APPLICATION FOR EMPLOYMENT

Rom Trust S.R.L.Form F-01-1 - APPLICATION FOR EMPLOYMENT (rev.2 / 20.02.2014)

SC ROM TRUST SRL prelucreaza datele cu caracter personal furnizate de dvs. prin acest document in scopul prezentarii candidaturii dvs. pentru o posibila angajare. Datele vor fi dezvaluite numai potentialilor angajatori. Pe viitor, aceste date ne permit sa va tinem la curent cu activitatea noastra. In cazul in care nu doriti aceasta, nu va vom putea lua in considerare aplicatia si nu va vom inregistra in baza noastra de date. Conform Legii nr.677/2001, beneficiati de dreptul de acces, de interventie asupra datelor, dreptul de a nu fi supus unei decizii individuale. Aveti dreptul sa va opuneti prelucrarii datelor personale care va privesc si sa solicitati stergerea datelor din baza noastra de date. Pentru exercitarea acestor drepturi, va puteti adresa cu o cerere scrisa, datata si semnata la sediul nostru. De asemenea, va este recunoscut dreptul de a va adresa justitiei. Datele dvs. vor fi transferate in statele Uniunii Europene in vederea unei posibile angajari.

Numr Registrul General Autoritatea Nationala de Supraveghere a Prelucrarii Datelor cu Caracter Personal: 22497.

Family Name: neleapcaGiven Name: cristianphoto

Date and Place of birth: 19.10.1978-CONSTANTA

Height (m): 1.76Weight(kg): 92Overall size: 52Shoes size: 43

Wear glasses? NoDioptric left eye: -Dioptric right eye: -

Fathers Name: neleapca gheorgheMothers Name: neleapca sena

Education: crane operator with trade certificateBetween years: 2005Rank/Rating: crane operator at all kind of cranes

Home address: Micsunelelor Street, No.12, Bl.28, Sc.C, Et.1, Ap.31 Constanta, Romania AUTOTEXT " Blank" \* MERGEFORMAT

Phone no.1: +40 723 294 707

Phone no.2 : +40 341 173 393E-mail: cristian.neleapca@yahoo.com

Language proficiency (delete as appropriate)English:goodOther language:frenchworking

MARITAL STATUS: marriedNEXT OF KIN: wifeFamily name: neleapca Given name: carmen

Date/Place of birth: 19.02.1973-constantaRelationship: carmenPhone no.: 0770 967 197

Childrens Name Neleapca bogdan marian Neleapca matei cristian

Date of birth10.08.200506.09.2013

PERSONAL DOCUMENTS No.Place issuedDate issuedValid / Endorsed until

National I.D. CardKT 55 08 74constanta27.02.200619.10.2016

Seamans Book-

Passport14317532constanta26.08.200826.08.2018

USA Visa-

Australian MCV-

Certificate of competency: Rank & Number-

Endorsement -

I.M.O. STCW 78/95 CERTIFICATES CertificateNr.Date issuedCertificateNr.Date issued

Personal survival techniquesProficiency in fast rescue boats

Basic fire-fightingTanker familiarization

Medical first aid Specialization in oil tanker

P.S.S.R.Specialization in chemical tanker

Prevention of pollution MARPOL 73/ 78 Specialization in gas tanker

Transport & handling dangerous, hazardous cargoesBridge/Engine Team & Resource Management

Maritime EnglishShips Handling & Manoeuvring

Proficiency in survival craft& rescue boatsECDIS

Advanced fire-fightingBridge Simulator/Engine Room Simulator

G.M.D.S.S. G.O.C.ISM / ISO Course

Radar navigation, radar plotting, use of A.R.P.A.Ro-Ro / Pass /Ferry

Medical careHygiene course for catering personnel

Ship Security Officer/Security Awareness0001558120.02.2014Ships Cook specialization

Vaccination against yellow fever expire: 19.02.2024

PREVIOUS SERVICE - EXPERIENCE AT SEA BuiltVessels NameFlag TypeDWT/

GRTME/ BHPRankPeriod

from toShips Managers and Crewing Agents

(include telephone number)

2012VECTIS ISLE

U.K.GENERAL CARGO10198 TDWCRANE OPERATOROCTOBER 2013-DECEMBER 2013

FEBRUARY 2014-MARCH 2014

AB CREWING AGENCY

2010M/S STENA VISION

SWEDENCRUISE FERRY39178 TDWELECTRICIANJANUARY-FEBRUARY 2012RHODOS CONSULTING 2004-CREWING AGENCY

Date: 03.04. 2015Applicant signature: