APPLICATION FOR EMPLOYMENT Form #:

Maritime Union Application Date:2020-05-01

Personal Data

Application ID:153080
Department: Engine Nationality: Georgia

Rank: Assist. Sea service 5-10

Electrical Eng. (years):
Surname: malakmadze Nearest Batumi Airport (Chorokh Airport)
airport:
First name: shota Place of birth: Batumi

Date of birth: 13.01.1997 Marital status: Not married

Country of Georgia Tel. No.: 558122422

residence:
City: Batumi Mobile: +99558122422

Address: vaja phshavela Skype: shotamalakmadze7

str. 155
Post code: 347265 FaceBook ID: https://www.facebook.com/profile.php?id=100004581918014

Sea Service records

Vessel
#: From - Till: Flag: DWT: Enginie: BHP: KW: GRT: Type of vsl: Position: Company Name:
Name:
Assist.
15.05.2018 - MV Passenger CMI SHIP
1 Bahamas 1860 Kawasaki N/A 1500 19093 Electrical
04.10.2018 Gemini vessel MANEGMENT
Eng.
Assist.
14.02.2019 - MV Passenger CMI SHIP
2 N/A 1860 Kawasaki N/A 1500 19093 Electrical
28.10.2019 Gemini vessel MANEGMENT
Eng.

Print Date:2020-05-01
Page 1
https://maritime-union.com/seafarer/153080