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POSITION APPLIED FOR | Third Officer | Second choice (if any) | Second Officer | ||||||||||||||||||||||||||||||||
Family Name | Vasylyuk | First Name | Maksym | Father's Name | Anatoliyovich | ||||||||||||||||||||||||||||||
Date and place of birth | 14.02.1989/Ukraine | ||||||||||||||||||||||||||||||||||
Seaman's book № | AB 383992 | Issued at | Ilyichevsk | Issued on | 22.05.2008 | Valid | 06.12.2017 | ||||||||||||||||||||||||||||
International pass..№ | EA 444791 | Issued at | Odessa | Issued on | 26.11.2007-26.11.2017 | ||||||||||||||||||||||||||||||
Украинский паспорт № | BK 129932 | Выдан | 13.04.2005 | ОВД | Красноармейск | района, г. | Красноармейск | ||||||||||||||||||||||||||||
Home address | Krasnoarmeysk, Donetsk region, Lazyrnyy district 78/82 | Phone | (062)-3-52-31-07 | ||||||||||||||||||||||||||||||||
Mobile Phone | 063-11-32-847 | E-Mail maksim.vasilyuk@mail.ru | Height 182 Weight 80 | ||||||||||||||||||||||||||||||||
Number of children | Marital status | Single | Wife’s Name | D.O.B. |
| P.O.B. |
| ||||||||||||||||||||||||||||
Next of kin Relation | Mother | Name | Tatyana | Family Name | Vasylyuk | ||||||||||||||||||||||||||||||
Address | Same | Phone | 093-725-96-43 | ||||||||||||||||||||||||||||||||
If different
Pre-sea education
Name of Marine School | Department (Факультет) | Graduated on (Когда закончил) |
Odessa Maritime College after Marinesko ONMA | Navigator | 29.06.2009 |
Certificates of Competency
| № | Grade | Place of issue | Date of issue/validity |
National diploma | 13526/2014/07 | Navigator | Nikolaev,Ukraine | 31.10.2014/29.10.2019 |
Endorsement | 13526/2014/07 | Navigator | Nikolaev,Ukraine | 31.10.2014/29.10.2019 |
НБЖС | Nikolaev,Ukraine | 10.09.2014/10.09.2019 | ||
Certificate of Competency | 11451/2014/07 | Ordinary Seaman | Nikolaev,Ukraine | 31.10.2014/Unlimited |
Basic Training for cargo operations on Gas Tankers | 12328/2014/08 | Navigator | Odessa,Ukraine | 10.12.2014/26.11.2019 |
Basic Training for cargo operations on Oil and Chemical Tankers | 12329/2014/08 | Navigator | Odessa,Ukraine | 10.12.2014/26.11.2019 |
Sea service during at least five years
Rank | Vessel's name | Vessel's type/DWT | Company name | Main Engine/BHP | From | To
| ||
OS | Toulon | General Cargo/5983 | Ukrtramp | 05.07.2013 | 21.01.2014 | |||
AB/J/O | Reymar | Dry Cargo/2901 | SPMG | Mak 6M 453 C/2200 | 08.11.2011 | 11.12.2011 | ||
OS | Seven Seas Voyager | Passenger/48073 | AG Maritime Company | 7000*2 | 02.09.2011 | 12.09.2011 | ||
OS | Seven Seas Mariner | Cruise ship/48075 | AG Maritime Company | MW Wartsila/17000 | 07.04.2011 | 16.04.2011 | ||
OS | Insignia | Passenger/30277 | AG Maritime company | 24.11.2010 | 03.12.2010 | |||
Deck cadet | Normandie | Container/20345 | MSC | Man B&W 5L 80 GFCA/15364 | 08.07.2008 | 10.01.2009 | ||
AB | East | Tug boat/496 | MP Mars | 14.11.2007 | 21.01.2008 | |||
AB | Trud | Tug Boat/177 | G.P.O.M.P Portoflot Odessa | 22.05.2007 | 17.08.2007 |
STCW-95 Certificates
OFFICERS ONLY
|
| № | Place of issue | Date of issue | |
Safety Familiarization,Basic Training and Instruction for all Seafarers | Nikolaev,Ukraine | 10.09.2014 | |||
GMDSS course | 13525/2014/07 | Nikolaev,Ukraine | 31.10.2014 | ||
R.O.P.S. course | |||||
A.R.P.A. course | Nikolaev,Ukraine | 10.09.2014 | |||
Advanced fire-fighting course | Nikolaev,Ukraine | 10.09.2014 | |||
Proficiency in survival craft course | Nikolaev,Ukraine | 10.09.2014 | |||
Medical 1st aid / Ship's medical care | Nikolaev,Ukraine | 10.09.2014 | |||
Bridge Team and Resource Management | Nikolaev,Ukraine | 10.09.2014 | |||
Training of Passenger ship Personnel | Nikolaev,Ukraine | 24.09.2014 | |||
Training in Carrying of Dangerous and Hazardous Substances | Nikolaev,Ukraine | 10.09.2014 | |||
ECDIS | Nikolaev,Ukraine | 10.09.2014 | |||
Designated Security Duties of Shipboard Personnel | Nikolaev,Ukraine | 10.09.2014 | |||
Basic Training for Liquefied Gas tanker cargo Operations | Nikolaev,Ukraine | 24.09.2014 | |||
Basic Training for Oil and Chemical Tanker Cargo Operations | Nikolaev,Ukraine | 24.09.2014 | |||
TELEPHONE / ADDRESS LAST TWO COMPANIES / REASON OF DISCHARGE, REFERENCES: | |||||
+38(0482)346778 +38(0482)7840846
| Odessa,Bazarnaya street 64/Finished contract | ||||
| |||||
VALID VISA: |
| till: |
| ENGLISH: | good | READINESS | 10.09.2015 | MIN SALARY: 800 |
I, the undersigned, confirm that all details provided on the form are correct
Signature: | Vasylyuk M.A | Date: | 17.09.2015 |
Дата добавления: 2015-11-04; просмотров: 15 | Нарушение авторских прав
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Форма заявки | application form | | | Record of personal information and past experience |