· RANK: 1st Position 2 cl. seaman_/ 2nd Positionany position on pass. Ships_____­­­­­­__

· RANK: 1^st Position 2 cl. seaman _ / 2^nd Position any position on pass. Ships_________­­­­­­______________

PERSONAL DESCRIPTION:

Surname: Ievchev Фамилия:	First Name: Sviatoslav Имя:	Middle name: Emelianovich Отчество:	Citizen: UKR Гражданство:
Date of Birth: 06.05.90.	Place of Birth: Odessa rigion	Total Experience: 2 month Весь опыт работы на судах:
Height: 176 Рост:	Weight: 90 Вес:	Color of eyes: brown Цвет глаз:
Marital Status: Single	Number of Children: NO	English:_Good_ German: good. Bulgarian: good
GENERAL DETAILS:
Documents	Number	Date & Place of Issue	Date of Expire
National Passport:	KM 1381500	17.05.06 – Tayarbunary
Travel Passport:	EE 283503	15.07.08 – Odessa	15.07.18
Seaman's Book	AB 503105	13.07.12 – Odessa	30.07.17

CERTIFICATION/QUALIFICATION according STCW 78/95:

Documents	Grade & Class	Number	Date&Place of Issue:	Expire:
· Certificate of Competency:	II CL. seaman	00463/2012/08	17.07.2012 – Odessa	----
Endorsement:	------------------	00463/2012/08	17.07.2012 – Odessa	31.12.2016
Other Certificate Competency:
GMDSS: IV/2
Endorsement:
ARPA: AI/12
Radar Observer: AI/12
Survival Craft & Rescue Boats:A VI/2	-------------------	1548/12	23.02.2012 – Odessa	23.02.2017
Basic Safety Training: I/11;A VI/1	-------------------	1421/12	23.02.2012 – Odessa	23.02.2017
Advanced Fire Fighting: A VI/3
Medical First Aid: A VI/4
Medical Care: A VI/4
Chemical/Oil/Gas Tank: A V/1
Training for Personnel serving on Ro-RO passengers ships A-V/2	-------------------	3300/12	24.05.2012 – Odessa	31.12.2016
Tanker Familization A-V/1	-------------------	1260/12	24.05.2012 –Odessa	31.12.2016
Marine education: 2012/seaman/Odessa’s professional college of maritime transport High School: Ismail’s State University of the Humanities (foreign languages)

PREVIOUS SEA SERVICE

Vssl's Name:	Type:	Flag:	DW/HP:	Type of ME	Owner's Name:	Rank	From:	To:
«GENUYA»	PASS	UKR	82/600		SKPP «SOLEX»	APPR sailor	06.02.12	06.04.12

Готовность:	NOW	Отметки офиса:
Wagemin ®	1000$	Contract: min – max ®	7+-2 months
Home address:	_ Odessa region. Tatarbunary. Svierdlova 12	Phone: 1)дом. 2)моб. Родств e-mail	______________________ ______________________ _ 0967636249 _ 0975772715 [e-mail]
Identification Code:	3299811334	Y		N
Размер комбинезона: 52	Размер обуви: 42
Next of kin: Ф.И.О. на кого страховка, дата рождения, степень родства:	_ father _____________________________________________________________________Ievchev_Emelian__Michailovich_____ 19.04.1960 ____________________________________________________________________________________________________________
Address next of kin:	Odessa region. Tatarbunary. Svierdlova 12

I, the undersigned, confirm that all details provided on the form are correct.

Дата добавления: 2015-11-04