This document contains a seafarer's record of employment for the past 10 years, listing the names of vessels served on, dates of employment, vessel details like type and flag, and crewing agents. It also includes the seafarer's educational background and signature.
1. day month year day month year
ETO 13 3 15 27 8 15 5 14
ETO 3 1 14 11 9 14 8 8
ETO 4 4 13 18 7 13 3 14
ETO 28 9 11 10 5 12 7 18
ETO 26 12 10 16 7 11 6 10
ETO 16 4 10 29 9 10 5 13
ETO 1 12 6 17 5 7 5 16
ETO 10 3 6 14 7 6 4 4
ETO 17 9 5 29 1 6 4 12
ETO 14 4 5 2 8 5 4 12
ETO 13 10 4 6 12 4 1 23
ETO 14 2 4 21 9 4 7 7
ETO 2 12 3 2 2 4 2 0
ETO 19 7 3 15 10 3 2 26
ETO 21 2 3 18 7 3 4 17
ETO 25 5 2 1 12 2 6 3
ETO 18 10 1 18 4 2 6 0
Name, Signature of SeafarerDate
12-01-2016 JOSE VALLENILLA
ESOMA CATIA LA MAR,VENEZUELA 01,08,78 11,12,81 BACHILLER NAVAL: ELECTRONICA
Instituto teresa gerini ROMA, ITALY 01,02,82 30,07,82 TECHNICIAN DIGITAL ELECTRONIC
PART X. SEA SERVICE: List and submit proof of sea service during the last 10 (ten) years
PART XI. NAUTICAL, ENGINEERING OR RADIO SCHOOL AS ATTENDED:
Type of degree of Diploma received upon GraduationName of School Address
From
PARNASO hanseatic shipping co. ltdoil tanker 54827
To
Dates attended
oil tanker
panama
INCIARTE pdv marina s.a.asphalt 15860 venzla
CAURA pdv marina s.a.
PARNASO hanseatic shipping co. ltd
harbor shipping company
DIVINA PASTORA maritima avila sm,ca
bulk carrier 23408 greek
bulk carrier 20000 panama
CHIOS LIBERTY
MV MANUEL GUAL BERNAHARD SCHULTE LTDgeneral cargo 17407 Panama
CHIOS WIND harbor shipping companybulk carrier 23408 greek
NORDANVIND globalship manning c.a.venzla
asphalt 15860INCIARTE pdv marina s.a.venzla
TESEO hanseatic shipping co. ltd
oil tanker 85500MORICHAL pdv marina s.a.venzla
oil tanker 54827 panama
ICARO hanseatic shipping co.ltdpanama
SANTA HELENA hanseatic shipping co. Ltd
oil tanker 25000ALLORO novoship/venezuelan shipmanningpanama
oil tanker 25150 liberia
NAME OF VESSELRANK
Vessel Type
OR
Engine Type
Gross Tone
OR
Kilowatts
FLAG
MV JOSE L CHIRINOS BERNAHARD SCHULTE LTDgeneral cargo 17407 Venezuela
MV JOSE MARIA ESPAÑA
panama54827oil tanker
venzla18000
PERIOD OF SERVICE TOTAL SERVICE
From To
years months days
NAME OF CREWING AGENT/
SHIPPING COMPANY
oil tanker 54827
refinate product 20000
general cargo 17407 Venezuela BERNAHARD SCHULTE LTD