Application Form (Officer) Position: Third Mate

Application Form (Officer) Position: Third Mate

Name: Dmitrii	Surname: Chikunov
Date of birth: 18/04/1990	Place of birth: Kerch
Permanent address: 96 Sadovaya st., Ejskoe Ukreplenie, Krasnodar region, Russian Federation
Phone: [phone]
Passport (OVIR) №:75 1714047	Place of issue: Krasnodar region	Date of issue: 24/06/2015	Valid until: 24/06/2025
Seaman’s book №: MK 0171655	Place of issue: Novorossiysk	Date of issue: 13/10/2015
Passport:39 14 608674	Place of issue: the Federal Migration Service
Seafarer’s identity document	Place of issue: Novorossiysk	Date of issue:13/10/2015	Valid until: 12/10/2020
Citizenship: Russian	Expiry date of U.S. visa:
Marital Status:	Married Single Divorced Widower
Next of kin: (name, pas. No)
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:	Qualification:	No Diploma	Date of Issue
College:
Academy:	Specialist Navigation		01/03/2013

Certificates of STCW 78/95	No.	Place	Date of issue	Expiry date
CERTIFICATE OF COMPETENCY		Novorossiysk	29/09/2015	31/12/2016
ENDORSEMENT		Novorossiysk	29/09/2015	31/12/2016
Basic Safety Training		St.Petersburg	18/11/2015	18/11/2019
Proficiency in Survival Craft and other than Fast Rescue Boats		St.Petersburg	21/11/2014	21/11/2019
Advanced Fire Fighting		Kerch	07/10/2013	07/10/2018
Medical First Aid on board ship		Kerch	07/10/2013	07/10/2018
GMDSS Certificate		Novorossiysk	29/09/2015
GMDSS Endorsement		Novorossiysk	29/09/2015	07/10/2018
Radar Navigation, Radar Plotting and use of ARPA		Kerch	07/10/2013	07/10/2018
Carriage of Dangerous and Hazardous substances		Kerch	07/10/2013	07/10/2018
Training of seafarers with designated security duties		St.Petersburg	20/11/2014	20/11/2014
Oil, Liquid chemicals		Novorossiysk	29/09/2015	07/10/2018
Operational use of electronic chart display and information system (ECDIS)		Kerch	07/10/2013	07/10/2018

Flag state passports, licenses, visas and other documents
Document	Number	Issued	Valid	Issued Place
Seafarer’s Book, Antigua and Barbuda w.i.		22/06/2012	21/06/2017
Seaman’s seagoing service record book	02216/2008/25	11/06/2008		Sevastopol

Sea service (during five last years):

Name of vessel	COMPANY	HP/DWT	Flag	Type	Position	Period of service
From	To
Kerchenskiy-2	Kerch Ferry port		Ukraine	RO-RO	Seaman apprentice	01/07/08	21/09/08
EYSK	Kerch Ferry port		Ukraine	RO-RO	Seaman apprentice	08/07/09	05/10/09
EYSK	Kerch Ferry port		Ukraine	RO-RO	Seaman apprentice	01/08/10	27/01/11
Ocean Voyager	Ocean Tankers	108.929	Singapore	Oil Tanker	Ordinary seaman	05/07/12	07/02/13
Ocean Voyager	Ocean Tankers	108.929	Singapore	Oil Tanker	Junior Officer	25/07/13	26/12/13
Sanar - 7	Sunor LTD	113.424	Valletta	Oil Tanker	Ordinary seaman	29/03/14	18/07/14
Sanar – 8	Sunor LTD	113.424	Valleta	Oil Tanker	3rd officer	28/12/14	18/05/15

Experience at sea:

Knowledge Personal Computer (Yes / No):YES

Medical Certificate №	Issued:27.03.14	Place:Kerch	Exp.date:27.03.2015
Vaccination for cholera valid until:	Vaccination for yellow fever valid until: 09/06/2009

Ready to work from: 21/10/2015

Your last salary – 3500 $

Expected salary -

Date: 21/10/2015

Дата добавления: 2015-11-04