CV | Novelty

Application Form

Novelty Shipmanagement S.A. application form must be written in English

PERSONAL DATA

POSITION APPLIED FOR * DATE AVAILABLE

NAME* SURNAME*

DATE OF BIRTH PLACE OF BIRTH

CITIZENSHIP MARITAL STATUS

HEIGHT WEIGHT

SHOES SIZE OVERALL SIZE

CONTACT DETAILS

STREET

CITY ZIP CODE

REGION / STATE COUNTRY

LOCATION AT PRESENT

PHOTO E-MAIL *

PHONE NUMBER * PHONE NUMBER 2

Family

	Name	Permanent address	Contact
Parents
Wife
Children
Next of kin

Education

	Name of education establishment	From	To	Obtained Education / Specialty
Vocational education
College
Bachelor degree
Master degree

Passport

Passport	License №	Issuing authority	Date of issue	Validity up
National
International
International Biometric

Seaman’s books, Endorsement

		License №	Issuing authority	Date of issue	Validity up
Seaman’s books	National
Seaman’s books	Marshall Islands
Seaman’s books	Others
Endorsement	Malta
Endorsement	Marshall Islands

Certificates

Document’s name	Regulation of Convention	License №	Issuing authority	Date of issue	Validity up
Certificate of Competency	A-II/2
Endorsement to CoC	- « -
Certificate of Competency	A-II/1
Endorsement to CoC	- « -
GMDSS Certificate General	A-IV/2
GMDSS Endorsement	- « -
Certificate of Competency	A-III/2
Endorsement to CoC	- « -
Certificate of Competency	A-III/1
Endorsement to CoC	- « -
Certificate of deck ratings	A-II/5
Certificate of deck ratings	A-II/4
Certificate of engine ratings	A-III/5
Certificate of engine ratings	A-III/4
Certificate of Competency	A-III/6
Safety Familiarization, Basic Training and Instruction for all Seafarers	A‐VI/1
Proficiency in Survival Craft & Rescue Boats other than Fast Rescue Boats	A‐VI/2
Advanced Fire Fighting	A‐VI/3
Medical First Aid on Board Ship	A‐VI/4-1
Medical Care on Board Ship	A‐VI/4-2
Ship's Safety Officer	A‐II/2, A‐III/2
Ship's Security Officer	A‐VI/5
Security – Related Training	A-VI/6-1
Designated Security Duties	A‐VI/6-2
Carriage of Dangerous & Hazardous Substances (HAZMAT)	A‐II/2
Radar Navigation ‐ Management Level (ARPA, Bridge Teamwork, Search & Rescue)	A-II/2
Radar Navigation ‐ Operational Level (ARPA, Bridge Teamwork, Search & Rescue)	A-II/2
Operational Use of Electronic Chart Display and Information System ECDIS (Generic)	A-II/2
SIMRAD MARIS ECDIS900 MK5MK15 (Training Course)	A-II/1, A-II/2
Bridge Team & Resource Management ‐ Management Level	A‐VIII/2
Bridge Team & Resource Management ‐ Operational Level	A‐VIII/2
Engine Team & Resource Management ‐ Management Level	A‐VIII/2
Engine Team & Resource Management ‐ Operational Level	A‐VIII/2
Ship's Cook Certificate	ILO

Level English test

English language knowledge
Computer proficiency

SEAGOING EXPERIENCE (LAST VESSEL IN THE BEGINNING)

NN	IMO	VESSEL'S NAME	VESSEL'S TYPE	DWT (3 TO 6 DIGIT NUMBER)	ENGINE TYPE	HP OR KW (3 TO 7 DIGIT NUMBER)	POSITION / RANK	FROM DD/MM/YYYY	TILL DD/MM/YYYY	CREWING AGENCY	SHIP MANAGER / SHIPOWNER
1
2
3
4
5
6
7
8
9
10

Please give any additional details you feel we should know in connection with your application

I, undersigned, confirm all above information to be true and correct to my best knowledge.
According to the Law “The security of personal information”,
I give my consent to process my personal information indicated in this application form with the purpose of possible employment on foreign vessels. I have been familiarized to the rights and obligations of the parties as per the Law “The security of personal information”.

I hereby confirm that the information of my personality and personal data provided by me are true and I do not object to their checking by any lawful way.

I hereby confirm that my personal details are contained herein are for public use.

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