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CURRICULUM
VITAE
APPLICATION FORM

Main information
Position: Desired Type of 
Sip:
Desired sa!ary: A"ai!a#!e from:
F$!! Name: Date of #irt:
Citi%ensip: P!a&e o f # irt:
Pones: Co$ntry of 
residen&e:
E'mai! adress: City:
S(ype: F$!! Address:
En)!is !e"e!: USA "isa "a!id $p:
Passports * Sm#(  + Date of iss$e P!a&e of iss$e Date of
e,pire Seaman-s #oo(
Internationa! passport
Dip!omas + Date of iss$e P!a&e of iss$e Va!id
$p Ran(
Professiona! !i&ense
Endorsement
Certifi&ates + Date of iss$e P!a&e of iss$e Va!id $p
.MDSS Operator
.MDSS Endorsement
/asi& Safety
Tranin) Ad"an&ed
Fire Fi)tin)
Medi&a! &are
Medi&a! First aid
Profi&ien&y in S$r"i"a! &raft
Se&$rity A0areness
Trainin)
Se&$rity trainin) for
seafarers 0it desi)nated
se&$rity d$ties
Desi)nated se&$rity d$ties
of sip#oard
personne!
Radar Mana)ement
Sip and!in) arran)ements
Sip se&$rity offi&er
E!e&troni& &art disp!ay
and information systems
1ECDIS2
Tan(er fami!iari%ation
Oi! tan( spe&ia!i%ed trainin)
Cm( tan( spe&ia!i%ed trainin)
L.tan( tan( spe&ia!i%ed
trainin)
 Cr$de oi! 0asin) of oi!
tan(ers
Passen)er "esse! trainin)
/rid)e team mana)ement
3UET 13e!i&opter
$nder0ater es&ape
trainin) ' OPITO
appro"ed2
/OSIET 1OPITO appro"ed2
Offsore Medi&a!
1OPITO
appro"ed2
ARAMCO appro"e
Crane operator
&o$rses
DP
maintenan&e
34S A!i"e
&o$rse
Fast Res&$e /oats &o$rse
DP #asi&
&o$rse DP
ad"an&ed &o$rse
DP F$!!
5e!!o0 fe"er "a!id
$p: S&en)en Visa Va!
id Up
F!a) Do&$ments and Oter Co$ntries Seaman-s /oo(s
Co$ntry + Do&$ment type Date of iss$e Date of e,pire

Sea ser"i&e
Position Name of Sip Type of Sip D6T ME Type*(6 From ' Ti!! Emp!oyer

Additiona! info
Ed$&ation: 7no0!ed)e of oter !an)$a)es:
Spe&ia!ty: Late ma&ine s(i!!s:
Se&ond 1re!ati"e2 spe&ia!ty: 6e!din) s(i!!s:

Ne,t of 7in
Ne,t of (in: Pone:
Name8 S$rname: Address:
/iometri&a! data
Se,: 3ei)t: O"era!! si%e:
Eyes &o!or: 6ei)t: Soe si%e: