Application Form (El. Engineer)

Application Form (El. Engineer)

Name: Timur	Surname: Yarmukhametov
Date of birth: 09.06.1986	Place of birth: Irkutsk region
Permanent address: Kazan city,Sari Sadikovoy str. 50-10 Tatarstan, 420000
Phone: [phone]
Citizenship: Russian Federation	Expiry date of U.S. visa:
Marital Status:	Single
Next of kin:	Ekaterina Yarmukhametova, Komarova str. 23/60, Zelenodolsk, Tatarstan
Supported children under age of 18	1.
(name, surname, date of birth)	2.
Knowledge of English language:	Very good Good Satisfactory Fair Poor
Other language knowledge:

Education:	From	Till	Type of degree received
College: Osetrosky river college			Secondary special education
Academy: Novosibirsk State Academy of Water Transport			Higher education

National licenses,Flag state passports, licenses, visas and other documents
Document	Number	Issued	Valid	Issued Place
CERTIFICATE OFCOMPETENCY		25.02.2013	31.01.2016	Kholmsk
Passport №:	72 7081607	16.12.2013	16.12.2023	Irkutsk
Seaman’s book		11.03.2014	03.03.2019	Novosibirsk
Seafarer’s identity document		04.03.2014	03.03.2019	Novosibirsk

Certificates of STCW 78/95	No.	Place	Date of issue	Expiry date
Basic Safety Training		Novosibirsk	16.01.2013	16.01.2018
Proficiency in Survival Craft		Novosibirsk	19.01.2013	19.01.2018
Proficiency in Fast Rescue Boats		Novosibirsk	19.01.2013	19.01.2018
Advanced Fire Fighting		Kholmsk	31.01.2011	31.01.2016
Medical First Aid		Novosibirsk	26.01.2013	26.01.2018
Medical Care
GMDSS Certificate
GMDSS Endorsement
Radar Observation & Plotting
Automatic Radar Plotting Aids
Dangerous & Hazardous Cargoes
Hazardous materials
Ships Safety Officer
Ships Security Officer		Kholmsk	14.02.2013	14.02.2018
Isolating Breathing Apparatus
RO-RO Passenger Ship
RO-RO Ship
Oil Tanker Familiarization		Novosibirsk	15.03.2014	15.03.2019
Oil Tanker Specialized Training
Gas Tanker Familiarization
Gas Tanker Specialized Training
Chem. Tanker Familiarization		Novosibirsk	15.03.2014	15.03.2019
Chem. Tanker Specialized Training
Chem. Tanker Endorsement		Taganrog	31.03.2014	31.01.2016
Oil Tanker Endorsement		Taganrog	31.03.2014	31.01.2016
Bridge Resource Management
Vapor Recovery Systems
Refresher & Updating
Maintenance of Electrical and Electronic Engineering

Sea service (during five last years):

VESSEL’S NAME	COMPANY (SHIP’S OWNER OR SHIP’S MANAGER)	FLAG	VSL’S TYPE	DWT	ENG. TYPE	HP	RANK	EMPLOY M/Y	MENT M/Y	TOTAL M
Sakhalin-9	SASCO	Russia	Ro-Ro/ passenger		2*Wartsila 6L32 4x14Д100		El.eng	12.02.11	27.07.11
Sakhalin-9	SASCO	Russia	Ro-Ro/ passenger		2*Wartsila 6L32 4x14Д100		El.eng	12.10.11	13.02.12
Sakhalin-9	SASCO	Russia	Ro-Ro/ passenger		2*Wartsila 6L32 4x14Д100		El.eng	04.05.12	10.09.12
Sakhalin-9	SASCO	Russia	Ro-Ro/ passenger		2*Wartsila 6L32 4x14Д100		El.eng	15.02.13	26.06.13
Tethys	Prime Shipping	Russia	Oil Tanker		2*Wartsila 6L20C	2*930	El.eng	03.03.14	20.08.14

Experience at sea: 3

Knowledge Personal Computer (Yes / No):yes

Medical Certificate № 156	Issued:25.03.2015	Place: Samara	Exp.date: 25.03.2016
Vaccination for cholera valid until:	Vaccination for yellow fever valid until:

Ready to work from:_____15.04.2015_______________

Date: __16.04.2015__ Signature _____________________

Дата добавления: 2015-09-29