GENERAL INFO
APPLICATION FOR
TOTAL SHIP MANAGEMENT
Tel: +38 063 220 28 28 / Mob: +38 095 22 44 001 , +38 098 800 2 444
11 Polskiy Descent, "Marine Business Center-2", Please send your photo separately
6th floor, office 6, Odessa, Ukraine JPG format
Email: cv@tsmexp.com www.tsmexp.com
Rank 1: Rank 2: Minimum Salary:
Surname: Name: Father's name:
Фамилия: Имя: Отчество:
Date of Birth: Place of Birth: Citizenship:
Home Address: Readiness:
Phone, Mobile: E-mail:
DOCUMENTS
Identity Documents Number Place of issue Issued on Expiry date
Travel Passport:
Seaman’s Book:
National Licenses Capacity
Diploma:
Endorsement:
Endorsement is valid for: Oil tanker Chemical tanker Gas tanker
VISAS & ENDORSEMENTS
Identity Documents Issued on Expiry date
US Visa C1/D
US Visa B1 OCS
Schengen Visa
Mexican Visa
Brazilian Visa
Dutch Endorsement
UK CEC Endorsement
Norwegian Endorsement
List of Certificates Cert No Place of issue Issued on
Basic Safety Training
Medical First Aid
Medical Care
Advanced Fire Fighting
Proficiency In Survival Craft
Fast Rescue Boat Leader
ROP/ARPA
ECDIS
G.M.D.S.S.
Manoeuvring & Ship Handling
Ship Security Officer
DP Induction course
DP Advanced course
DP Full course
DP Full course (Limited)
Ro-Ro Passenger Ships
Страница 1
GENERAL INFO
Passenger ships other Ro-Ro
Oil Tanker Familiarization Course
Oil Tanker Specialized Training
Dangerous And Hazardous Substances
Chemical Tanker Specialized Training
Liquefied Gas Tanker Specialized Training
Inert Gas System
Crude Oil Washing
Ship Safety Officer
HUET
Maintenance of electrical and electronic equipment
Bridge Team Management
BOSIET / FOET
High Voltage Certificate
HLO
DP Maintenance Certificate
Offshore Survival
Ship's Crane Operator
Yellow Fever Vaccination
Other certificate:
Other certificate:
Other certificate:
DOCUMENTS ISSUED BY OTHER COUNTRIES:
Education (University, Marine College, etc.) Qualification: Year passed:
Please go to Sea Service page
Страница 2
GENERAL INFO
V 2.1
APPLICATION FORM
Please send your photo separately in
JPG format
Expiry date
Expiry date
Expiry date
Страница 3
GENERAL INFO
Year passed:
Страница 4
SEA SERVICE
SEA SERVICE (starting from the last contract)
Year Type of Gross Sign on Sign off
Name of vessel Flag DWT Engine BHP KW Rank
Built vessel tonnage Date Date
REFERENCES: Next
Relationship Surname, Name DOB
(Please indicate name&contact details of your current and two previous employers) of kin
Name of the Company / Contact Person:
Email ( No.
Name of the Company / Contact Person:
Email ( No.
Name of the Company / Contact Person:
Email ( No.
ADDITIONAL INFORMATION: PERSONAL DETAILS:
Nationalities you worked with: Height, cm: Weight, kg:
Types of cargo you worked with (for tankers ) Color of Hair: Eyes:
Other certificates: Shoes size: Overall size:
Страница 5
SEA SERVICE
Level of English : Marlins Score: Marital status
Where did you hear about our company? Friends: Newspaper: Internet: Other:
Please send your CV to cv@tsmexp.com. Thank you!
Страница 6
SEA SERVICE
Crewing OFFSHORE FLEET ONLY
Shipping Company
Company DP rank DP system
Address/Tel number
Weight, kg:
Eyes:
Overall size:
Страница 7
SEA SERVICE
Страница 8
