1. Applicant’s Surname: STANCU Applicant’s First Name: DUCU-CRISTIAN
Rank: C/E Date of birth: 30.12.1968 Age: 47 Place of birth: CONSTANTA
Home address:I.L.CARAGIALE,NO.2A,BL.I2,SC.G,AP.96
Telephone:004 0722928968
Marital
Status:
Single Married
X
Next of kin: STANCU MARILENA Telephone: 0040722871718
DOCUMENTS NUMBER ISSUING AUTHORITY Date Issued Expiry Date
Passport 12839937 CONSTANTA 20.04.2007 20.04.2017
Seaman’s book 16745CT CONSTANTA 01.04.2004 18.01.2017
National COC 57629 CONSTANTA 12.03.2013 17.11.2020
S T C W Endorsement 52854 CONSTANTA 12.03.2013 17.11.2020
Flag Endorsement
Medical Fitness Certificate
TRAINING CERTIFICATES YES NO ISSUING AUTHORITY Date Issued Expiry Date
LIFE-SAVING & FIRE FIGHTING VI / 1-1, 1-2, 1-3, 1-4
BASIC TRAINING A-VI/1 X CERONAV 18.11.2015 2020
PERSONAL SAFETY AND SOCIAL RESPONSIBILITIES A-VI/1
SURVIVAL CRAFT & RESCUE BOATS VI/ 2-1 X CERONAV 20.11.2015 2020
ADVANCED FIRE FIGHTING VI/ 3-1 X CERONAV 2.12.2015 2020
MEDICAL FIRST AID VI/ 4-1
MEDICAL CARE VI/ 4-2 X CERONAV 10.12.2015
RADAR, ARPA, BRIDGE TEAMWORK A-I/12 A-I I/2
WATCHKEEPING II/III
GMDSS (GO) IV/2
PREVENTION OF POLLUTION A-II/1 A-II/2 X CERONAV 12.01.2012 2021
HANDLING OF DANGEROUS CARGOES A-II/1 A-II/2 X CERONAV 15.01.2016 2021
MARITIME ENGLISH A-II/1 A-II/2
TANKER FAMILIARIZATION V/1, 1-7 X CERONAV
SPECIALIZED TANKER FAMILIARIZATION V/1 8-14 X CERONAV 2017
SPECIALIZED CHEMICAL TANKER FAMILIARIZATION V/1 15-21 X CERONAV 2017
ECDIS TRAINING A-II/1 A-II/2
SHIP SECURITY OFFICER TRAINING X CERONAV 2016
BRIDGE/ENGINE TEAM AND RESOURCE MANAGEMENT X CERONAV 2017
SHIP HANDLING AND MANEUVERING SIMULATION A-II/1 A-II/2
ICE NAVIGATION TRAINING
TANKER MANAGEMENT AND SELF-ASSESSMENT
RISK ASSESSMENT AND INCIDENT INVESTIGATION X CERONAV 26.01.2016 2021
SAFETY OFFICER TRAINING X CERONAV 2016
H.E.L.M. X CERONAV 18.12.2015
SPECIALIZED GAS TANKER X CERONAV 2017
MARINE CASUALTY INVESTIGATION X CERONAV 25.01.2016 2021
KNOWLEDGE OF ENGLISH: GOOD
VETTING EXPERIENCE: YES
USA TRANSIT VISA C1-D
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2. PREVIOUS SEA SERVICE - MINIMUM LAST FIVE YEARS
COMPANY VESSEL RANK TYPE FLAG DWT ENGINE TYPE FROM TO REASON FOR SIGNING OFF
NAVIOS TANKERS NAVE AQUILA C/E OIL/CH PANAMA 50000 MAN B&W 18.07.2016 18.11.2016 EOC
FURTRANS FT QUARTO C/E OIL/CH ITALIAN 18000 MAN B&W 05.03.2016 29.06.2016 EOC
FURTRANS FT QUARTO C/E OIL/CH ITALIAN 18000 MAN B&W 21.06.2015 2.11.2015 EOC
FURTRANS FT NERVI C/E OIL/CH ITALIAN 5110 WARTSILA 24.06.2014 13.10.2014 EOC
FURTRANS FT ODIN C/E OIL-CH ITALIAN 3600 B&W 14.12.2013 08.04.2014 EOC
NAVIOS NAVE ORION 2/E OIL-CH PANAMA 47000 MAN B&W 23.05.2013 21.09.2013 EOC
BSM BLUE ROSE 2/E OIL-CH BAH 24112 MAN B&W 02.04.2012 17.07.2012 EOC
STENA ESHIPS AGAMID 2/E OIL-CH MALTA 8473 MAK 28.09.2011 30.11.2001
1
EOC
BSM BLUE ROSE 2/E OIL-CH BAH 24112 MAN B&W 06.03.2011 01.07.2011 EOC
MOTIA FAVOLA 2/E OIL-CH ITALY 25651 MAN B&W 23.05.2010 29.08.2010 EOC
JAMES FISHER SUPREMITY 2/E OIL-CH UK 3859 DIESEL ELECTRIC 31.01.2010 21.03.2010 EOC
JAMES FISHER SPECIALITY 2/E OIL-CH UK 3859 DIESEL ELECTRIC 13.09.2009 05.10.2009 EOC
JAMES FISHER SUPREMITY 2/E OIL-CH UK 3859 DIESEL ELECTRIC 08.08.2009 12.09.2009 EOC
MASTER / OFFICER SUPPLEMENT
RANK C/E APPLICANT’S SIGNATURE:
DATE: 24.11.2016
TOTAL YEARS IN RANK 2 Actual sea service
TOTAL YEARS WITH OPERATOR 3 Calendar years
TOTAL YEARS ON THIS TYPE OF TANKER (as applicable) 15 Actual sea service
TOTAL YEARS ON ALL TYPES OF TANKERS (as applicable) 18 Actual sea service
TOTAL YEARS ON BULK CARRIERS (as applicable) 1 Actual sea service
(use 1 decimal i.e., 2.4 yrs)
PROPOSED BY MANNING OFFICE/AGENT: DATE REVIEWED & APPROVED FOR INITIAL PROCESSING:
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