Marital Status: Next of Kin
Marital Status: Next of Kin
Marital Status: Next of Kin
(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:
Date and Place of birth:
Height (m):
Wear glasses?
Yes/No
Given Name:
Weight(kg):
Dioptric left eye:
Overall size:
Dioptric right eye:
Fathers Name:
Mothers Name:
Education:
Between years:
Home address:
Phone no.1:
Phone no.2 :
Language proficiency (delete as appropriate)
English: working good
MARITAL STATUS:
Date/Place of birth:
Childrens Name
Date of birth
PERSONAL DOCUMENTS
National I.D. Card
Seamans Book
Passport
USA Visa
Australian MCV
Certificate of competency:
Rank & Number
Endorsement
NEXT OF KIN:
No.
Shoes size:
photo
Rank/Rating:
E-mail:
fluent
working
Other
language:
Family name:
Relationship:
Place issued
fluent
Given name:
Phone no.:
Date issued
I . M . O . S T C W 7 8 / 9 5 C E RT I F I C AT E S
Nr.
Date issued
Certificate
Certificate
good
Nr.
Date issued
P R E V I O U S S E RV I C E - E X P E R I E N C E AT S E A
Vessels Name
Date:
Flag
Type
DWT/
GRT
ME/ BHP
Rank
Period
from to
Applicant signature: