Second Officer / Chief Officer license
Resume:
SEAFARER'S APPLICATION FORM
PERSONAL INFORMATION ( DATE PERSONALE)
Family Name (Nume)
ROSCA
First Name(s) (Prenume)
Vasilica-Dorel
Birth Date (Data Nasterii)
31.12.1988
Birth Place (Locul nasterii)
Constanta
Nationality (Nationalitate)
Romanian
Weight (kg) (Greutate in Kg)
89
Marital Status (Starea civila)
Not married
Height (cm) (Inaltime)
177
No. of Children (Nr copii)
Nearest Airport (Cel mai apropiat aeroport international)
ADDRESS (include telephone country & area codes, advise also secondary or contact addresses if any)
ADRESA (incluzand nr telefon, tara si cod zona, a doua adresa sau adresa de contact, daca este cazul )
Street & Nr (Strada si Numar)
STR. ALEXANDRU ALIMANISTEANU NR. 35
Email Address (Adresa Email)
*****.*.*@*****.***
Location (Locatie)
CUMPANA
Mobile Phone (Tel mobil)
City (Oras)
CONSTANTA
Residence Phone (Tel fix)
State, Country (Judet)
CONSTANTA
Fax (Fax)
Postal (ZIP) Code (Cod)
P.O. Box (if any) (CP)
NEXT OF KIN INFORMATION (person to contact in case of emergency & insurance beneficiary)
RUDA CEA MAI APROPIATA/ IMPUTERNICITA ( persona de contact in caz de urgenta si beneficiarul asigurarilor )
Family Name (Nume)
Rosca
First Name(s) (Prenume)
Lenuta
Nationality(Nationalitate)
Romanian
Relationship (Grad de rudenie)
Mother
Street & Nr. (Str. si Nr.)
STR. ALEXANDRU ALIMANISTEANU NR. 35
Email Address (Adresa email )
Location (Locatie)
CUMPANA
Mobile Phone (Tel mobil)
City (Oras)
CONSTANTA
Residence Phone (Tel fix)
State, Country (Judet)
CONSTANTA
Fax (Fax)
Postal (ZIP) Code (Cod)
P.O. Box (if any) (C.P)
REMARKS (REMARCI)
Requested Rank (Functie)
Chief mate - on ships of 3000 GRT or more
Availability Date (Disponibil din)
01.08.2020
Prefer. Vessel Type (Tip de nava preferat)
CONTAINER
Minimum Salary (Salariu minim)
SUMMARY OF QALIFICATION AND EXPERIENCE ( CALIFICARE SI EXPERINTA)
Years with operator (Ani cu actualul operator)
5
Years in rank (Ani in functia actuala)
2.1
Years on chemical-/oil tankers (Ani pe nave tip tanc ch/oil)
Years on LPG tankers (Ani pe nave tip tanc LPG)
Years on tankers (all types) (Ani pe nave tip tanc – in general)
English Language Skills (Limba engleza/ Nivel cunoastere)
Spoken: fluent/good/average - Written: : fluent/good/average
Advanced Average
Other Foreign Languages (Alte limbi straine)
Professional School / Academy - Name & Period (From - To)
(Scoala / Nume/ Perioada)
Master: Universitatea Maritima Constanta 2016 2018
Foreign Crew Experience (specify nationalities)
Experinta cu echipaje straine (specificati nationalitatile)
Serbian, Croatian, Russian, Montenegro, Filipino, Chinese, Indian, Myanmar
Other Skills (Alte calitati profesionale)
Further Remarks (Alte remarci)
I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge.
Prin prezenta confirm ca toate informatiile date de catre mine in aceast formular de applicare sunt adevarate si corecte
Date:
Data : 28 - 07 - 2020
Signature:
Semnatura Vasilica-Dorel Rosca
LIST OF DOCUMENTS
Family Name (Nume de familie)
ROSCA
First Name(s)
(Prenume)
Vasilica-Dorel
Rank
(Functie)
Chief mate - on ships of 3000 GRT or more
A. TRAVEL DOCUMENTS AND MEDICAL CERTIFICATES (DOCUMENTE DE CALATORIE/MEDICALE )
Document Name (Desciption)
Titlul documentului ( Descriere)
Document Number
Numar Document
Country
Tara
Issue Place
Locul eliberarii
Issue Date
Data eliberarii
Exp. Date
Data expirarii
Passport ( Pasaport )
055214687
Romania
Constanta
17.10.2017
17.10.2022
Seaman's Book (national) (Carnet Marinar)
24223CT
Romania
Constanta
30.09.2016
27.10.2021
Seaman's Book (Norwegian) (Carnet NIS)
Seaman's Book (Liberian) (Carnet Liberia )
Visa - United States (type C1/D) (Viza USA)
P6429994
---
Not specified
11.12.2019
09.12.2024
Visa - Others (Work/ Resid. Permits) (Alte Vize)
Medical Examination Report (Raport Medical)
Drug & Alcohol Test (Test Drog/ Alcool)
Vaccination / Yellow Fever (Vaccin Febra Galbena)
09.11.2009
Vaccination against Cholera ( Vaccin Holera)
Passport Photos ( Poza de pasaport )
B. CERTIFICATES OF COMPETENCY & ENDORSEMENTS, COURSE CERTIFICATES
CERTIFICATE DE COMPETENTA & ENDORSEMENTS, CURSURI
- deck & engine certificates & endor-
sements (officers / ratings)
- electrical & reefer certificates
- cook & steward certificates
- radio certificates & endorsements
- safety training (surv., fire, medical)
- tanker courses (oil, chem., gas)
- passenger vsl, roro, hazmat courses
- nav., deck, technical & management
courses (radar/ARPA, ISM, Marpol,
simulators, computer, welding etc.)
- any flag state certificates
Document Name (Description)
Titlul documentului (Descriere)
Document Number
Numar Document
Country
Tara
Issue Place
Locul eliberarii
Issue Date
Data eliberarii
Exp. Date
Data expirarii
Chief Officer – on ships of 3000 GRT or more
85618
Romania
Constanta
19.12.2019
27.10.2021
Deck officer - on ships of 500 GRT or more
66648
Romania
Constanta
30.09.2016
27.10.2021
ENDORSEMENT Chief Officer – on ships of 3000 GRT or more
74471
Romania
Constanta
19.12.2019
03.08.2021
ENDORSEMENT Deck officer - on ships of 500 GRT or more
70141
Romania
Constanta
25.01.2019
03.08.2021
Program de actualizare brevet ofiter punte - nivel managerial
00004646
Romania
Constanta
17.12.2019
unlimited
Human Element, Leadership and Management - managerial level
00004569
Romania
Constanta
21.11.2019
unlimited
Ship Security officer
00006340
Romania
Constanta
11.01.2019
unlimited
Operational use of Electronic chart Display and Information System (ECDIS)
00005509
Romania
Constanta
27.09.2013
unlimited
Advanced fire fighting
00008026
Romania
Constanta
03.08.2016
03.08.2021
General operator's certificate for GMDSS (GMDSS - GOC)
9122
Romania
Bucuresti
25.08.2016
26.08.2021
Personal survival techniques
00016701
Romania
Constanta
28.09.2016
28.09.2021
Personal safety and social responsibilities on board the ship
00016701
Romania
Constanta
28.09.2016
28.09.2021
Proficiency in survival craft and rescue boats, other than fast rescue boats
00016538
Romania
Constanta
15.01.2019
15.01.2024
SSO - Ship security officer
00004631
Romania
Constanta
11.01.2019
unlimited
SEA SERVICE (LAST 10 YEARS)
Family Name:
(Nume)
ROSCA
First Name(s):
(Prenume)
Vasilica-Dorel
Date of Birth:
(Data Nasterii)
31.12.1988
Vessel's Name
(Numele Navei)
Flag
(Pavilion)
GT
(GRT)
Kw
(Kw)
Ship Type
(Tipul Navei)
Eng.Maker
(Motor Principal)
Rank
(Functie)
S/On Date
(Data ambarcarii)
S/Off Date
(Data debarcarii)
Employer (company to contact for reference)
Angajator (date de contact pentru referinte)
NYK ATLAS
Panama
75519 GRT
61350 kW
Container vessel
MAN B&W
Second Mate
24.01.2020
17.07.2020
AB CREWING
NYK ATLAS
Panama
75519 GRT
61350 kW
Container vessel
MAN B&W
Second Mate
28.02.2019
25.08.2019
AB CREWING
MERCURY LEADER
Japan
42487 GRT
14000 kW
Pure Car Carrier
MAN B&W
Second Mate
14.07.2018
30.11.2018
AB CREWING
NYK ATLAS
Panama
75519 GRT
61350 kW
Container vessel
MAN B&W
Second Mate
18.11.2017
02.04.2018
AB CREWING
NYK ATLAS
Panama
75519 GRT
61350 kW
Container vessel
MAN B&W
Second Mate
18.04.2017
22.08.2017
AB CREWING
MERCURY LEADER
Panama
42487 GRT
14000 kW
Pure Car Carrier
MAN B&W
Third Mate
29.10.2016
09.03.2017
AB CREWING
ANDROMEDA LEADER
Panama
62915 GRT
15540 kW
Pure Car Carrier
MAN B&W
Third Mate
08.03.2016
15.07.2016
AB CREWING
NYK THESEUS
Panama
76789 GRT
62810 kW
Container vessel
MAN B&W
Third Mate
05.08.2015
20.01.2016
AB CREWING
SUMMER E
Cyprus
38332 GRT
32490 kW
Container vessel
MAN B&W
32490
Third Mate
30.11.2014
14.05.2015
STARGATE CREWING AGENCY
DS AGILITY
Liberia
9940 GRT
9730 kW
Container vessel
MAN B&W
Third Mate
02.05.2014
06.06.2014
DS SCHIFFAHRT
DS AGILITY
Liberia
9940 GRT
9730 kW
Container vessel
MAN B&W
Third Mate
06.08.2012
05.12.2012
DS SCHIFFAHRT
HERCULES
Romania
3795 GRT
2465 kW
Tug
MAN B&W
Deck Cadet
10.11.2011
12.12.2011
ARSVOM ROMANIA
DS AGILITY
Liberia
9940 GRT
9730 kW
Container vessel
MAN B&W
Ordinary Seaman
17.07.2011
10.09.2011
DS SCHIFFAHRT
DS AGILITY
Liberia
9940 GRT
9730 kW
Container vessel
MAN B&W
Deck Cadet
20.02.2011
16.07.2011
DS SCHIFFAHRT
CELIA
Antigua & Barbuda
6264 GRT
5180 kW
Container vessel
MAN B&W
Deck Cadet
10.11.2009
10.04.2010
KRU MARIITIME
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