| Country: | Romania [Rumania] |
| Port (City): | Braila |
Full (perhaps any confidential) information HERE
APPLICATION FORM
Personal Data: Position applied for: 3rd Mate/2nd Mate
Name:
DARIE LAURENTIU-MARIAN Father's Name:
VASILE Permanent add.: Independentei Bd; 14 No; B4 Bl; 17 Ap; Braila Town; Romania
Phone: 0339800926
Nationality:
ROMANIAN Date of birth:
01.10.1969 Place of birth:
BRAILA Mobile Phone: 004 0724957632
Next of Kin:
WIFE Name:
DARIE IRINA Phone:
004 0724549162 Available from:
10.02.2011
Document Number Issued Place Valid until
Passport 13277929 06.08.2007 BRAILA 06.08.2017
Seaman’s book 10196CT 25.06.2003 CONSTANTA 10.03.2012
Certificates/Courses/Highest Competency Certificate Held:
Issuing authority Grade / Level Certificate No. Date of issue Validity
National Certificate of Competency II/1 3RD MATE 10390 16.01.1997 30.06.2015
STCW 95 II/1 IV/2 OPERATIONAL 28144 30.06.2010 04.05.2015
Courses/Certificate Certificate No Date/Place issued Valid until
Personal survival techniques (A- VI/1) 0008748 05.05.2010- Galati 05.05.2015
Elementary first aid (A- VI-1) 0008441 24.05.2010- Galati 24.05.2015
Advanced Fire-Fighting (A- VI-3) 0008985 14.05.2010- Galati 14.05.2015
Personal Safety and Social Responsibility (A- VI-1) 0009407 20.05.2010- Galati 20.05.2015
Maritime English (A-III/1; A-III/2) 0003688 11.05.2010- Galati 11.05.2015
Dangerous Cargo Handling (A-II/1;A-II/2;A-III/1;A-III/2) 0009250 04.05.2010 – Galati 04.05.2015
Prevention of Pollution of the Marine Environment Marpol 73/78 0007280 18.05.2010- Galati 18.05.2015
Proficiency in Survival Craft & Rescue Boat Operations (A-VI/2) 0018043 07.05.2010-Galati 05.05.2015
Ship Security Officer (SOLAS XI-2/ISPS Code) 00000872 28.01.2009-Galati 28.01.2014
Ro-Ro Pass Ships/Pass Ships Other Than Ro-RoPass Ships (A-V/2;A-V/3 0003923 01.04.2010-Galati 01.04.2015
Familiarisation Oil Tk, Chimical (A-V/1; 1-7) 15700 16.06.2010-Constanta 10.06.2015
Speciality Oil Tanker (A-V/1; 8-14) 14728 16.06.2010-Constanta 16.06.2015
Speciality Ch. Tanker (A-V/1; 15-21) 15588 01.02.2011-Constanta 01.02.2016
Speciality Liq. Gas Tanker (A-V/1; 22-34) 13859 13.07.2010-Constanta 13.07.2015
ARPA (B-1/12) 0003456 30.06.2010-Constanta 30.06.2015
GMDSS (IV/2) 3870 17.06.2010- Constanta 18.06.2015
Sea Experience:
Company Vessel Flag Type DWT HP Main Engine Rank Date From Date to Reaon off
DOHLE SAGITTARIUS ST. KITTS CH. TK 11629 6620 SHULZER 2ND Mate 27.10.10 10.12.10 EOC
V-SHIP JEANNE MARIE FRANCE LPG 46632 19657 SHULZER 3RD Mate 04.08.10 22.09.10 MED
MESSINA LINE JOLLY ROSSO ITALY RO-RO CONT 30969 17487 SHULZER 2ND Mate 23.05.09 18.08.09 EOC
MESSINA LINE JOLLY ROSSO ITALY RO-RO CONT 30969 17487 SHULZER 2ND Mate 28.08.08 04.01.09 EOC
MESSINA LINE JOLLY TURCHESE ITALY RO-RO CONT 29106 18881 MAN 3RD Mate 25.10.07 14.03.08 EOC
PROMAR SHIPPING MAMOLA TRADER SN. VICENT OIL TK 2950 3132 SHULZER 2ND Mate 07.06.06 03.03.07 EOC
PROMAR SHIPPING KLEA SN. VICENT OIL TK 3000 3200 SHULZER 2ND Mate 01.12.05 25.04.06 EOC
WAVELORD NAVIGATION ATHENS PANAMA RO-RO PASS 11003 3967 MAN 3RD Mate 09.05.05 27.09.05 EOC
ETISALAT UMM AL AMBER U.A.E. CABLE SHIP 7750 8000 PIELSTICK 3RD Mate 28.06.04 06.02.05 EOC
MED LIFT ROSY MED ITALY HEAVY LIFT 4500 SHULZER 2ND Mate 29.10.02 02.04.03 EOC
NAVROM FINTINELE RO GEN. CARGO 8700 SHULZER 3RD Mate 13.11.97 17.08.98 EOC
NAVROM FINTINELE RO GEN. CARGO 8700 SHULZER 3RD Mate 06.03.97 13.11.97 EOC
Knowledge of Language Spoken Written Understand
English YES YES YES
Italian YES YES
Vaccination / Yellow Fever : 04.02.2012
Valid US visa : NIL
Last Medical Examination : 13.01.2010 - 327 / 22.10.10 - 1299
Last Psychological Examination : 10.03.2010 - 1011
Nearest International Airport : OTOPENI / BUCHAREST
Adder Qualification : Cook, Pastry, Steward.
Color of Hair Color of Eyes Height(cm) Weight(kg) Shoes Size Overall Size
Brown Brown 170 83 41 L
Date: 10.02.2011 Name & Surname : DARIE L-MARIAN Signature : D. L.-M.
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