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MAERSK APPLICATION FORM Popa Laurentiu

The employment application form provides personal and professional details of Laurentiu Nicusor Popa, including his contact information, education history, certifications, medical fitness, sea service experience as a 2nd and 3rd officer on bulk carriers over the past 10 years, and availability to start service on October 14, 2020. A passport photograph is requested to be attached to the completed form.

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Laurentiu Nicusor Popa
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616 views3 pages

MAERSK APPLICATION FORM Popa Laurentiu

The employment application form provides personal and professional details of Laurentiu Nicusor Popa, including his contact information, education history, certifications, medical fitness, sea service experience as a 2nd and 3rd officer on bulk carriers over the past 10 years, and availability to start service on October 14, 2020. A passport photograph is requested to be attached to the completed form.

Uploaded by

Laurentiu Nicusor Popa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Maersk Line UK Ltd .

The Plaza, 12th Floor, 100 Old Hall Street, 


Liverpool, L3 9QJ, United Kingdom.
Tel: +44 20 3322 2534

EMPLOYMENT APPLICATION FORM

1. PERSONAL DETAILS
Surname: Popa First name: Laurentiu Nicusor Job Application no: MSK.017.20
Date of birth: 07/06/1986 Place of birth: Braila Nationality: Romanian
Permanent Address: Str Dorobantilor, No 48, Bl. A55, Sc.3 , Ap. 103, City Braila, Romania
Phone No: WhatsApp No: +40755075343 Email:
+40755075343 [email protected]

2. GENERAL DETAILS
Document Number Date of issue Place of Date of
issue Expire
Passport 056054078 09/07/2018 Braila 09/07/2023
Seaman’s Book 24281CT 22/07/2016 Constanta 18/02/2021

3. CERTIFICATES / QUALIFICATIONS
Grade/Class Number Date of issue Place of Date of
issue expire

Certificate of Chief Mate –On ships of 3000GT 81250 29/05/2018 Constanta 18/05/2021
Competency: or more
GOC/ GMDSS: General Operator for GMDSS 9780 24/03/2017 Constanta 24/03/2022

4. EDUCATIONS
Date from Date to Marine Academy (College) Certificates Obtained
2007 2011 Maritime University, Bachelor diploma in Naval Engineering and
Constanta (Romania) Navigation

2014 2016 Maritime University Master degree in Management and Engineering


in the operation of terminals and maritime
Constanta (Romania) vessels at the Constanta Maritime University

5. ATTENDED DETAILS OF COURSES


Course No of Certificate Date of issue Place of issue Date of expire

Basic Safety Training (STCW VI/1) 00032072 30/09/2020 Romania 30/09/2025


Advanced Fire Fighting 00016838 11/09/2020 Romania 11/09/2025
Survival Craft & Rescue Boats 00011693 13/02/2018 Romania 13/02/2023
Medical First Aid
Medical Care 00004043 04/07/2016 Romania Unlimited
SSO (ISPS Code) 10283 22/07/2016 Romania Unlimited
Radar Observation 00000827 17/05/2017 Romania 17/05/2022
ARPA 00000827 17/05/2017 Romania 17/05/2022
Hazmat for US
Dangerous Goods
Electronic Charts (ECDIS) 00001730 25/10/2013 Romania Unlimited
Crowd Management Training

6. Flagstate seaman’s book (even expired)


State No of SBK Date of issue Place of issue Date of expire
Republic of Liberia 1193673 01/08/2015 Virginia, U.S.A 01/08/2020
Endorsment of Liberia 1103054 07/20/2018 05/18/2021
Endorsment of Malta 115690 03/22/2019 Romania 05/18/2021

7. MEDICAL FITNESS
Date of issue Place of issue Date of expire
Health Certificate Medical and Psychological Fitness 02/18/2019 Romania 02/18/2021
Certificate
Yelow Fever 05/13/2010 Romania Unlimited

8. PERSONAL DATA
Color of Eyes Color of Hair Height Weight Size of Overall Size of shoes
Brown Brown 1.80m 95kg XL 43

9. KNOWLEDGE OF LANGUAGES
(Indicate the level of your languages skills (3 = fluent, 2 = business, 1 = passable, 0 = very limited or none at all)
Speaking Reading Writing
English Good Good Good
German
Spanish
Danish
Other

10. MARITAL STATUS: married, single, divorced, separated, widowed


Marital status: Married
Spouse Full Name: Popa Daniela
Address, Phone: Str Dorobantilor, No 48, Bl. A55, Sc.3 , Ap. 103, City Braila, Romania ; +40758555158
Number of children under 18 y.o: 1

11. CONFIDENTIAL INFORMATION FOR OFFICE USE ONLY


Full Name of Next of Kin: Popa Daniela Relationship:
Address of Next of Kin: Str Dorobantilor, No 48, Bl. A55, Sc.3 , Ap. 103, City Braila, Wife
Romania ; +40758555158

12. SEA SERVICE (for last 10 years)


FROM: TO: Name of Blt Flag GRT KWT Type of Rank Owner or
dd.mm.yy dd.mm.yy ship yyyy Engine ship Managers
type
17.01.202 16.07.2020 Intrepid 2005 Malta 30046 7800k Bulk 2nd Orion
0 W Carrier Officer Reederei
MAN
B&W
6S50MC
09.03.201 10.09.2019 Concordia 2011 Malta 43069 10150k Bulk 2nd Orion
9 W Carrier Officer Reederei
MAN
B&W
5S60MC
29.07.201 11.11.2018 Bellatrix 2006 Liberi 40424 9319k Bulk 2nd Orion
8 a W Carrier Officer Reederei
MAN
B&W
5S60MC
12.07.201 03.02.2018 Hero 2010 Liberi 91373 14331k Bulk 2nd Orion
7 a W MAN Carrier Officer Reederei
B&W
6S70MC
09.09.201 16.02.2017 Cymona 2011 Malta 91374 14331 Bulk 3rd Orion
6 Iron kW Carrier Officer Reederei
(Rugia) MAN
B&W
6S70MC

AVAILABLE FOR SERVICE FROM: 14.10.2020


Note: Do not return this employment form without a passport photograph attached to it.

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