crewdata.com
SEAFARER'S APPLICATION FORM http://crewdata.com
Position: DECK CADET
Readiness: 31.01.2018
Citizenship: Italy
Last name: Bardheti Marital status unknown
First name: Pietro Children:
Middle name: Nationality: Italian
Birth date: 18.01.1997 Birth place: Italy
Home address: Campomarino, Molise,
Italy, 86042
Phone mobile: 39-342-*******
Phone home:
Email: bardhetipietro@gmail.
com
English level: Fluently
Salary Minimum: Expected: 600 Last: €/month
Passports, Licenses & Certificates
Title Class Number Place of issue Issued Valid
Passports & Visas
Travel passport yb2130357 Termoli, ITA 13.01.2018 12.01.2028 Certificates & Licenses
Advanced Fire Fighting (VI/3) 000002-
aiavanzato/000009/2018
Castelvolturno, ITA 08.01.2018 07.01.2023
Medical First Aid (VI/4.1) 000228-
primosoccorsoelementare
Castelvolturno, ITA 19.11.2017 18.11.2022
Shore-based fire-fighting course 000002-
aibase/000002/2018
Castelvolturno, ITA 04.01.2018 03.01.2023
Security awareness 000161-
awareness/000743/2017
Castelvolturno, ITA 20.11.2017
Personal safety and social responsabilities 000213-pssr/000775/2017 Castelvolturno, ITA 11.12.2017 Training for personnel serving on passenger ships
other than RO-RO passenger ships
000028/pax/000006/20181 Castelvolturno, ITA 15.01.2018 14.01.2023 Personal survival techniques training course 000267- sopsal/000783/2017
Castelvolturno, ITA 13.12.2017 12.12.2022
Medical Certificates
Medical Fitness Certificate Termoli, ITA 10.01.2018 09.01.2020 General Physical State
Height (cm) Weight (kg) Shoes Clothes Hair color Eye color 170 69 42 M black green
Additional information
Date applied: 31.01.2018 Signature: