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APPLICATION FORM
Rank Applied For : Master Surname: Bitlan
Available from:January 2015 Given Name: Robertino Ciprian
Willing to accept lower rank (No): Chief Mate/Mate
Nationality : Romanian
Personal Details
Marital Status : married Religion : ortodox
Weight : 78 Height : 177
Overall Size : 50 Shoes Size : 41
Date of birth : 27. 06. 1967 Place of birth : Constanta
Mother Language : Romanian Other Languages: English ,French
Military Status : Yes From / To : 01.1986-05.1987 Rank: Soldier
Father name : Corneliu Mother Name :Maria
Present Address: 6 Brazemre Court,Appleton Way,Hornchurch,Essex,RM12 4TX, London, UK
Cell phone No.:
00 447438770688
Home Phone No. :
00 441709609714
Email address:
robertino_ciprian@yahoo.com
Wife and children names: Date of birth: Date of Marriage: Next of kin name and address :Bitlan Narcisa Patricea
6 Brazemre Court,Appleton Way,Hornchurch,Essex,RM12
4TX, London, UK
Phone No.: 00 4407459437414
Bitlan Narcisa Patricea 10.04.1972 23.12.1996
Bitlan Vlad 27.06.1997
Documents
Document’s Name Doc. No. Issued on Expires Issuing Authority Issuance Place
Passport 14531295 14.11.2008 14.11.2018 Pol.Constanta Constanta
Seaman’s Book 3557 11.10.2002 20.06.2013 Roumanian Naval
Authority
Constanta
Romanian Certificate
of Competency
Rank
Master,ships
less than 500gt
37688
49431
20.06.2011
31.10.2014
09.03.2016
11.05.2014
Roumanian Naval
Authority
Roumanian Naval
Authority
Constanta
Constanta
Rank
OOW
-unlimited
STCW REG:
II/3, II/1
Certificate Echivalence of Competency-
Master/Skipper-500gt
MCA/MSF-UK Southampton
Endorsement Master 500 gt 31660 20.06.2011 9.03.2016 ANR Constanta
Endorsment OOW -unlimited 46297 31.10.2014 11.05.2014 ANR Constanta
GMDSS GOC 0001268 11.05.2011 10.05.2016 National Authority for
Administration and
Regulation in
Comunication
Bucharest
IMO Courses
Document’s Name Doc. No. Issued on Expires on Issuing Authority
Basic / Advanced Firefighting 00015168 27.05.2011 26.05.2016 Romanian maritime
training centre-
CERONAV
Personal Survival Techniques 00014916 18.05.2011 17.05.2016 CERONAV
Medical Care / First Aid / Elementary
First Aid
00003978 10.06.2011 9.06.2016 CERONAV
Personal Safety and Social Responsibility 00015615 17.05.2011 16.05.2016 CERONAV
Prevention of Pollution of Marine -00012393 24.05.2011 23.05.2016 CERONAV
Environment
Transport and handling of dangerous,
hazardous and harmful cargoes
-00013157 03.06.2011 02.06.2016 CERONAV
Maritime English -00006766 07.06.2011 06.06.2016 CERONAV
ARPA -00003367 01.06.2011 31.05.2016 CERONAV
Proficiency in Survival Craft 00025135- 20.05.2011 19.05.2016 CERONAV
Chart Display and Information
Electronic System
course(ECDIS)
00000012 11/01/2011 11/01/2016 CERONAV
-2/3-
Record of previous service – most recent contracts
Vessel Owner Rank
Ship particulars Dates
Name
Type Flag GRT
Year
Built
Main Engine
From To
Type
Power
(KW)
GeoPlus.nl Master Geo Solution Research/
survey
United
Kindom
28 2005 Volvo penta 2x352 01.12.2014 28.12.2014
GeoPlus.nl Master Geo Solution Research/
survey
United
Kindom
28 2005 Volvo penta 2x352 08.09.2014 03.10.2014
GeoPlus.nl Master Geo Solution Research/
survey
United
Kindom
28 2005 Volvo penta 2x352 16.06.2014 10.08.2014
GeoPlus.nl Master Geo Solution Research/
survey
United
Kindom
28 2005 Volvo penta 2x352 24.03.2014 18.05.2014
GeoPlus.nl Master Geo Solution Research/
survey
United
Kindom
28 2005 Volvo penta 2x352 27.01.2014 24.02.2014
GeoPlus.nl Master Geo Solution Research/
survey
United
Kindom
28 2005 Volvo penta 2x352 02.12.2013 29.12.2013
GeoPlus.nl Master Geo Solution Research/
survey
United
Kindom
28 2005 Volvo penta 2x352 7.10.2013 04.11.2013
GeoPlus.nl Master Geo Solution Research/
survey
United
Kindom
28 2005 Volvo penta 2x352 29.07.2013 9.09.2013
COREMAR Master Alexandria 4 Tug Roumanian 350 1988 Schultzer 2x900 10.08.2012 20.04.2013
Holyhead Towing Master Afon Lligwy Shoalbuster United
Kindom
119 2005 Caterpilar 2x552 09.07.2012 27.07.2012
COREMAR Master Galati 6 Tug Roumanian 340 1990 Caterpilar 2X880 14.01.2012 11.06.2012
COREMAR Master Alexandria 5 Tug Roumanian 350 1989 Schultzer 2x900 01.10.2011 11.12.2011
COREMAR Master Alexandria 4 Tug Roumanian 350 1988 Schultzer 2x900 10.06.2011 20.09.2011
COREMAR Master Zimbrul4 Tug Roumanian 430 1987 Alco 2X1764 10.01.2011 20.05.2011
COREMAR Master Alexandria 4 Tug Roumanian 350 1992 Schultzer 2x900 21.08.2010 08.11.2010
COREMAR Master Galati 7 Tug Roumanian 333 1992 Schultzer 2X882 12.04.2010 16.08.2010
COREMAR Master Coremar 15 Tug Roumanian 92 2010 Caterpilar 2X441 11.11.2009 04.03.2010
COREMAR Master Meteor Tug Roumanian 92 2009 Caterpilar 2X441 23.04.2009 04.09.2009
COREMAR Master Zimbrul3 Tug Roumanian 430 1985 Alco 2X1764 20.07.2005 20.04.2007
COREMAR Captain Galati 6 Tug Roumanian 340 1990 Caterpilar 2X880 05.01.2005 17.07.2005
COREMAR Captain Galati 4 Tug Roumanian 340 1988 Caterpilar 2X880 20.05.2003 15.12.2004
Studies
Type of institution Name Dates Qualifications gained
From To
Professional School / Highschool Romanian Center for Professional
Training of Personnel Navy
(CERONAV),Constanta
“DECEBAL” Highschool
Constanta, Romania
08.01.2001
13.12.1993
1981
26.02.2001
14.01.1994
1985
Master
Maritime – Deck Officer
Baccalaureate Degree
University Naval Academy 2004 2005 -
University UMC / VET 2012 2013 OOW

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Application form Robertino Bitlan2 - Copy (2)

  • 1. APPLICATION FORM Rank Applied For : Master Surname: Bitlan Available from:January 2015 Given Name: Robertino Ciprian Willing to accept lower rank (No): Chief Mate/Mate Nationality : Romanian Personal Details Marital Status : married Religion : ortodox Weight : 78 Height : 177 Overall Size : 50 Shoes Size : 41 Date of birth : 27. 06. 1967 Place of birth : Constanta Mother Language : Romanian Other Languages: English ,French Military Status : Yes From / To : 01.1986-05.1987 Rank: Soldier Father name : Corneliu Mother Name :Maria Present Address: 6 Brazemre Court,Appleton Way,Hornchurch,Essex,RM12 4TX, London, UK Cell phone No.: 00 447438770688 Home Phone No. : 00 441709609714 Email address: robertino_ciprian@yahoo.com Wife and children names: Date of birth: Date of Marriage: Next of kin name and address :Bitlan Narcisa Patricea 6 Brazemre Court,Appleton Way,Hornchurch,Essex,RM12 4TX, London, UK Phone No.: 00 4407459437414 Bitlan Narcisa Patricea 10.04.1972 23.12.1996 Bitlan Vlad 27.06.1997 Documents Document’s Name Doc. No. Issued on Expires Issuing Authority Issuance Place Passport 14531295 14.11.2008 14.11.2018 Pol.Constanta Constanta Seaman’s Book 3557 11.10.2002 20.06.2013 Roumanian Naval Authority Constanta Romanian Certificate of Competency Rank Master,ships less than 500gt 37688 49431 20.06.2011 31.10.2014 09.03.2016 11.05.2014 Roumanian Naval Authority Roumanian Naval Authority Constanta Constanta Rank OOW -unlimited STCW REG: II/3, II/1 Certificate Echivalence of Competency- Master/Skipper-500gt MCA/MSF-UK Southampton Endorsement Master 500 gt 31660 20.06.2011 9.03.2016 ANR Constanta Endorsment OOW -unlimited 46297 31.10.2014 11.05.2014 ANR Constanta GMDSS GOC 0001268 11.05.2011 10.05.2016 National Authority for Administration and Regulation in Comunication Bucharest IMO Courses Document’s Name Doc. No. Issued on Expires on Issuing Authority Basic / Advanced Firefighting 00015168 27.05.2011 26.05.2016 Romanian maritime training centre- CERONAV Personal Survival Techniques 00014916 18.05.2011 17.05.2016 CERONAV Medical Care / First Aid / Elementary First Aid 00003978 10.06.2011 9.06.2016 CERONAV Personal Safety and Social Responsibility 00015615 17.05.2011 16.05.2016 CERONAV Prevention of Pollution of Marine -00012393 24.05.2011 23.05.2016 CERONAV
  • 2. Environment Transport and handling of dangerous, hazardous and harmful cargoes -00013157 03.06.2011 02.06.2016 CERONAV Maritime English -00006766 07.06.2011 06.06.2016 CERONAV ARPA -00003367 01.06.2011 31.05.2016 CERONAV Proficiency in Survival Craft 00025135- 20.05.2011 19.05.2016 CERONAV Chart Display and Information Electronic System course(ECDIS) 00000012 11/01/2011 11/01/2016 CERONAV -2/3- Record of previous service – most recent contracts Vessel Owner Rank Ship particulars Dates Name Type Flag GRT Year Built Main Engine From To Type Power (KW) GeoPlus.nl Master Geo Solution Research/ survey United Kindom 28 2005 Volvo penta 2x352 01.12.2014 28.12.2014 GeoPlus.nl Master Geo Solution Research/ survey United Kindom 28 2005 Volvo penta 2x352 08.09.2014 03.10.2014 GeoPlus.nl Master Geo Solution Research/ survey United Kindom 28 2005 Volvo penta 2x352 16.06.2014 10.08.2014 GeoPlus.nl Master Geo Solution Research/ survey United Kindom 28 2005 Volvo penta 2x352 24.03.2014 18.05.2014 GeoPlus.nl Master Geo Solution Research/ survey United Kindom 28 2005 Volvo penta 2x352 27.01.2014 24.02.2014 GeoPlus.nl Master Geo Solution Research/ survey United Kindom 28 2005 Volvo penta 2x352 02.12.2013 29.12.2013 GeoPlus.nl Master Geo Solution Research/ survey United Kindom 28 2005 Volvo penta 2x352 7.10.2013 04.11.2013 GeoPlus.nl Master Geo Solution Research/ survey United Kindom 28 2005 Volvo penta 2x352 29.07.2013 9.09.2013 COREMAR Master Alexandria 4 Tug Roumanian 350 1988 Schultzer 2x900 10.08.2012 20.04.2013 Holyhead Towing Master Afon Lligwy Shoalbuster United Kindom 119 2005 Caterpilar 2x552 09.07.2012 27.07.2012 COREMAR Master Galati 6 Tug Roumanian 340 1990 Caterpilar 2X880 14.01.2012 11.06.2012 COREMAR Master Alexandria 5 Tug Roumanian 350 1989 Schultzer 2x900 01.10.2011 11.12.2011 COREMAR Master Alexandria 4 Tug Roumanian 350 1988 Schultzer 2x900 10.06.2011 20.09.2011 COREMAR Master Zimbrul4 Tug Roumanian 430 1987 Alco 2X1764 10.01.2011 20.05.2011 COREMAR Master Alexandria 4 Tug Roumanian 350 1992 Schultzer 2x900 21.08.2010 08.11.2010 COREMAR Master Galati 7 Tug Roumanian 333 1992 Schultzer 2X882 12.04.2010 16.08.2010 COREMAR Master Coremar 15 Tug Roumanian 92 2010 Caterpilar 2X441 11.11.2009 04.03.2010 COREMAR Master Meteor Tug Roumanian 92 2009 Caterpilar 2X441 23.04.2009 04.09.2009 COREMAR Master Zimbrul3 Tug Roumanian 430 1985 Alco 2X1764 20.07.2005 20.04.2007 COREMAR Captain Galati 6 Tug Roumanian 340 1990 Caterpilar 2X880 05.01.2005 17.07.2005 COREMAR Captain Galati 4 Tug Roumanian 340 1988 Caterpilar 2X880 20.05.2003 15.12.2004 Studies Type of institution Name Dates Qualifications gained From To Professional School / Highschool Romanian Center for Professional Training of Personnel Navy (CERONAV),Constanta “DECEBAL” Highschool Constanta, Romania 08.01.2001 13.12.1993 1981 26.02.2001 14.01.1994 1985 Master Maritime – Deck Officer Baccalaureate Degree University Naval Academy 2004 2005 - University UMC / VET 2012 2013 OOW