workon sea

APPLICATION FORMDATE: ……06.11.2013……

Position applied for THIRD MATE

PIC TURE

Date of availability 25.10.2013Salary expectationSurname DENISOVName MARCELDate / place of birth 11.03.1979Marital status MARIEDForeign languages ENGLISH, SPANISH, ITALIAN

CONTACT INFORMATIONHome address TULCEA, STR. ALUNISULUI, 22 Phone

Mobile 07456 42 4881Email marianadenisov33@yahoo.com

PERSONAL DETAILS & UNIFORM INFORMATIONHair Color SATEN Uniform sizeEye Color BLUE Overall sizeHeight (CM) 170 ShoesWeight (Kg) 70 Nearest airport HENRY COANDA

NEXT OF KIN DETAILSRelationship (i.e. Wife, Father etc.) WIFEName and Surname DENISOV MARIANANOK Address (if same, write SAME) TULCEA, STR. ALUNISULUI, 22NOK Contact NumberAge of Children (if applicable)

PRE-SEA EDUCATIONName of school or academy Department From ToUNIVERSITY MARITIME OF

CONSTANTAFACULTY NAVIGATION AND

SHIPPING 2008 2012

ACADEMY OF ECONOMIC STUDIES TOURISME 2002 2006

PERSONAL DOCUMENTSName of document Number Place of issue Date of

issueDate of expiry

National Passport 11610407 TULCEA 04.05.06 04.05.16National Seaman’s Book 12039CT CONSTANTA 26.08.03 12.06.14Certificate of Competency 43271 CONSTANTA 04.02.13 04.06.16

WORK ON SEA CREWING AGENCY Address: 62,Dacia Street, Constanta, Romania Tel: +4 0241 582 475 Mobile: +4 0736 026 709; +4 0757 620 365 E-mail: office@workonsea.ro website URL: www.workonsea.ro

Name of document Number Place of issue Date of issue

Date of expiry

Endorsement 28273 CONSTANTA 04.02.13 04.04.16Basic Safety Training Medical First Aid 13110 CONSTANTA 30.05.11 29.05.16 Basic Fire Fighting P S S R 15816 CONSTANTA 03.06.11 02.06.16 Personal Survival Techniques 15003 CONSTANTA 24.05.11 23.05.16Familiarization Safety Training 15816 CONSTANTA 03.06.11 02.06.16 Transp. and handling of Dang.

Cargoes13001 CONSTANTA 19.05.11 18.05.16

Prevention of Pollution – MARPOL 12320 CONSTANTA 12.06.11 11.06.16Maritime English 8500 CONSTANTA 07.06.12 07.06.17Prof. Survival Craft / Rescue Boats 24414 CONSTANTA 05.05.11 04.05.16A.R.P.A. 177 CONSTANTA 02.12.12 02.12.17Advanced fire-fighting 15482 CONSTANTA 08.07.11 07.07.16Medical Care Bridge/Engine Team ManagementSSO (Ship Security Officer) CONSTANTA 01.11.13GMDSS GOC 274 CONSTANTA 12.02.13 01.02.18Dynamic Positioning Operators CertificateTanker FamiliarizationAdvanced Oil Tankers CertificateAdvanced Chem. Tk. CertificateRO-RO Passenger 2351 CONSTANTA 12.04.13 12.04.18National Medical ExaminationsVaccination against Yellow Fever TULCEA 10.05.13 10.05.23US C1/D Visa

SEA SERVICE DETAILSRank Company Name of vessel Flag Type GRT Engine / KW Date From Date To

THIRD MATE BALEARIA ABEL

MATUTESSPAIN RO RO

PAX 29670 2X900 02.05.13 25.09.13

THIRD MATE BALEARIA ABEL

MATUTESSPAIN RO RO

PAX 29670 2X900 12.02.13 07.04.13

AB BALEARIA ABEL MATUTES

SPAIN RO RO PAX 29670 2X900 15.07.12 15.10.12

AB BALEARIA JAUME I SPAIN HSC FERRY 3989 4X4230 15.07.11 01.12.11

AB BALEARIA JAUME I SPAIN HSC FERRY 3989 4X4228 28.12.10 16.04.11

AB BALEARIA AVE MARDOS SPAIN HSC

FERRY 5517 2600 21.05.10 05.11.10

WORK ON SEA CREWING AGENCY Address: 62,Dacia Street, Constanta, Romania Tel: +4 0241 582 475 Mobile: +4 0736 026 709; +4 0757 620 365 E-mail: office@workonsea.ro website URL: www.workonsea.ro