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I agree for processing of my personal data in the job application for the recruitment purposes(in accordance with the Personal Data Protection Act dated 29.09.1997 Dz. Ust. No 133, item 883) .
PERSONAL DETAILS:
1. Surname: KOZIBROCKI First name: ROBERT Position: CHIEF ETO or ETO2. Date of birth: 22.08.1970 Place: Kolobrzeg Pesel No: 700822054733. Primary address: 2A, Generala Bema 2 Street City:Kolobrzeg,Poland Postal cd:78-100 Mobile Tel.No: +48-602-526-684, Home Tel No. +48-94-35-20-1764. Next of Kin: Lilia Kozibrocka Relationship: MOTHER Mobile Tel.No: +48-600-630-145, Home Tel No: +48-94- 35-16-454 Address of NOK: 64 A, Jednosci Narodowej 7 Street, 78-100 Kolobrzeg, Poland5. Passport No: EA 9419252 Issue at: Szczecin Issue date: 14.12.2009 Expiry date: 14.12.2019
6. SEAMAN’S BOOK:Country Issue date Expiry date Number PlacePolish 18.01/2011 Indefinite 0248778 GdyniaBahamas 26.05.2010 Indefinite SRB085939 London
Antigua& Barbuda 23.11.2011 23.11.2016 115990
7. LICENCES:Grade of licence Issue date Expiry date Number PlaceMarine Electro Automation Officer 25/09/2014 28/10/2019 SUM-13172-
028641- 704/ 2014Slupsk
Motorman 26.02.2002 Indefinite 020457-28-02 Gdynia
8. HEALTH CERTIFICATE:Country Issue date Expiry date Number Drug & Alcohol Test
International 09/04/2015 09/04/2017 66/ 2015 YES
9. STCW COURSES:Course name Issue date Expiry date Number Class/GradePersonal Survival Techniques 12.01.2011 04.01.2016 SUM-5412-028641-
54/2011F/Fighting 15.03.2001 Indefinite 79523 AdvancedPersonal Safety & Social Resp. 18/07/2013 11/07/2018 SUM-5408-028641-
2128/2013Medical First Aid 30.03.2001 Indefinite UMS-21-028811-
00569/01
Survival Craft & Rescue Boats 19.01.2000 Indefinite 661RHigh Voltage on Ships 22.01.2011 Indefinite 555/HV/2011BOSIET with HUET with OPITO approved
19/09/2012 18/09/2016 84715700190912022
Proficiency for seafarers with designated security duties
19/12/2013 Indefinite SUM- 1351- 028641- 668/ 2013
Proficiency in Security- awareness 19/12/2013 Indefinite SUM- 1350- 028641- 658/2013
Marine Evacuation Chute 02.10.2008 IndefiniteDP Maintenance 19.12.2013 Indefinite DPM68/2213Yellow Fever 30/09/2014 29/09/2024
1
USA Visa B1/OCS 23.03.2007 22.03.2017 83966680
10. LANGUAGESLanguage V.Good Good Average Fair Poor NoneEnglish XRussian X
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EDUCATIONAL DETAILSName of the school Town From To Type of degree or diplomaMaritime University Gdynia 1991 1995 B.Sc. in Electrical Engineering
Technical College Koszalin 1989 1991 Technician Electrician, Elektroenergetyka
SEA SERVICEName of vessel Flag Type of
vesselType of
main engine
DWT or BRT
Power of main
engine HP/KW
Name of shipping company
Crewing agency Rank Date signed
on
Date signed
off
Remarks
OIG GIANT II ANTIGUA NAD BARBUDA
HEAVY LIFT
WITH DP2
2- MAN B& W
10662 12980 CEONA OFFSHORE
V-SHIP POLAND ETO 06/03/2015
03/04/2015
EOC
BRAVE TERN MALTA HIGH POWERE
D JACK-UP WITH
DP2
DIESEL ELECTRIC
4- WARTSILA
15328 16590 FRED OLSEN MARINE SERVICES
NORSPOL ETO 22/10/2014
19/11/2014
EOC
DP GALYNA MALTA EXCLUSIVE ACCO
MODATION
FLOATER WITH
DP2
DIESEL ELECTRIC
3- MAK
1391 TSCHUDI SHIPMANAGEMEN
T
ATLAS PROFESSIONAL
ETO 17/08/2014
15/09/2014
EOC
DP2 SEAMASTER
SAINT VINCENT
& GRENADI
NES
DSV WITH DP2
CATERPILLAR
139 SEAWORKS WRS ETO 27/07/2014
15/08/2014
EOC
BIBBY POLARIS UK DSV WITH DP3
BIBBY OFFSHORE IV OFFSHORE ETO 14/05/2014
29/05/2014
EOC
PRIME QUEEN BARBADOS
PSV WITH DP2
DIESEL ELECTRIC
4-
2777 6880 PRIME GULF INTERNATIONAL
DOEHLE ETO 20/07/2013
03/10/2013
EOC
3
WARTSILACONTI PANAMA SEISMIC
WITH DP2
3- CUMMINS
2349 4300 WESTERN GECO NAUTECH SERVICES
ETO 21/01/2013
26/02/2013
EOC
OCEAN DISCOVERY
BRITISH DRILL WITH DP1
WARTSILA GARDLINE GEOSURVEY
MERCHANT NAVY RESOURCES
ETO 15/03/2012
03/05/2012
EOC
GULMAR ATLANTIS
MARSHALL ISLANDS
DSV WITH DP2
4000 5000 GULMAR CP MARINE ETO 24/08/2011
01/10/2011
EOC
MONTE VERDE GERMANY
HIGH POWERE
D CONTAIN
ER
HSD SULZER 8 RTA 96C- B
71415 62234 COLUMBUS SHIPMANAGEMEN
T
POLARIS ETO 08/05/2011
24/06/2011
EOC
CLIPPER PENNANT
CYPRUS RO-RO WARTSILA 14759 18480 SEATRUCK MAG ETO 21/02/2011
25/03/2011
EOC
DAVIDSON TIDE
VANUATU
PSV WITH
DP2
2- ROLLS- ROYCE
2200 5000 TIDEWATER MARINE
ETO 22/08/2009
31/10/2009
EOC
ALDEN J LABORDE
VANUATU
HIGH POWERED AHTS WITH DP2
DIESEL ELECTRIC 4- EMD 16-
265H7
4544 26400 TIDEWATER MARINE
ETO 12/05/2009
20/06/2009
EOC
ALDEN J LABORDE
VANUATU
HIGH POWERE
D AHTS WITH
DP2
DIESEL ELECTRIC 4-EMD 16-
265H7
4544 26400 TIDEWATER MARINE
ETO 16/01/2009
16/03/2009
EOC
My personal e-mail address: [email protected] and [email protected] and [email protected] Nearest airport: Berlin Tegel (TXL).I am working at the sea from 1994.I was working totally on 56 ships.I am working at sea continuosly more than 8 years.I am working at sea continuosly on offshore vessels 2 years.I was working at sea on 17 of pcs offshore vessels.Skype ID: seabob1.LinkedIn: Robert Kozibrocki
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