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Dangerous cargoes certificates.
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| 1.01 | Oil tank. familiarization (A-V/1) | ||||
| 1.02 | Oil tank.Specialized training (A-V/1, p.9-14) | ||||
| 1.03 | Chem. tank. familiarization (V/1) | . | |||
| 1.04 | Chem. tank. advanced (A-V/1, p.16-21) | ||||
| 1.05 | LPG familiarization (V/1) | ||||
| 1.06 | LPG advanced (A-V/1, p.23-34) |
PREVIOUS SEA SERVICES (last 5 years)
| Name of vessel | Year of built | Company | Flag | Type of vessel | DWT | Type of main engine | BHP | Rank | From Day, mont, year | To Day, month, year |
| Another States Seamen’s Books | Rank | Document No | Issued | Valid | Another States Certificates of competency | Rank | Document No | Issued | Valid | |
| Liberia | Liberia | |||||||||
| Panama | Panama | |||||||||
Please complete addresses of your previous employers for references
| Company | «» | Tel: | Company | Tel: | |
| Address | Address |
Signature____________________ Date ________________ I understand, that my working contract will be canceled without notifying if any of submitted information and documents are voted as false.
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FOR OFFICIAL USE ONLY English abilities: Good: Average: Poor:
(To be filled by Company’s authorised personnel) 10 9 8 7 6 5 4 3 2 1
Good spoken and written Understand basic instructions Do not understand basic instructions