Application Form

Position applied:

1. Personal Data

Family Name GHILIZAN

First Name/Middle In. MARIAN
Date of Birth 10.08.1992
Place of Birth CONSTANTA
Nationality ROMANIA
Sex M.
E-Mail MARIAN.STEFAN92@YAHOO.COM
Skype Address
Address BLD.AUREL VLAICU NR 7
BLC6.SC.B

Mobile /Phone number +40729808261

Nearest airport BUCHAREST

2. Highest Educational Degree with Diploma

Institute/School Constanta Maritime University

Degree/Level Electromechanical naval
Period 2012-2016

3. Professional Experience
(start with latest assignment)

Position Period on board Vessel Type of Year GT kW manufacturer Tr

on (from/to) name vessel of of main Ar
board built engine
3rd.eng 24.05.2019/23.09.2019 M/V CONTAINER 2007 9978 10500KW MAN 6K40ME W
Asiatic
Moon
3RD ENG 25.10.2018/19/02/2019 M/V CONTAINER 2006 23652 17652KW SULZER RTA W
Lobivia 72
3RD.ENG 27.01.18 /26.07.2018 M/V BULK- 2004 38886 8973KW MAN 7K40MC W
Saldanha CARRIER
M/V BULK- 2006 88930 12573 MAN 7K50MC W
3RD.ENG 23.04.17/ 08.10.17
Cohiba CARRIER KW
 Application Form
3RD.ENG 16.12.17/ 15.03.17 Pomerenia CONTAINER 2007 26435 21660 MAN b&w W
Sky KW 6k80ME
Senior 24.11.15/ 04.04.16 Pomerenia CONTAINER 2007 26435 21660 MAN b&w W
Engine Sky KW 6k80ME
Cadet
Engine 27.12.14/ 08.06.15 Pomerenia CONTAINER 2007 26435 21660 MAN b&w W
Cadet Sky KW 6k80ME

4. Competencies, Certificates & Documents

4.1. Language Skills

English Excellent Good Satisfactory Basic
Speaking x
Writing x
Other: Excellent Good Satisfactory Basic
Speaking x
Writing x

4.2 STCW Certification

Name of STCW Date ExpiryDat Place of N° of Comments
Certificate referenc issued e issuance certificate (if necessary)
e
National III/1 23.11.201 02.09.202 Constant 61323 For Deck/Engine
Certificate of 6 1 a Officers and ratings
Competency / forming part of an
Proficiency engineering/nautical
watch
Flag State 23.11.201 02.09.2021 Constant 69393 Only for certificates
endorsement of III/1 6 a of competency
national
CoP/CoC
National For Deck officers
 Application Form
General only
Operator
Certificate
(GoC)
Flag State For Deck officers
endorsement of only
national GoC
National 02.10.201 02.10.2020 Cermed 3634 all crew members of
Medical Fitness 8 Deck and Engine
Certificate (2
years)
Basic Safety 26.10.201 26.10.202 Ceronav 00017760 all crew members of
Certificate 6 1 Deck and Engine
Crowd (& Depending on what
Crisis) is required for the
Management position applied for
Certificate
Advanced Fire 02.09.201 02.09.2021 Ceronav 00008461 Depending if it is
Fighting 6 required for the
Certificate position applied for
Survival Craft 15,11,201 15,11,2021 Ceronav 00011114 Depending if it is
and Rescue 6 required for the
Boat Certificate position applied for
Medical Care 28,10,216 Ceronav 00005115 For Deck officers
only
Ship Security 26,08,201 26,08,2021 Ceronav 00000633 For Deck officers
Officer (SSO) 6 only
Certificate
Others:
Please add
according to your
certificate
(eg.:LNG…etc)

4.3 Travel Documents

Document type № of document Date of issue Expiry date Place of issue
Travel Passport 052342601 22,04,2019 22,04,2029 Constanta
Seaman’s Book 32639CT 02,10,2018 02,10,2020 CERMED
USA C1/D visa 20152969130006 26,10,2015 22,10,2020 BUCHAREST
Schengen visa
Australian MCV
visa

5. Additional Comments, remarks and your motivation to join AIDA/COSTA:

Application Form