Rank Chief Officer Expected Salary 8550 USD

Last Name Moldoveanu First Name Robert-Adrian

Middle Name Ready From 15.01.2024
E-mail [email protected] Mobile No. +40 726 818 262

APPLICATION FORM
1. PERSONAL DETAILS

Last Name Moldoveanu First Name Robert-Adrian Middle Name

Date of Birth 04.09.1992 Place of Birth Buzau Sex M

Nationality Romanian Marital Status Single Country Romania

Nearest Int.
Weight (kg) 94 Height (cm) 184 Otopeni, Bucharest
Airport
Eyes Color Brown Hair Color Brown Overall / Shoes L/ 43

1.1- PERMANENT ADDRESS 1.2- MAILING ADDRESS (If different of permanent)

Street / No. Str. D4, Nr. 20-22 Street / No.

City/Post Code Mamaia-Sat / 905701 City/Post Code

Province/Country Constanta / Romania Province/Country

Telephone No. +40726818262 Telephone No. +

Mobile No. +40726818262 Mobile No. +

E-mail Address [email protected] E-mail Address

Skype ID Robert_x57 Skype ID

2. FAMILY INFORMATION

2.1- Next of Kin

Full Name Moldoveanu Marcel Relation Father

Telephone +40726201446 Address/Str. # Str. Depozitelor, Nr. 63-69, Bl. 4, Sc. 2, Ap. 18

City Faurei Country Romania

 3. EDUCATION HISTORY (Please fill up starting from highest degree)
Name of the School/University Constanta Maritime University From (Year) 2011
Qualification Degree / Speciality Bachelor's Degree To (Year) 2016
Name of the School/University Constanta Maritime University From (Year) 2016
Qualification Degree / Speciality Master's Degree To (Year) 2019
4. ADDITIONAL QUALIFICATIONS / COURSES
Qualification / Course When (Year) Place
Qualification / Course When (Year) Place
Qualification / Course When (Year) Place
Qualification / Course When (Year) Place
5. LANGUAGES SKILLS 6. COMPUTER SKILLS
Native Language 6.1- Computer Programs
Level
Language Speaking Reading Writing (Word, Excel, Outlook, PowerPoint, etc.)
English fluent fluent fluent Microsoft Office Advanced
German Photo Editing / Photoshop Advanced
French
Spanish
Italian
Russian 6.2-Specific Systems/ Software you are familiar with
5.1- Other Language (Please specify) (BASSnet, NS5, GL Manager, AMOS, ShipSure, Fidelio, IDEA, etc.)
AMOS Medium
VIMS Medium
MACS3 (loading program) Medium
5.2- English Level Certificate Score% Date Loadmaster88 Medium
Bluefleet Medim

7. TRAVEL DOCUMENTS & VACCINATIONS

Documents Number Issue Date Expire Date Issued By / At
National Passport 060919282 27.01.2022 27.01.2032 Constanta
National Seaman’s Passport
National Seaman’s Book 30335CT 16.04.2021 30.08.2027 ANR / Constanta
Medical Certificate 10645 27.11.2023 27.11.2025 Luk Boreal / Constanta
Yellow Fever Vaccination L5135 10.11.2015 - Port Health Autority Lexoes / Portugal
Drug & Alcohol Test
US C1/D Visa P6429371 05.12.2019 03.12.2024 Bucharest
8. NATIONAL LICENSES (Certificates of Competence & Endorsement)
Grade Number Issue Date Expire Date Issued By / At
Chief Officer Unlimited STCW II/2 88178 17.05.2021 05.03.2026 ANR / Constanta
Chief Officer Unlimited STCW II/2 0095234 08.12.2023 05.03.2026 ANR / Constanta
Maritime Port Captain 93220 08.12.2023 05.03.2026 ANR / Constanta
 9. FLAG STATE DOCUMENTS (Endorsement / Seaman’s Book / Others)
Type Rank Number
Country Issued Issued Date Expiry Date
Type Rank Number
Country Issued Issued Date Expiry Date
Type Rank Number
Country Issued Issued Date Expiry Date
Type Rank Number
Country Issued Issued Date Expiry Date
Type Rank Number
Country Issued Issued Date Expiry Date
Type Rank Number
Country Issued Issued Date Expiry Date
Type Rank Number
Country Issued Issued Date Expiry Date
Type Rank Number
Country Issued Issued Date Expiry Date
Type Rank Number
Country Issued Issued Date Expiry Date
10. STCW & OTHER TRAININGS AND VERIFICATIONS
Courses & Certificates Number Issued Date Expiry Date Issued By / At
Basic Safety Training
00038787 31.03.2021 31.03.2026 Ceronav / Constanta
Certificate(4in1)
Proficiency in survival Craft and
00034293 17.11.2023 16.11.2028 Ceronav / Constanta
Rescue Boats
Proficiency in Fast Rescue Boats
Advance Fire Fighting 00022077 07.04.2021 07.04.2026 Ceronav / Constanta
Medical First Aid 00003725 17.06.2016 - Ceronav / Constanta
Medical Care 00009328 15.02.2021 - Ceronav / Constanta

Ship Security Officer 00006213 02.08.2018 - Ceronav / Constanta

Proficiency Security Awareness
Proficiency for Seafarers Designated
00006904 04.11.2013 - Ceronav / Constanta
Security Duties
Instructions for all Seafarers
Marine Environmental Awareness
11. PAX and R0-RO PAX SHIP CERTIFICATES
Courses & Certificates Cert. No. Issue Date Expiry Date Issued By / At
Pax and RO-RO Pax Ships Familiarization 00005413 29.11.2018 29.11.2023 Ceronav / Constanta

Pax and RO-RO Pax Ships Training

12. TANKER CERTIFICATES

Courses & Certificates Number Issued Date Expiry Date Issued By / At

Oil Tanker & Chemical
Tanker Familiarization
Oil Tanker Operational Advance Training
Chemical Tanker Operational Advance Training
Gas Tanker Familiarization
Gas Tanker Operational Advanced Training
13. OTHER CERTIFICATES concerning Deck & Engine Crew
ECDIS (Generic) 00005605 14.10.2016 - Ceronav / Constanta
Bridge Resource Management and Teamwork 7D91441 19.03.2021 19.03.2026 UMC / Constanta
Radar /ARPA
Hazmat (Dangerous Cargoes) 008677 04.12.2020 - Videotel, UK
13.1 ECDIS Type Specific Certificates
Furuno FMD-3100, 3200, 3300 2020-05036 18-08-2020 - Furuno Electric / Japan
121363 /
ChartWorld eGlobe G2 30.07.2018 - Safebridge GmbH / Germany
417597
68545/23248
Transas Navi-Sailor 4000 29.11.2016 - Safebridge GmbH / Germany
1
Eng. Room Resource/Management & Team
Work
Safe Oper. & Maintain of Power Systems
>1000V
Monitoring and Operation of Main and
Auxiliary Machinery and Associated Control
Systems
13.2 ME Main Engine Certificate (MAN B&W, Wartsila, etc.)

14. ADDITIONAL DOCUMENTS / Certificates/Courses (DP, BOSIET, HUET, FOET,H2S,MIST,IOSH,OERTM,etc.)

HELM 00004829 05.02.2021 - Ceronav / Constanta
Ship Safety Officer 00001438 17.03.2021 17.03.2026 Ceronav / Constanta

14.1 Other Visas (Australian (MCV 988), Australian (651 / 771) Chinese, etc.)

15. MEDICAL HISTORY

Illness or Injury Describe the Nature of Illness or Injury Time Frame Current Status
 16. SEA EXPERIENCE (Starting from last contract)
Name of the Ship Year of Reason for
Name of the Vessel Type Flag GT TEU’s Engine Type KW RANK Sign on Sign off
Owner/ Manager Built Sign Off
Oskar Wehr KG (GmbH Marshall 35000 Chief
Birte Selmer Bulk 2011 23432 MAN 8580 15.05.2023 02.11.2023 EOC
& Co.) Islands DWT Officer
Oskar Wehr KG (GmbH Marshall 35000 Chief
Mireille Selmer Bulk 2010 23432 MAN 8580 18.09.2022 07.03.2023 EOC
& Co.) Islands DWT Officer
Oskar Wehr KG (GmbH Marshall 35000 Chief
Klara Selmer Bulk 2011 23432 MAN 8580 17.03.2022 17.07.2022 EOC
& Co.) Islands DWT Officer
MINSHIP
30000 Chief
Shipmanagement GmbH Marguerita Bulk Liberia 2016 19104 Warsilla 5195 06.08.2021 07.01.2022 EOC
DWT Officer
& Co. KG
MINSHIP
30000
Shipmanagement GmbH Marguerita Bulk Liberia 2016 19104 Warsilla 5195 2nd Offier 22.05.2021 06.08.2021 Promotion
DWT
& Co. KG
MINSHIP
30000 2nd
Shipmanagement GmbH Tanja Bulk Liberia 2016 19104 Warsilla 5195 03.08.2020 14.01.2021 EOC
DWT Officer
& Co. KG
5488 2nd
Reederei M. Lauterjung Spiekeroog MPV A&B 2013 4591 MAk 3000 24.01.2020 11.07.2020 EOC
DWT Officer
5488 2nd
Reederei M. Lauterjung Spiekeroog MPV A&B 2013 4591 MAk 3000 12.06.2019 30.09.2019 EOC
DWT Officer
5636 2nd
Reederei M. Lauterjung Esbjerg MPV A&B 2010 4591 Mak 3000 02.08.2018 12.11.2018 EOC
DWT Officer
Carisbrooke Shipping General 12914 3rd
Johanna C UK 2009 9530 MAk 5400 12.01.2018 27.05.2018 EOC
LTD Cargo DWT Officer
17. REFERENCES FROM PREVIOUS EMPLOYERS
Reference No. 1 Reference No. 2 Reference No. 3
Company Name
Name of the Person to contact
Position of the Person to contact
Phone No. + + +
Email address
Website of the Company

DECLARATION:
I hereby declare that the above particulars are true and authorized you to contact the referees listed above.

Seafarer’s Signature: