Toma Andrei-Cristian: Application Form

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Application Form

Toma Andrei-Cristian

Section 1 Position
Position Applied for Deck Cadet//Steward
Lowest Position Acceptable Steward
Date of Availability 29.09.2016
Section 2 Personal Details
Family name / Surname Toma
First Name / Given Name Andrei-Cristian
Date & Place of Birth 22.04.1993 Pitesti Romania
Nationality Romanian
Permanent Address Constanta, Bd.Ferdinand, no.89, Bl.A3, Ap.6 Romania

Present Address Constanta, Bd.Ferdinand, no.89, Bl.A3, Ap.6 Romania


Present Contact Number +40724691814
Fax Number
Mobile Number 0040724691814
Email Address [email protected]
Nearest Airport Bucuresti
Section 3 Passport & Seaman book
Place Issued Constanta Seaman Book no 33438CT
Passport No 054189113 Seaman Book Issue Date 08.OCT.2014

Expires 2021 Seaman Book Expiry RO 33438CT


Date (if any) exp.29.SEP.2018
Section 4 Next of Kin
Full Name / Relationship Toma Andrei-Cristian ( unmarried )
Address Constanta, Bd.Ferdinand, no.89, Bl.A3, Ap.6 Romania
Contact Numbers mob: +40724691814
Section 5 Courses Attended and Certificates Obtained
Name of Course / Certificate Institute Place Date Cert No Expires
DD/MM/YY
Basic Safety Training CERONAV Constanta 02.04.14 00006247 2019
Watchkeeping Duties on the CERONAV Constanta 13.10.15 00027 2020
Bridge
Maritime English Language CERONAV Constanta 04.11.16 00001173
Training
Section 6 Declaration
I hereby declare that the above particulars are true and I authorize you to contact the referees listed above
Signed TOMA ANDREI-CRISTIAN Date 22.11.2016
Section 7 Record of Sea Service
VESSEL COMPANY Type of Vessel DWT Type of BHP RANK Sign on Sign off
Engines DATE DATE
M/V BRAVE Alacia Maritime General Cargo 6329 MAN Eng: 3000 KW Deck Cadet 16.10.2015 09.03.2016
MAK type
KNIGHT 6MU 551AK

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