Dnepropetrovskaya 98,28 . Odessa

APPLICATION FORM

Photo

Position Applied for

El.eng

Alternative

El.eng/ASST

Family name

IUZYK

Given name

VOLODYMYR

Fathers name

ANDREY

Date & place of birth

05-July-1992 Odessa/Ukraine

USA visa valid till

15.06.2020

Height 188 cm

Weight…95... kg

Overall size 58

Shoes size 44

Addres

Street

Dnepropetrovskaya 98,28. Odessa

City/Country

Odessa/Ukraine

Airport(s)

Tel:

[phone]

Mobile

[phone]

E-mail:

[e-mail]

Next of Kin

Name / Relationship

Oksana/Mother

Date of birth

04.09.1974

Street

Zabolotnogo 13,40

City/Country

Odessa/Ukraine

Tel

711-29-07

Mobile

E-mail:

Name of School / Academy attended

Address

Dates attended

Type of Degree & Diploma

From

To

Received upon Graduation

OMCTF

Marazlievskaya 40/42

Electrical Engineer

SEA SERVICE (from latest to previous)

NAME of VESSEL	Position	Vessel’s type	Engine type	Flag	Company	Period of service
DWT	HP	Year of built	Crew Agent
chohira	cadet	General Cargo		ukr	Nasser maritime	06.07. 2010
				10.02.2011
Trader	Electrical Engineer	Dry Cargo		Malta	Dual Invest	09.09.2011
				28.11.2011
Tekos	Electrical Engineer	OIL TANKER		Moldova	Urancal Trading	26.10.2012
				16.01.2013
Sormosvkiy - 43	Electrical Engineer	General Cargo		Belizee	РОСШИПКОМ	23.06.2013
				10.12.2013
Catrin - 1	Electrical Engineer	General Cargo		Moldova	Seatron shipping LTD	28.02.2014
				02.06.2014
Catrin - 2	Electrical Engineer	General Cargo		Moldova	Seatron shipping LTD	11.08.2014
				18.12.2014
						S/on
				S/off
						S/on
				S/off
						S/on
				S/off

Date. Si gnature.

DOCUMENTS / VISAS

Type of documents	Place of issue	Serial Number	Issue Date	Expiration date
Seaman’s book (National)		AB 402993	29 july 2014	29 july 2019
Travel. Passport		EH056750	15 jun 10	15 jun 2020
USA Visa
Certificate. of Competency	Electrical Engineer		00850/2011/08	02.09.2011	-
Endorsement		00850/2011/08	02.09.2011	21.03.2016
Certificate. of Competency
Endorsement
GMDSS:
GMDSS Endorsement

STCW 78/95 CERTIFICATES / OTHER CERTIFICATES

CERTIFICATE	Issued on	Valid till
Basic Safety Training (VI/1)	20.04.2011	20.04.2016
Proficiency in survival craft & rescue boats (VI/2)	07.04.2011	07.04.2016
Advanced fire fighting (VI/3)	18.04.2011	18.04.2016
Medical First Aid (VI/4)	11.04.2011	11.04.2016
Dangerous and Hazardous Cargoes (B-V/b,B-V/c)	15.04.2011	15.04.2016
Tanker familiarization	01.04.2011	01.04.2016
Training fo personnel sserving on roro passenger ships	21.03.2011	21.03.2016
Training for personnel serving on passenger ships other then ro-ro passenger shops	26.04.2011	26.04.2016
VACCINATION
Yellow Fever	11.05.2011
Date of readiness / Wage expectation and - Last salary	/ -----------

Дата добавления: 2015-11-04