NAVIOS TANKERS MANAGEMENT INC

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C026 SEAGOING PERSONNEL APPLICATION AND INTERVIEW RECORD

Code : Last Name : First Name : Father Name : Mother Name : Seman Book No : SB Place : SB Issue Date : SB Expiry Date : Date of Dirth : Place of Birth : Marital Staus : 1 Child : Wife Name : Phone Number : Address : City : Zip Code : Country : E-mail : status@statusconstanta.ro First Contact : Agent : 0 FOLDER NAME: Remarks : Rank : Nationality: 6 16

Seman Passport No : PS Place : PS Issue Date : PS Expiry Date : Tax Office : Tax Pin : Identity No :

Next of kin : Relation : Address : City : Zip Code : Phone Number : Bank Details :

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Weight : Nation 27 76 64 42 77 80 4 9 60 85 18 84 52 54 53 58 0 13 55 15 72 0 0 0 0 0 Read 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Write 3 0 3 0 Speak 3 0 No

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Certificates 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 4 0 0 0 0 0 Language 1 0

PREVIOUS SEA SERVICE Ship Name Type Engine Dwt/Bhp Owner Rank Date On Date Off Reason Sign-Off Company / Telephone

Applicant Name : Crew Manager Application Review Name

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RANK 1 2 3 4 6 7 8 9 10 11 12 13 14 15 16 18 19 20 21 23 24 25 26 27 28 31 32 44 45 46 47

CERTIFICATE - NATION 9 10 11 12 13 14 15 CHINA GEORGIA BULGARIAN MALDIVIAN UKRAINE RUSSIAN PANAMANIAN

SEAMAN - NATION 1 2 3 4 5 6 7 8 16 17 18 19 BULGARIAN CHINA EGYPTIAN GEORGIA HELLAS MALDIVIAN TURKISH UKRAINE ROMANIA PHILIPPINIAN POLISH RUSSIAN 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 5 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 43 70 83 69 1 2 3 4 5 6 7 8 9 10 11 13 14 41 15 16 42 18 19 20 44 45 46 47 48 49 52 53 54 55 56 57 58 59 51 60 61 62 63 64 65 66 67 68 75 76 77 78 79 80 84 86 82 71 85 72 73 74

CERTIFICATES National Licence National Licence Master National Licence C/O National Licence 2/O National Licence 3/OFF National Licence C/ENG National License 2/Eng National License 3/Eng National License 4/Eng National Licence Electr National License Boatswain National License Able Seaman National License Motorman National License Wiper National License Ordin.Seaman National License Chief Cook National License Ass.Cook National License Messman National License Fitter National dispensation for greeks viii CRANE OPERATOR JRC ECDIS LIBERIA VI/1 BASIC SAFETY TRAINING VI/2 SURVIVAL CRAFT,RESERVE BOATS AND FAST RESERVE BOATS ADVANCED FIRE FIGHTING MEDICAL CARE GMDSS CERTIFICATE NATIONAL RADAR COURSE ARPA MEDICAL FIRST AID PANAMA CERTIFICATE PANAMA GMDSS CERTIFICATE MEDICAL CERTIFICATE TANKER TRAINING B-V/4CARRIAGE OF DANGEROUS & HAZARDOUS SUBSTANCES VACCINATION YELLOW FEVER VACCINATION OF CHOLERA ENGINE SIMULATOR B-V/5: HAZMAT (HAZARDOUS MATERIALS) SHIP SECURITY AWARENESS ISM MALTA CERTIFICATE MALTA GMDSS MEDICAL CARD PANAMA AUSTRALIAN MARITIME VISA MAINTENANCE OF ELECTR AND ELECTR ENGINEERING PANAMA SSO GENERAL TANKER CHEMICAL TANKER OIL TANKER CERTIFICATE PRE-JOIN DRUG & ALCOHOL TEST CLASS WELDER CERTIFICATE FAST RESCUE BOAT RISK ASSESMENT AND INCIDENT INVESTIGATION MARSHAL ECDIS PROFICIENCY IN SURVIVAL CRAFT AND RESCUE BOAT BRM - BRIDGE RESOURCE MANAGEMENT IDENTIFYING POTENTIAL HAZARDS & RISK ASSESMENT SHIP SIMULATOR AND BRIDGE TEAMWORK ENGINE RESOURCE MANAGEMENT BRIDGE TEAM MANAGEMENT ENGINE ROOM SIMULATOR DECK CRANE OPERATION CAYMAN ISLANDS SHIPPING REGISTRY NAVIG.WATCHKEEPING A-II/1 or A-II/2 or A-II/4 E/R WATCHKEEPING A-III/2 or A-III/1 PERSONAL SURVIVAL TECHNIQUES VI/1 #1 FIRE PREVENTION & FIRE FIGHTING VI/1 # 2 ELEMENTARY FIRST AID VI/1 # 3 PERSONAL SAFETY & SOCIAL RESPONSIBILITIES VI/1 #4 MARITIME ENGLISH SHIP SECURITY OFFICER SAFETY OFFICER ON BOARD SHIP HANDLING PREVENTION OF POLLUTION OF THE MARITIME ENVIRONMEN USA SEAMAN BOOKS PASSPORT

MARITAL STATUS MARRIED SINGLE DIVORCED WIDOWED 247 568 1105 1260 1472 2045 3078 3079 3080 3081 3082 3083 3084 3085 3086 3388 3818 3928 3955 5019 7494 7680 7708 7796 7934

AGENT INTEGRATED SERVICES JANI GEORGIEV CO. GEOMAR INTERNATIONAL SERVICES INTERORIENT ASPIDA TRAVEL SAFWAT SHIPPING CO.LTD Odessa Intermarine Agency Ltd LIRA MARITIME AGENCY LTD. KINDOS MARINERS ELVICTOR LTD GOLDEN ANCHOR JANI GEORGIEV MASES GOOD FAITH SHIPPING QUEENSWAY Seafirst Marine Services HIO_INV_LUBS_PRICES BRIGHT MARITIME SAFWAT Intercrew & Trading Co Ltd EPSILON HELLAS LTD NEMO SHIPPING POLARIS MARITIME SERVICES LTD SKIPPERS UNIVIS LTD

LANGUAGES 1 ENGLISH

LANGUAGES RW 2 3 4 5 EXCELLENT GOOD FAIR BAD

MSTR C/OFF 2/OFF 3/OFF C/ENGR 2/ENGR 3/ENGR 4/ENGR ELECTRICIAN BOSUN A.B. O.S. OILER WIPER FITTER COOK ASS.COOK M/BOY SUP.INTD PASSENGER E/CADET D/CADET GENERAL PURPOSE GALLEY BOY CATERING BOY PUMPMAN CAT. ASS DOUBLE UP MASTER DOUBLE CHIEF OFFICER DOUBLE CHIEF ENGINEER DOUBLE SECOND ENGINEER