Position:__ship’s electrical gas-welder ___salarywill consider any offers

APPLICATION FORM

POSITION:______SHIP’S ELECTRICAL GAS-WELDER _______________________ SALARY Will consider any offers

Surname: Gerashchenko ^Прізвище:^Геращенко	Name: Pavlo ^Ім^’^я^:^Павел	Father's name:VASILEVICH ^По-батьков^і: Васильевич
Date of birth: 28/02/1991	Place of birth: UKR	Nationality: UKR	Nearest airport: Odessa airport
Address (permanent): Odessa region. Ilychevsk city. Village Alexandrovka. Pioneer street.11	E-mail: [e-mail] skype: pavel.g.1991	Mobil: [phone]
S4 Point Test:	Marlins test:	CES 5.2.2.:	Visas:
Next of kin and relationship: Gerashchenko Natalia. Wife	Marital status: married
Next of kin’s address: Odessa region. Ilychevsk city. Gajdara Street 14. Apartment 20. Next of kin tel:	Next of kin’s phone:[phone]
Travel Passport: ET206661	Issued: 15/08/2011	Valid: 15/08/2021	Place of issue: UKR
Seaman's book: AB546253	Issued: 10/03/2015/	Valid: 10/03/2020	Place of issue: Port Ilychevsk
Civil Passport: KM844940	Issued: 12/07/2013	Place of issue:	ID Code:3329609814
Education: ilychivsk ship repairing professional Lyceum.2007/2009. Training Center” ilycevsk shiprepair yard’’ 27/10/2014

SEA GOING EXPERIENCE FOR THE LAST 5 YEARS

(MOST RECENT VESSEL LAST)

Name of vessel	IMO number	Year of built	Company Owner/ Ship Manager	Flag	Type of vessel	DWT	Main engine/ kW	Rank	From dd, mm, yyyy	To dd, mm, yyyy
			ilycevsk shiprepair yard’’		Any vessels			welder

CERTIFICATE OF COMPETENCY

Type of document	Grade	Number	Issued	Valid	Place of issue
Certificate of improving	Ship’s electrical gas-welder		27/10/2014	Unlimited	ilychivsk
Certificate of proficiency	Forth class ship’s welder	11066/2014/03	31/12/2014	Unlimited	port ilychivsk

СERTIFICATES

Type of certificates	Number	Issued	Valid	Place of issue
Basic Safety Training (VI/1)		01.12.2014	01.12.2019	ilychivsk
Proficiency in survival craft & rescue boats (VI/2)		10.03.2015	10.03.2020	ilychivsk
Advanced fire fighting (VI/3)
Medical First Aid/Medical Care (VI/4)
Dangerous and Hazardous Cargoes (B-V/b,B-V/c)
Ship Security Officer (VI/5)
GMDSS endorsement
Radar Navigation (Radar & ARPA)
ECDIS
Security awareness training for all seafarers (A-VI/6-1)		01.12.2014	01.12.2019	ilychivsk
Designated security duties of shipboard personnel (A-VI/6-2)		13.03.2015	13.03.2020	ilychivsk
Yellow fever vaccination		16.06.2015	16.06.2025	odessa

PERSONAL PARTICULARS

Hair	Eyes	Height	Weight	Overall size	Shoes
Brown	Brown			50-52

REFERENCES

Name of Company/ Crewing agency	Phone number	Contact person

С автоматизированной обработкой моих персональных данных указанных в анкете, их передачей (включая трансзаграничную) и хранением в целях трудоустройства согласен. Подпись________

Дата добавления: 2015-11-04