Application Form

Personal Data

Application ID:59829


Department:	Engine		Nationality:	Poland
Rank:	3rd Engineer		Sea service (years):	1-3
Surname:	Borysiewicz		Nearest airport:	Gda?sk Lech Wa??sa Airport (Rebiechowo Airport)
First name:	Marcin		Place of birth:	Gdynia
Date of birth:			Marital status:
Country of residence:	Poland		Tel. No.:	-
City:	Gdynia		Mobile:	-
Address:	-		Skype:	-
Post code:	81-094		FaceBook ID:	-

Ready for positions

Position	Vessel Type	Salary per month	Duration of contract(Months)
Engine / 4th Engineer	Offshore fleet / Any	TBCEURO	N/A
Engine / 3rd Engineer	Offshore fleet / Any	TBCEURO	N/A
N/A / N/A	N/A / Any	TBCN/A	N/A

Documents

Document	Number	Valid until	Issued By	Issued at	Note
USA VISA C1/D		15.07.2023	N/A	Poland
Seaman's book		N/A	N/A	Poland
National passport		19.06.2017	Government of Poland	Poland
Other Visa		N/A	N/A	Poland

Certificates of competency

Type	Number	Valid until	Issued by	Issue at
Engine Officer – 750 kW propulsion power or more		06.06.2018	Government of UK	United Kingdom
Engine Officer – 750 kW propulsion power or more		06.06.2018	Government of Poland	Poland

Marine training courses / Certificates

Name	Number	Valid until	Issued by	Issue at
MEDICAL FIRST AID		N/A	Government of Poland	Poland
PERSONAL SAFETY & SOCIAL RESPONSIBILITIES		N/A	Government of Poland	Poland
Security Awareness		N/A	Government of Poland	Poland
PROFICIENCY IN SURVIVAL CRAFT AND RESCUE BOATS OTHER THAN FAST RESCUE BOATS		N/A	Government of Poland	Poland
Fire Prevention And Firefighting		N/A	Government of Poland	Poland
TANKER FAMILIAZARIZATION COURSE		05.11.2016	Government of Poland	Poland
PERSONAL SURVIVAL TECHNIQUES		27.05.2019	Government of Poland	Poland

Endorsement

Name	Number	Valid until	Issued by	Issue at	Note
OOW Engineering		06.06.2018	Government of Malta	Malta

Education

Education type	Name	Qualification	Graduated (Completed)	Country
College	GDYNIA MARITIME UNIVERSITY	MASTER OF SINCE Propulsion plant operation engineering	2013	Poland
College	GDYNIA MARITIME UNIVERSITY	ENGINEER ELECTRONIC Faculty of Marine Electrical Engineering	2011	Poland

Languages

Language	Level
English	Intermediate

Test levels Score

Test name	Date	Score	Company	Country	Note
MARLIN’S TEST	31.03.2014	80	C&T Marine Consultants Co. Ltd	Poland

Health certificates

Flage state	Number	Issued date	Issued by	Issue at
INTERNATIONAL		16.06.2015	Marine and Tropical Diseases Center	Poland

Vaccinations

Name	Issued date	Issued by	Issue at
Yellow Fever	15.03.2010	UCMTM Gdynia	Poland

DP Skills

Name	Note
Seismic

DP Experience

DP Systems	Vessels	Engines	PM Systems	Note
Kongsberg	SBL Vessel	Caterpillar	N/A

Sea Service records

#:	From - Till:	Vessel Name:	Flag:	DWT:	Enginie:	BHP:	KW:	GRT:	Type of vsl:	Position:	Company Name:
1	28.09.2013 - 28.01.2014		Malta	N/A	Sulzer	N/A	8520	25719	Multi-Purpose Vessel	4th Engineer
2	02.04.2014 - 17.04.2014		United Kingdom	N/A	Cummins	N/A	719	654	Barge	2nd Engineer
3	17.04.2014 - 27.04.2014		United Kingdom	N/A	Caterpillar	N/A	1896	255	Tug boat	Chief Engineer
4	28.04.2014 - 12.05.2014		United Kingdom	N/A	Caterpillar	N/A	1156	254	Tug boat	Chief Engineer
5	30.07.2014 - 13.12.2014		Singapore	N/A	Mitsubishi	N/A	9960	33601	Multi-Purpose Vessel	4th Engineer
6	25.02.2015 - 25.03.2015		Cayman Islands	N/A	Sulzer	N/A	7260	5061	SBL Vessel	3rd Engineer

Other employments

Company name	Note	Country	From date	To date
Garda Sp.z o.o.	Electronic ( Job during Study)	Poland	01.01.2009	N/A

Next of kin

Full name	Relationship	Country	City	Address	Tel. No.	Mobile	Skype	Email
	Spouse	Poland	Gdansk	-	-	-	-	-

Uniform

Weight	Height	Colour of eyes	Colour of hair	Boots size	Boilersuit size
78	182	Blue	Blond	42	XL