Management Project
Resume:
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PHOTO
APPLICATION FOR POSITION MASTER
AS
1. PERSONAL DETAILS
TITLE MR/MRS/MISS MR SEX MALE FEMALE
SURNAME KAMIEN
FIRST NAME MIROSLAW OTHERS NAMES TOMASZ
DATE OF BIRTH 28-05-1973 PLACE OF BIRTH WEJHEROWO
NATIONALITY POLISH MARITAL STATUS MARRIED
COLOUR OF EYES GREEN COLOUR OF HAIR BROWN
MOTHER'S NAME GERTRUDA FATHER'S NAME HENRYK
MOTHER'S MAIDEN NAME STENZEL
HEIGHT (CM) 176 WEIGHT (KG) 76
NEARST INTERNATIONAL AIRPORT: GDANSK
2. ADDRESS
NO & STREET 103 SOBIESKIEGO
CITY RUMIA
POST CODE 84-230
COUNTRY POLAND
TEL. NO. +485********
MOBILE +486********
E-MAIL ***.*@**.**,
*******@******.****.**,
FAX
3. NEXT OF KIN
FULL NAME BARBARA KAMIEN RELATIONSHIP WIFE
ADDRESS 103 SOBIESKIEGO
CITY RUMIA COUNTRY POLAND
TEL. NO.
NAME OF CHILD DATE OF BIRTH SEX
WIKTORIA KAMIEN 06-11-2006 M F
M F
5. TRAVEL DOCUMENTS
TYPE DOCUMENT ISS.DATE EXP. DATE ISS. BY PLACE OF ISSUE
NO. (AUTHORITY)
SEAMAN BOOK 023****-**-**-**** MARITIME SLUPSK
AUTHORITY
OTHER SEAMAN BOOK NORWEGIAN/ 07-02-2003 CONSUL SZCZECIN
201/03
US VISA: B1OCS F3337357 07-12-2012 06-12-202 US Embassy Warsaw Warsaw
2
OTHER VISAS:
6. BANK ACCOUNT INFORMATION
BANK NAME BRANCH
BANK ADDRESS
CITY COUNTRY
SORT CODE ACCOUNT NO
BANK SWIFT CODE BANK TEL. NO
ACCOUNT OWNER'S NAME
ACCOUNT OWNER'S ADDRESS
7. EDUCATION
SCHOOL NAME
CERTIFICATE NAME NUMBER ISSUE DATE EXPIRY ISSUED BY ISSUED AT
DATE (AUTHORITY)
NORWEGIAN MASTER UNLIMITED 122***-**-**-**** 13-07-201 GOVERNMENT OF HAUGESUND
6 NORWAY
BAHAMAS MASTER UNLIMITED LN103336/ 22-03-2007 26-11-201 BAHAMAS LONDON
00 1 MARITIME
AUTHORITY
ISLE OF MAN MASTER UNLIMITED CRA 13-09-2012 13-12-201 GOVERNMENT OF DOUGLAS
2 ISLE OF MAN
ST.VINCENT&THE GRENADINES D/M100120 20-01-2010 30-01-201 MARITIME MONACO
MASTER UNLIMITED 58747/MC 2 AUTHORITY
CYPRUS MASTER UNLIMITED RE0002541 20-01-2011 20-11-201 MARITIME LIMASSOL
1 1 AUTHORITY
9. LANGUAGES
ENGLISH FLUENT GOOD
Management 08.08.2011 83 OSM Gdynia
10. VACCINATIONS
NAME ISSUE DATE EXPIRY DATE ISSUED BY (AUTHORITY) ISSUED AT
YELLOW FEVER 19-05-2009 19-05-2019 MA GDYNIA
CHOLERA
TYPHOID
TETANUS
HEPATITIS A
POLIO
11. SAFETY CLOTHING
BOILERSUIT SIZE 52 BOOTS SIZE 41
12. MARINE COURSES
COURSE NAME NUMBER ISSUE EXPIRY ISSUED BY ISSUED AT
DATE DATE (AUTHORITY)
ADV. FIRE FIGHTING 116***-**-**-*** MA GDYNIA
1
MEDICAL CARE GUM-541*-******- 28-09-201 27-09-201 MA GDYNIA
12506/2011 1 6
PERS. SAFETY & SOC. GUM-540*-******- 16-06-201 15-06-201 MA GDYNIA
RESP. 8336/2011 1 6
PROF. IN SURVIVAL 428**-**-**-*** MA GDYNIA
CRAFT & RESCUE BOATS 9
FAST RESCUE CRAFT 111***-**-**-*** MA GDYNIA
1
G.M.D.S.S. GG-006**-**-**-*** 18-12-201 MA GDYNIA
8 3
A.R.P.A. 218***-**-**-*** MA GDYNIA
4
RADAR OBSERVATION 116***-**-**-*** MA GDYNIA
1
HAZMAT 192***-**-**-*** MA GDYNIA
3
ISM CODE GUM-544*-******- 10-03-200 MA GDYNIA
3513/2006 6
SHIP SECURITY OFFICER GUM-754**-****** 28-10-201 MA GDYNIA
-14081/2011 1
BRIDGE TEAM 29577/1509/11 29-09-201 29-09-201 MA GDYNIA
MANAGEMENT 1 6
DP INDUCTION - BASIC 6/18/DPB/09 24-07-200 MA GDYNIA
9
DP SIMULATOR-ADVANCE 1/9/DPA/10 13-05-201 MA GDYNIA
0
CRISIS MANAGEMENT, GUM-544*-******- 17-06-201 16-06-201 MA GDYNIA
PASS. SAFETY, CARGO 8446/2011 1 6
SAFETY
TRAINING IN HANDLING GUM-542*-******- 24-11-200 MA GDYNIA
OF LARGE SHIPS AND 17162/2006 6
SHIPS WITH UNUSUAL
MANOEUVRING
CHARACTER.
BRIDGE RESOURCE GUM-543*-******- 29-09-201 28-09-201 MA GDYNIA
MANAGEMENT 12604/2011 1 6
ECDIS ECDIS/OB/2006/11 02-03-200 SEAGULL HORTEN
141 6
HUET 29582/1542/11 30-09-201 30-09-201
1 5
NIS RULES®ULATIONS NIS/09/2006/129*-**-**-*** SEAGULL HORTEN
7 6
AMOS 11-08-200 SEATRANS GDYNIA
6
CROWD MANAGEMENT GUM-543*-******- 17-04-200 16-04-201 MA GDYNIA
7342/2009 9 4
DP UNLIMITED CERT. 13116 06/12/201 N/A Nautical LONDON
0 Institute
13. HEALTH CERTIFICATE
FLAGE STATE NUMBER ISSUE EXPIRY ISSUED BY ISSUED AT
DATE DATE (AUTHORITY)
NORWEGIAN 1268/201*-**-**-*** 13-06-201 SEAMENS AND GDYNIA
2 4 HARBOUR
POLICLINIC
SEA - SERVICE DETAILS
NAME: MIROSLAW KAMIEN RANK: MASTER
COMPANY NAME
COMPANY C-MAR / EXPRESS SUBSEA7/ACERGY LEGEND DOHLE MANNING AGENCY/BRAVE TERN
NAME/VESSEL
ADDRESS ******.******@*-***.*** *****.****@*******.*** 10 LUTEGO 10, 81-301 GDYNIA, Jakub
Nowak <******@******-******.***>
PHONE NO. +441********* +44-122*-***-*** +485*-***-**-**/ +971*********
CONTACT PERSON LESLEY GEDDES JANIE READ JAKUB NOWAK/ Darren MacDonald
Additional information about MPSV "The Explorer". Main role of the vessel in South-East Atlantic Ocean Project:
Drilling (sampling) operations up to 185m
Cranes operation for supply heavy equipment ( 2x60tons cranes ) and spare parts for another PSV
Diving operations up to 50m
ROV constructions operations
Additional information about PSV/ROV "Eas". Main role of the vessel in Mediterranean Noble Energy Project:
Platform supply operations between three rigs and three ports as well
Accommodation support for 35 persons
ROV survey : pipe line survey, wellhead survey, seabed survey up to 1800m
ROV construction - deep water operations
Sampling operations up to 1800m
Additional information about MPSV "Acergy Legend". Main role of the vessel in West Africa during TOTAL Project:
ROV construction operations - deploying beacons and light construction on the seabed up to 2000m
Additional information about WIV "Brave Tern".
Jack-up DP2 Wind Installation Vessel - Sea Trial including DP & Jacking Trial on new building vessel in Persian Gulf.
Additional information about MPSV "Express"
Pipe lay operations on GOM
ROV deepwater construction operations
Heavy crane operations up to 400 tons
I declare that the information I have given is, to the best of my knowledge, true and complete. I also declare that the
documents submitted are genuine and signed by the persons whose names appear on them.
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MIROSLAW KAMIEN
DATE: 15-03-2013 SIGNATURE
APPLICATION FORM
l Road
Great Crosby
Liverpool
L23 5SJ
Tel: 0044 (0) 151
291 1010
Fax: 0044 (0) 151
291 1012
Email:
****@**********.**.**
72b Liverpool Road
Great Crosby
Liverpool
L23 5SJ
Tel: 0044 (0) 151
291 1010
Fax: 0044 (0) 151
291 1012
Email:
****@**********.**.**
Contact this candidate