[phone] e-mail:serezha. Yakovenko. 1995@mail. Com

[phone] E-mail: [e-mail]

Motorman (Second class) / Wiper

APPLICATION FORM

SURNAME	NAME	FATHER`S NAME
YAKOVENKO	SERHII	ANATOLEVICH
DАTE OF BIRTH	NEXT of KIN	MARITAL STATUS
30.06.1995/Kherson/Ukraine	YAKOVENKO TATYANA - Mother / [phone]	Single
EDUCATION	1. Kherson Marine College of Fishery Industry/ 2012 – till now/ Junior specialist of Engineering/3rd Engineer CoC (Watch Engineer)	English: Good

SEAMEN`S PASSPORT	ISSUED PLACE	ISSUED DATE	VALIDE UNTIL
AB448394	Kherson \ Ukraine	05.03.2014	05.03.2019
INTERNATIONAL PASSPORT	ISSUED PLACE	ISSUED DATE	VALIDE UNTIL
EX723897	Kherson \ Ukraine	06.11.2013	06.11.2023
Height: 171	Weight: 60	Shoes 42	Size 42	Color of eyes: Brawn	Color of hair: Fair

CERTIFICATE of COMPETENCY	ISSUED PLACE	ISSUED DATE	CLASS
№ 10212/2014/11	Kherson / Ukraine	07.04.2014	Motorman (Second class)

CERTIFICATES

CERTIFICATES	№	ISSUED DATE	VALIDE UNTIL	ISSUED PLACE
safety familiarization basic training and instruction for all seafarers	17513/MPS	05/07/2013	05/07/2018	Kherson / Ukraine
Proficiency in survival craft and rescue boats other than fast rescue boats	6865/MPS	05/07/2013	05/07/2018	Kherson / Ukraine
Advanced Fire Fighting	04089/MPS	05/07/2013	05/07/2018	Kherson / Ukraine
Security-related training and instruction for all seafarers	776/MPS	07/02/2014	07/02/2019	Kherson / Ukraine
Designated Security Duties of shipboard personnel	09980/MPS	14/03/2014	14/03/2019	Kherson / Ukraine

Rank	Name of Vessel	Flag	Shipping Co.	Type of vssls	Type of Engine	GT	From	To
MM	TUR	Ukraine	World line LTD	Tug	Sulzer, 2x927 kwt		14.10.2013	16.12.2013
MM	GS-82	Ukraine	DERZHGIDROGRAFIYA		SKL, 2x820 kwt		18.06.2014	10.01.2015

Address: Ukraine, Kherson region, Tsiurupynsk district, Nova Mayachka, str: Telehrafna 17/2

[phone]

[phone]

E-mail: [e-mail]

Date: 05.07.2015 Signature: YAKOVENKO SERHII

Дата добавления: 2015-10-21