APPLICATION FORM
Position applied for: OS Minimum acceptable salary: 500
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Position applied for: АВ | Date available: 15.05.2013 | |||||
Surname | Shcheglov | |||||
name | Dima | |||||
Father's Name | Alekseevich | |||||
Date and place of birth: | 16.11.1993 | |||||
Address: Ukraine | City: Nova Kahovka | Str. Pobedy | ||||
Personal civil code: | House: 20 Apt.: 30 | Mob +380 50 940 29 24
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E-Mail: shcheglov.dima@mail.ru | ICQ: | SKYPE: | ||||
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TITLE OF THE DOCUMENT | INSTITUTION | PLACE | CERT.NO | DATE ISSUED | VALID UNTILL | |
Civil Passport |
| Kherson | MP3607776 | 24.11.2011 |
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Travel. Passport |
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Seaman’s Book | The Kherson Port | Kherson | AB500485 | 16.05.2012 | 16.05.2017 | |
Certificate of competency | The Kherson Port | Kherson | 00109/2014/11 | 05.02.2014 | 22.10.2015 | |
Rank | Ordinary Seamen (OS) | |||||
Endorsement | The Kherson Port | Kherson | 00109/2014/11 | 05.02.2014 | 22.10.2015 | |
Others Professional license |
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Rank |
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Endorsement |
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GMDSS (GOC) Certificate |
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GMDSS Endorsement |
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Radar Observer and Plotting |
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ARPA |
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Basic Safety (incl Pers.Safety & Social Resp.) | Marine Pro Service | Kherson | 6961/MPS | 22.10.2010 | 22.10.2015 | |
Medical First Aid or Medical Care | Marine Pro Servise | Kherson | 2673/MPS | 05.07.2013 | 05.07.2018 | |
Basic Fire Fighting or Advanced Fire Fight. | Marine Pro Servise | Kherson | 04076/MPS | 05.07.2013 | 05.07.2018 | |
Proficiency In Survival Craft & Rescue Boats | Marine Pro Service | Kherson | 16635/MPS | 22.10.2010 | 22.10.2015 | |
Fast Rescue Boats |
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Hazardous cargoes (solid and bulk) | Marine Pro Servis | Kherson | 5462/MPS | 12.04.2013 | 12.04.2018 | |
Ship Security Officer(ISPS/SSO) | Odessa Maritime Training Centre | Odessa | 3471/14KH | 19.02.2014 | 19.02.2019 | |
Bridge Team Management |
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Bridge Resources Management |
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Ship Handling Simulator |
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Electronic charts |
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ISM Code |
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Training on Ro-Ro Passenger ships | Marine Pro Servis | Kherson | 2277/MPS | 05.07.2013 | 05.07.2018 | |
Training on Pass. ship other than Ro-Ro |
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Crowd Management |
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Oil Tanker Familiaris. or Specialized |
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Liq.Gas Tanker Familiaris. or Specialized |
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Chem. Tanker Familiaris. Or Specialised |
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C.O.W. / I.G.S. |
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Maintenance of electronic and electrical eqp. |
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Yellow fever Vaccination |
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Second (relative) specialty |
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English knowledge: | Good | |||||
Welding skills | Yes | |||||
Experience with mixed Nationality crew | No | |||||
Valid USA visa | No | |||||
MARINE EDUCATION RECEIVED
NAME OF SCHOOL | FROM | TILL | TYPE OF DEGREE RECEIVED |
Kherson Marine College Fishing Industry | 01.09.2009 | 06.07.2013 |
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REFERENCES
NAME OF COMPANY | CREWING AGENT | CONTACTS |
Impuls LTD Dnepropetrovsk | Sea Star Kherson | 17 Krasnoflotskaya str., Kherson |
ADDITIONAL INFORMATION
Marital status: Married/Single | Single | ||||
Wife (Name, First name, Date and place of birth) |
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Children under the age of 18 (names, date of birth) |
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Children under the age of 18 (names, date of birth) |
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Physical details: | Height: 176 | Weight: 76 | Overall: | Shoes: 43 | |
PREVIOUS SEA EXPERIENCE (FOR LAST 10 YEARS):
RANK | NAME OF THE VESSEL | TYPE VESSEL | YEAR OF BUILD | DWT | TYPE OF THE MAIN ENGINE | FROM | TILL | Owner COMPANY |
FLAG | HP | |||||||
OS
| Alvadi - 1 | Dry Cargo | Skoda 2*700 | 01.09.2012 | 04.02.2013 | Impuls LTD | ||
Ukraine | ||||||||
OS | м/б TUR | TUG | 2*927 | 12.08.2013 | 14.11.2013 | World Lines LTD | ||
Ukraine |
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Дата добавления: 2015-08-27; просмотров: 88 | Нарушение авторских прав
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