIOUS SEA SERVICE


    FROM TO POSITION SALARY NAME OF SHIPOWNER TYPE OF TYPE OF BUILD DWT BHP FLAG CREWING AGENT
    VESSEL VESSEL ENGINE YEAR

    BRIEF INFORMATION ABOUT PREVIOUS EMPLOYERS


    COMPANY PERSON IN CHARGE CONTACT DETAILS (Phone Number, e-mail)

    I hereby confirm that above information is true and correct to the best of my knowledge. I understand that this information will be held in the computer database due to my real or possible
    employment. Signing it, I willfully give my permission to collect and process my personal information and to use it in all and legal way. I give my permission for my personal information to be
    provided to the possible employers and any other persons, if such need arises for my employment. Besides, I permit the ZOLOS SHIPPING LLC employees to request personal information (data)
    about me from my former employers.
    Date: Signature:

    Date: 25.10.2022
    Prepared by: Quality Manager. Approved by: Crewing Director. Validated by: Quality Manager. 2
    /2

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