PERSONAL DATA:
Ready From:
Family Name CYTLAU
Given Name JERZY
Date of Birth17-01-1960
Place of BirthWROCLAW
NationalityPOLISH
CitizenshipPOLAND
Marital StatusMARRIED
Children under age of 18
Boiler suit (size)53
Working boots (size)43
Home Address
Telephone No. / Mobile No.
76-251KOBYLNICA STR.KALINOWA38
POLAND
acwz8s@r.postjobfree.com
Next of Kin (state address only if different from above) jw
Relationship wife
PERSONAL DOCUMENTS
Number
Point of issue
Date of issue
Date of expiry
Passport
AT1589758
SLUPSK
07-12-2007
07-12-2017
Seaman’s Book
0236253
SLUSPK
Visas (if any)
HEALTH CERTIFICATE
Date of examination
Date of expiry
Drug & Alcohol Test
Health Certificate
11-01-2016
10-01-2017
23-12-2017
CERTIFICATES OF COMPETENCE
Main Certificate of Competence
Number
Date of issue
Date of expiry
Able-Bodied Seaman certificate
14-05-2001
none
BanksmanP&Slinger
56269067031214007
01-12-2014
02-12-2016
COOK ASS
H2S of Breathing Apparatus
National Safety Passport
Sparrow Training 2
173/040890/224/2004
30860
0001041610432233
AT.9576
09-07-2004
21-12-2015
21-07-2015
13-04-2016
15.06.2016
20 -12-2016
20-07-2018
20-04-2019
14.06.2018
STCW CERTIFICATES
Name of Certificate
Number
Date of issue
Valid until
Personal Survival Techniques
541***********/2012
22-10-2012
19-10-2017
Basic / Advanced Fire Fighting
541***********/2012
10-10-2012
08-10-2017
First Aid / Medical care
541***********/2012
15-10-2012
12-10-2017
Personal Safety & Social Resp.
540***********/2012
19-10-2012
16-10-2017
Survival Craft & Rescue Boat
37R
12-04-1998
Proficiency in Security-awareness
1350-040890-3235/2013
23-09-2013
none
Proficiency designated security
1351-040890-3236/2013
23-09-2013
none
ARPA & Radar
Tanker Familiarization
GUM-1337-040890-22934/2016
28-04-2016
none
Advanced Oil Tanker
GUM-1337-040890-22934/2016
28-04-2016
none
Advanced Chemical
GUM-1337-040890-22934/2016
28-04-2016
none
Others
EDUCATION
Elementary / Secondary / University
Name of the school and year of completion
FISHING SEAMAN SCHOOL DARLOWO
1975/1978
FOREIGN LANGUAGES
Good
Satisfactory
Poor
English
GOOD
RASHYN
SPANISH
GOOD
GOOD
PREVIOUS PROVABLE SEA SERVICE PERIODS
Company
Vessel’s name
Rank
Type
Flag
GT / HP
From date
To date
Go-marine
Go -marine
GO-marine
GO-marine
G0-marine
TDW-marine
TDW-marine
TDW-marine
TDW-marine
SEALION
TDW-marine/Troms
TDW-marine/Troms
TDW-marine/Troms
TDW-Marine
TDW-marine
TDW-marine
TDW-marine
TDW-marine
TDW-marine
TDW-marine
TDW-marine
TDW-marine
TDW-marine
TDW-marine
Go Pegasus
Go Pegasus
Go Electra
Go Pegasus
Go Electra
Lundstrom Tide
Lundstrom Tide
Lundstrom Tide
Lundstrom Tide
TOISA DARING
Lundstrom Tide
Lundstrom Tide
Lundstrom Tide
Lundstrom Tide
Lundstrom Tide
Lundstrom Tide
Lundstrom Tide
Lundstrom Tide
Lundstrom Tide
Lundstrom Tide
Lundstrom Tide
Lundstrom Tide
Lundstrom Tide
Melton Tide
AB/Cran-op
AB/Cran-op
AB/Cran-op
AB/Cran-op
AB /Cran-op
BOSUN
BOSUN L/H
BOSUN L/H
BOSUN L/H
AB
BOSUN L/H BOSUN/L/H
BOSUN /L/H
BOSUN /L/H
BOSUN /L/H
BOSUN L/H
BOSUN L/H
BOSUN L/H
BOSUN L/H
BOSUN L/H
BOSUN L/H
BOSUN L/H
BOSUN L/H
BOSUN L/H
MPSV
MPSV
MPSV
MPSV
MPSV
PSV DP2
PSV DP2
PSV DP2
PSV DP2
AHT-S
PSV DP2
PSV/DP2
PSVDP2
PSV DP2
PSV DP2
PSV DP2
PSV DP2
PSV DP2
PSV DP2
PSV DP2
PSV DP2
PSV DP2
PSV DP2
PSV
Marshal
Marshal
Marshal
Marshal
Marshal
Vanuatu
Vanuatu
Vanuatu
Vanuatu
Bahama
Vanuatu
Vanuatu
Vanuatu
Vanuatu
Vanuatu
Vanuatu
Vanuatu
Vanuatu
Vanuatu
Vanuatu
Vanuatu
Vanuatu
Vanuatu
Vanuatu
7534
7534
3946
7534
3946
3946
3946
3946
3946
3946
3946
3946
3946
3946
3946
3946
3946
3946
3946
3946
3946
8100
25-09-2016
27-07-2016
30-06-2016
04-04-2016
20-03-2016
02-02-2016
16-11-2015
19-08-2015
29-05-2015
23-04-2015
05-03-2015
16-12-2014
22-10-2014
26-08-2014
02-07-2014
02-05-2014
11-03-2014
13-01-2014
23-09-2013
20-07-2013
13-05-2013
10-03-2013
27-10-2012
25-10-2016
26-08-2016
20-07-2016
03-06-2016
27-03-2016
12-03-2016
23-12-2015
08-10-2015
10-07-2015
24-05-2015
19-04-2015
24-01-2015
18-11-2014
23-09-2014
30-07-2014
04-06-2014
07-04-2014
12-02-2014
21-10-2013
26-08-2013
17-06-2013
15-04-2013
15-02-2013
JPKNight marine
ANGLIAN PRINCESS
BOSUN
AHT-S
ENGLAND
12000
23-08-2012
04-09-2012
SEA LIONE
TOISA CONQUEROR
BOSUN
MULTICONSTRUCTION
CYPRUS
2401
08-07-2012
25-07-2012
TDW-marine
MANSOUR TIDE
BOSUN L/H
AHT-S
VANUATU
7000
16-11-2011
01-05-2012
TDW-marine
BURCH WILLIAMS
BOSUN /L/H
PSV
CYPRUS
04-04-2011
12-05-2011
TDW-marine
NETHERLAND TIDE
BOSUN L/H
AHT-S
VANUATU
10070
02-09-2010
12-02-2011
TDW-marine
NETHERLAND TIDE
BOSUN L/H
AHT-S
VANUATU
10070
12-06-2010
06-08-2010
TDW-marine
SEA ANGLER
BOSUN L/H
PSV
VANUATU
5450
11-04-2010
20-04-2010
TDW-marine
SEA ANGLER
BOSUN L/H
PSV
VANUATU
5450
20-01-2010
01-03-2010
TDW-marine
SEA ANGLER
BOSUN /L/H
PSV
VANUATU
5450
20-09-2009
18-11-2009
TDW-marine
SEA ANGLER
BOSUN /L/H
PSV
VANUATU
5450
27-05-2009
29-07-2009
TDW-marine
SEA ANGLER
BOSUN /L/H
PSV
VANUATU
5450
28-01-2009
26-03-2009
TDW-marine
TDW-marine
BUE KAZAKHSTAN
BUE KAZAKHSTAN
BUE KAZAKHSTAN
BARBER
MNR-LIVERPOOL
MNR-LIVERPOOL
CONDOR MARINE
SEA ANGLER
SEA WOLF1
BUE CHU
BUE ILI
KALEVALA
BREMONA
FORTH GARDSMAN
FORTH GARDSMAN
COMMODORE GOODWILL
BOSUN /L/H
BOSUN /L/H
BOSUN
BOSUN
BUE REPP
BOSUN
BOSUN
BOSUN
BOSUN
PSV
AHT-S
AHT-S
AHT-S
ACC BARGE
AHT-S
AHT-diving
AHT-diving
RO-RO PAX
VANUATU
VANUATU
KAZAKHSTAN
KAZAKHSTAN
CYPRUS
ENGLAND
ENGLAND
ENGLAND
ENGLAND
5450
11040
654
654
10040
654
654
10-10-2008
11-10-2007
06-06-2005
06-06-2005
08-02-2005
18-08-2004
14-02-2004
01-09-1998
04-12-2008
06-12-2007
08-06-2007
08-06-2007
28-04-2005
04-12-2004
15-06-2004
14-03-2003
OŚWIADCZENIE:
I hereby agree to the use of personal data included in my job application as required by the recruitment process including transfer to potential employers abroad (in accordance with Polish law of 29th September 1997 regarding protection of personal data Dz.U. Nr 133 poz. 833)
Slupsk 29-05-2016
Signature Jerzy Cytlau