Rom Trust S.R.L.

Form F-01-1 - APPLICATION FOR EMPLOYMENT

(rev.2 / 20.02.2014)

SC ROM TRUST SRL prelucreaza datele cu caracter personal furnizate de dvs. prin acest document in scopul prezentarii candidaturii dvs. pentru o posibila angajare. Datele vor fi dezvaluite numai
potentialilor angajatori. Pe viitor, aceste date ne permit sa va tinem la curent cu activitatea noastra. In cazul in care nu doriti aceasta, nu va vom putea lua in considerare aplicatia si nu va vom
inregistra in baza noastra de date. Conform Legii nr.677/2001, beneficiati de dreptul de acces, de interventie asupra datelor, dreptul de a nu fi supus unei decizii individuale. Aveti dreptul sa va
opuneti prelucrarii datelor personale care va privesc si sa solicitati stergerea datelor din baza noastra de date. Pentru exercitarea acestor drepturi, va puteti adresa cu o cerere scrisa, datata si
semnata la sediul nostru. De asemenea, va este recunoscut dreptul de a va adresa justitiei. Datele dvs. vor fi transferate in statele Uniunii Europene in vederea unei posibile angajari.
Numr Registrul General Autoritatea Nationala de Supraveghere a Prelucrarii Datelor cu Caracter Personal: 22497.

Family Name: neleapca

Date and Place of birth: 19.10.1978-CONSTANTA
Height (m): 1.76
Weight(kg): 92
Wear glasses?
No
Dioptric left eye: Fathers Name: neleapca gheorghe
Education: crane operator with trade

Given Name: cristian

Overall size: 52
Shoes size: 43
Dioptric right eye: Mothers Name: neleapca sena
Between years: 2005
Rank/Rating: crane operator at all
kind of cranes
certificate
Home address: Micsunelelor Street, No.12, Bl.28, Sc.C, Et.1, Ap.31 Constanta, Romania
Phone no.1: +40 723 294 707
Phone no.2 : +40 341 173
E-mail: cristian.neleapca@yahoo.com
393
Language proficiency (delete as appropriate)

English:

Other
language:fren
ch
Family name: neleapca
Relationship: carmen
good

MARITAL STATUS: married

NEXT OF KIN: wife
Date/Place of birth: 19.02.1973-constanta
Neleapca bogdan marian
Neleapca matei cristian
Childrens Name
10.08.2005
06.09.2013
Date of birth
PERSONAL DOCUMENTS
No.
Place issued
KT 55 08 74
constanta
National I.D. Card
Seamans Book
14317532
constanta
Passport
USA Visa
Australian MCV
Certificate of competency:
Rank & Number
Endorsement

Given name: carmen

Phone no.: 0770 967 197

Date issued

Valid / Endorsed until

27.02.2006

19.10.2016

26.08.2008

26.08.2018

I . M . O . S T C W 7 8 / 9 5 C E RT I F I C AT E S
Nr.
Date issued
Certificate

Certificate
Personal survival techniques
Basic fire-fighting
Medical first aid
P.S.S.R.
Prevention of pollution MARPOL 73/ 78
Transport & handling dangerous, hazardous cargoes
Maritime English
Proficiency in survival craft& rescue boats
Advanced fire-fighting
G.M.D.S.S. G.O.C.
Radar navigation, radar plotting, use of A.R.P.A.
Medical care
Ship Security Officer/Security Awareness

00015581

20.02.2014

photo

working

Nr.

Date issued

Proficiency in fast rescue boats

Tanker familiarization
Specialization in oil tanker
Specialization in chemical tanker
Specialization in gas tanker
Bridge/Engine Team & Resource Management
Ships Handling & Manoeuvring
ECDIS
Bridge Simulator/Engine Room Simulator
ISM / ISO Course
Ro-Ro / Pass /Ferry
Hygiene course for catering personnel
Ships Cook specialization
Vaccination against yellow fever expire: 19.02.2024

P R E V I O U S S E RV I C E - E X P E R I E N C E AT S E A
Built

Vessels Name

2012

VECTIS ISLE

2010

M/S STENA VISION

Flag

Type

U.K.

GENER
AL
CARGO

SWEDEN

CRUIS
E
FERRY

DWT/
GRT
10198
TDW

39178
TDW

ME/ BHP

Rank
CRANE
OPERATOR

ELECTRICIAN

Period
from to
OCTOBER 2013DECEMBER
2013
FEBRUARY
2014-MARCH
2014

Ships Managers and Crewing Agents

(include telephone number)
AB CREWING AGENCY

JANUARYFEBRUARY 2012

RHODOS CONSULTING 2004CREWING AGENCY

Rom Trust S.R.L. Form F-01-1 - APPLICATION FOR EMPLOYMENT

(rev.2 / 20.02.2014)

SC ROM TRUST SRL prelucreaza datele cu caracter personal furnizate de dvs. prin acest document in scopul prezentarii candidaturii dvs. pentru o posibila angajare. Datele vor fi dezvaluite numai
potentialilor angajatori. Pe viitor, aceste date ne permit sa va tinem la curent cu activitatea noastra. In cazul in care nu doriti aceasta, nu va vom putea lua in considerare aplicatia si nu va vom
inregistra in baza noastra de date. Conform Legii nr.677/2001, beneficiati de dreptul de acces, de interventie asupra datelor, dreptul de a nu fi supus unei decizii individuale. Aveti dreptul sa va
opuneti prelucrarii datelor personale care va privesc si sa solicitati stergerea datelor din baza noastra de date. Pentru exercitarea acestor drepturi, va puteti adresa cu o cerere scrisa, datata si
semnata la sediul nostru. De asemenea, va este recunoscut dreptul de a va adresa justitiei. Datele dvs. vor fi transferate in statele Uniunii Europene in vederea unei posibile angajari.
Numr Registrul General Autoritatea Nationala de Supraveghere a Prelucrarii Datelor cu Caracter Personal: 22497.

Date: 03.04. 2015

Applicant signature: