Application Form: Personal Data

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APPLICATION FORM

DATE ON WHICH YOU COMPLETE THIS APPLICATION:

Personal Data
Position Decksmann\Maschinist Readiness to start Any time
Name Gheorghe Surname Zavoiu
Date of birth 16/06/1987 Place of birth Braila-Romania
Address Str. Baraiman, No:14, Bl: Caraiman, Sc:1, Ap:9 Zip code R-810275
Hometown Braila
Nationality Romanian
Telephone Mobile +40 767 891 542
E-mail zavoiu_george@yahoo.com

Documentation
Number Issued Place Valid
I.D. X.R.458854 15/07/2013 Braila 16/06/2023
Passport - - - -
Inland Navigation Book/
A-100033 11/02/2015 Regensburg -
Schifferdienstbuch
Certificate of Health
Number of license
Type of license

Education
Course Time period Completed Place Subjects

ELEMENTARY SCHOOL/ Elementary School “Spiru


8 years 2002 Braila
SCOALA GENERALA Haret”

GYMNASIUM/ Economic College “Ion


4 years 2006 Braila
LICEU Ghica”

COLLEGE/ “Transylvania” University


FACULTATE 4 years 2011 Brasov
of Brasov

Courses / Certificates
Course /
Number Place Issued Date Issued Valid
Certificate

1
Specification Vessel
GROSS PERIOD OF SERVICE
TYPE OF FLAG OF THE
TONNAGE,
NAME OF VESSEL / COMPANY VESSEL POSITION VESSEL/ WORKING
ENGINE
FROM TO AREA
POWER

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20

Please list service for minimum the last three years (as given at the book)

Types of vessels:

MTS: Tanker
MVS: Freight vessel
MCS: Container vessel
MPS: Passenger vessel
MDS: Pusher
MBS: Sand vessel
KVB: Coupling vessel
Languages
German Speak Bad Basic Good Very Good Excellent

2
Understand Bad Basic Good Very Good Excellent
Read Bad Basic Good Very Good Excellent
Speak Bad Basic Good x Very Good Excellent
English Understand Bad Basic Good Very Good Excellent x
Read Bad Basic Good Very Good x Excellent
Speak Bad Basic Good Very Good Excellent
Dutch Understand Bad Basic Good Very Good Excellent
Read Bad Basic Good Very Good Excellent

Checklist
Documents
Copy Dienstbook Copy ID Copy A1 Copy Healthinsurance
Employee

General Order
Other Documents Contract Invoice
Conditions Confirmation

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