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Delphine Comar Application Form

The document contains details about a seafarer including personal information like name, date of birth, address, education and certificates held. It lists certificates held for various roles on ships, medical information, passport details, bank account information and includes a space for a signature.

Uploaded by

Paul B
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52 views1 page

Delphine Comar Application Form

The document contains details about a seafarer including personal information like name, date of birth, address, education and certificates held. It lists certificates held for various roles on ships, medical information, passport details, bank account information and includes a space for a signature.

Uploaded by

Paul B
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd

CV Seafarer

photo
Date: Last name Date of birth

Rank First name Place of birth

ID-no. Middle name Nationality

Home address Marital status Children


Home phone Mobile phone Name of spouse (if married)
Email Nearest airport Next of kin relation
Education at when Next of kin address Romania

Document Number Place of issue Issued on Expire at Certificate type


Seaman's book Number Place of issue Issued on Expire at
Foreign passport
National passport
Medical certificate Endorsement type
Yellow fewer Number Place of issue Issued on Expire at
Drug Alcohol Test

Certificate Number Place of issue Issued on Expire at Height,cm


Personal Survival Techniques
Fire prevention and Fire Fighting
Maritime English Weight,kg
Personal Safety and Social Responsibilities
Proficiency in survival craft, rescue boats
Advanced Fire-Fighting Clothes
MARPOL size
Medical First Aid
GOC
GMDSS Endorsement Shoes
Radar observation, plotting and ARPA management level size
Ro-Ro Pass
Transport and handling of dangerous cargoes
Bridge team management and resource management Eye color
Designated Security Duties
Electronic charts display information systems
Transport and handling of dangerous, hazardous, harmful cargoes Hair color
Other certificates

Rank Vessel's name Flag Type DWT Engine type BHP Sign on Sign off Owner

Bank account details IBAN BANK NAME BIC


EURO
LEI

Signature of applicant

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