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01

APPLICATION FOR EMPLOYMENT

RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE

Ran Engine First Last Romania

Ionut Petrus Nationality
k Cadet Name Name
Higher Rank : Maritime Engineer Officer Cadet Marital Status: Betrothed Photo :
Date & Place of
Birth:
19,06,1995 Harsova Next of Kin 1:

Present Str. Transilvaniei Nr.1A Harsova

Name / Relationship:
Address: Constanta

Next of Kin 2

Home phone: Name / Relationship:

cell phone: 0787891324

Address:
Fax:
Email: petrusionut95@yahoo.com Next of kin Cell Phone :
Father’s name Gheorghe Mother’s name: Dumitra
Km from Present
Nearest Airport:
Airport: Employer:
Tel +
Languages: Spoken English: Beginner; Writing English: Beginner
email:
Medical Previous
Expired:
Certificate issued: Employer:
Tel +
Any visa issued: Expired:
email:
Weight(kg Coverall Shoes 4
80 Height(cm) 173 Hair: Eyes: Green
) Size: Size: 2
Position
Date of availability:
Applied:
Education: high/secondary school (4 years) , Academy Naval “Mircea Last wage (inclusive of leave
college (2-3 years) ; university (4-5 years): cel Batran” pay):

Licence (Certificate of Competency)

Licence Country Grade of Licence Number Place & Date Issued Date Expired
Maritime engineer officer
Romania 82771 Constanta 14.11.2018 11.05.2023
cadet

Passports – If several passports write them all.

Number Place Issued Date Issued Date Expired
054824011 Constanta 23.06.2017 23.06.2022

Seaman’s Book - If several seaman’s books write them all (even if expired)
Country Place Issued Date Issued Number Date Expired
Romania Constanta 14.11.2018 82771 17.10.2020

DP Log Book
Country Place Issued Date Issued Number Date Expired

DP Certificates
Certificates Place Issued Date Issued Number Date Expired
DP Basic
(induction)
DP Advanced
DP Limited
DP unlimited

Midas Crewing SRL , CUI : 39492359 // ANR _ANP18 Nr 0289

_office@midascrewing.ro
 .01

APPLICATION FOR EMPLOYMENT

RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE

Midas Crewing SRL , CUI : 39492359 // ANR _ANP18 Nr 0289

_office@midascrewing.ro
 .01

APPLICATION FOR EMPLOYMENT

RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE

Certificate

Expiration
Certificates STCW Date Issued Place Issued License Number
date
Yellow Fever certificate

Helicopter Underwater Escape Training

Helicopter Landing Officer

MEDICAL (First Aid) VI/4
MEDICAL (Care) VI/4
ARPA
GMDSS IV/2

Advanced Fire Fighting VI/3

PSCRB (proficiency in survival craft) VI/2

Basic Safety Training Certificate (or Items
11.05.2018 Constanta 11.05.2023 00024694
from 1 to 4 below MANDATORY) VI/1
1 - Personal Security and Social
Responsibilities
2 - Personal Survival Technique

3 - First Aid at sea

4 - Fire fighting

BOSIET

SSO (Ship Security Officer) VI/5

Midas Crewing SRL , CUI : 39492359 // ANR _ANP18 Nr 0289

_office@midascrewing.ro
 .01

APPLICATION FOR EMPLOYMENT

RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE

Previous Sea Experience

For Offshore Ships: Type of Job Performed (supply,
Eng Type & Period: Period:
Vessel’s Name Flag GRT Vessel Type Company Name Rank anchorhandling, towing…), Water Depth, Type of Rig or
KW From To
Barge Work With, Area of Operation, Charterer-Client

ANY ADDITIONNAL INFORMATIONS OR JOB DESCRIPTIONS /EXPERIENCES YOU WANT TO DETAIL IN PARTICULAR. WRITE HERE:

Detail the work you have done onboard previous vessels and your previous experience

Midas Crewing SRL , CUI : 39492359 // ANR _ANP18 Nr 0289 _office@midascrewing.ro

 .01

APPLICATION FOR EMPLOYMENT

RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE

ACORD PRIVIND PRELUCRAREA DATELOR CU CARACTER PERSONAL

În 25 Mai 2018, legea de protectie a datelor personale se schimbă cu privire la modul în care companiile
înregistrează, stochează și utilizează datele personale . În prezent, actul de protecție a datelor cu character
personal, acoperă modul în care este gestionat acest lucru, asa cum prevede noul Regulament de Protectie a
Datelor Personale, numit in continuare GDPR, care va guverna si reglementa la nivel European si global
operatiunile referitoare la date cu character personal, in consecinta înseamnă că trebuie să schimbăm unele
dintre practicile noastre de lucru. În calitate noastra de companie implicata in activitati de recrutare, plasare si
management al fortei de munca, MIDAS CREWING SRL colecteaza si pastreaza datele dvs. personale pentru a
ne permite să le procesăm in vederea obtinerii unui loc de munca. Noul regulament GDPR, plasează o obliga ție
suplimentară (și nouă) pentru angajatori, de a informa candidatii la locurile de munca oferite , mai detaliat si
de ce colectăm datele dvs., ce facem cu ele și cât timp le păstrăm. Detalii complete le gasiti in Politica de
prelucrare a datelor cu caracter personal, disponibila la sediul companiei pe care va rugam sa o parcurgeti cu
atentie.

SUBSEMNATUL: _____________________________

Consimt in mod expres si neechivoc, ca datele mele cu caracter personal, sa fie prelucrate in conformitate
cu legislatia nationala si europeana in vigoare,prin orice mijloace de catre MIDAS CREWING SRL

Data: _________________________

Nr Carte Identitate sau Nr. Pasaport : ____________________________

Semnatura: _________________________

Midas Crewing SRL , CUI : 39492359 // ANR _ANP18 Nr 0289 _office@midascrewing.ro