Name in full(First, Middle, Last): YEGOR DOTSENKO | Rank: AB / JUNIOR OFF |
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Date & place of birth: 03.07.1990 MOLDOVA | Nationality: UKRAINE | ||||||||||||||||||||||||||||
Marital Status:
| Single: | Married: X | Divorced | Widower: | Nearest Airport: ODESSA | ||||||||||||||||||||||||
Permanent Address: UKRAINE,NIKOLAEV REG.,DRUZHBY NARODOV STR.15/129
Tel:(05136) 57535 Mob: 0973430320 | Next of kin (surname, name, date of birth): DOTSENKO SERHIY 06.11.1964 Relationship: FATHER Address: UKRAINE,NIKOLAEV REG.,DRUZHBY NARODOV STR.15/129
| Children (surname, name, date of birth): 1.
2.
3. | |||||||||||||||||||||||||||
Colour of hair/eyes: | Height: 186 | Weight: 85 | Shoes size: 42 | Clothes size: 48 | |||||||||||||||||||||||||
Educational History (name of educational institution, dates of entry / graduation and degree): ODESSA’S NATIONAL MARITIME ACADEMY 2010-2014 BACHELOR | |||||||||||||||||||||||||||||
CERTIFICATE OF COMPETENCY: | |||||||||||||||||||||||||||||
| Rank: | Number: | Date issued: | Place issued: | Expiry Date: | ||||||||||||||||||||||||
Certificate №1 | 3RD OFF | 13781/2015/11 | 03.09.2015 | KHERSON |
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Endorsement | 3RD OFF | 13781/2015/11 | 03.09.2015 | KHERSON | 28.08.2020 | ||||||||||||||||||||||||
Certificate №2 | AB | 10599/2014/07 | 26.06.2014 | NIKOLAEV |
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Endorsement | - | - | - | - | - | ||||||||||||||||||||||||
OTHER CERTIFICATES AND ENDORSEMENT INFORMATION: | |||||||||||||||||||||||||||||
Certificate | Number: | Expiry Date: | Certificate | Number: | Expiry Date: | ||||||||||||||||||||||||
Basic Safety training | 09.04.2019 | GMDSS /Endorsement | 11819/2014/07 | 16.07.2014 | |||||||||||||||||||||||||
First Aid / Medical care on board | 09.04.2019 | Radar Observation | 28.05.2014 | ||||||||||||||||||||||||||
Survival craft & rescue boats | 09.04.2019 | ARPA | 28.05.2014 | ||||||||||||||||||||||||||
Advanced Fire Fighting | 09.04.2019 | Safety Officer- Maintenance of FFE & LSA |
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Ship Security Officer |
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| Ship Handling Arrangements |
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Ships Safety Officer |
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| Maintenance of El/Electronic Eng. |
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Security-related training end instruction for all seafarers A-VI/6-1 | 0145/2014 | 09.04.2019 | Engine-Room resource management |
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Security training for seafarers with designated security duties A-VI/6-2 | 0171/2014 | 09.04.2019 | Carrying dangerous & hazardous cargo (B-V/4, B-V/5) | 09.04.2019 | |||||||||||||||||||||||||
SPECIFIC CERTIFICATES: | |||||||||||||||||||||||||||||
Certificate | Number: | Expiry Date: | Certificate | Number: | Expiry Date: | ||||||||||||||||||||||||
Tanker Familiarization Course |
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| Passenger Ship Personnel |
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Oil Tanker Specialized Training |
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| Proficiency in Fast Rescue Boats |
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Gas Tanker Specialized Training |
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| Crude Oil Washing |
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Chemical Tanker Special. Training |
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SEAMAN’S & PASSPORT BOOK INFORMATION: | |||||||||||||||||||||||||||||
National Seaman’s Book (ULM) No: | Place & Date Issued: | Expiry Date: | Travel Passport No: | Place & Date Issued: | Expiry Date; | ||||||||||||||||||||||||
AB 441992 | ODESSA 20.10.10 | 23.07.2020 | EH 414450 | UKRAINE 20.10.2010 | 29.10.2020 | ||||||||||||||||||||||||
Marshall Islands Seaman’s Book No: | Place & Date Issued: | Expiry Date: | Liberian Seaman’s Book No: | Place & Date Issued: | Expiry Date; | ||||||||||||||||||||||||
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| 0418/17 | 03.07.2012 | 03.07.2017 | ||||||||||||||||||||||||
YELLOW FEVER: | |||||||||||||||||||||||||||||
Country of issue | Number: | Date issued: | Place issued: | Expiry Date: | Remarks | ||||||||||||||||||||||||
UKRAINE
| C-21 | ODESSA |
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VISA INFORMATION: | |||||||||||||||||||||||||||||
| Visa: | Type: | Valid Until: | Remarks: | |||||||||||||||||||||||||
American |
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Schengen |
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L ANGUAGE INFORMATION: | |||||||||||||||||||||||||||||
Good | Satisfactory | Poor | Remarks | ||||||||||||||||||||||||||
English |
| X |
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Other |
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RECORD OF SEA SERVICE | ||||||||
Vessel | Flag | Vessel Type | DWT | M.E Type, kW | Rank | From (date/month/year) | To (date-month-year) | Company/Crewing agent |
RADONEZH | LIBERIA | BULK |
| DECK CADET/OS | 13.02.2011 | 14.10.2011 | FEDCOM/SEAGULL | |
RADONEZH | LIBERIA | BULK |
| OS | 17.02.2012 | 15.08.2012 | FEDCOM/SEAGULL | |
MARTO | MARSHALL ISL. | BULK |
| OS | 28.07.2013 | 02.01.2014 | STAR BULK/WISE MARITIME
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ROADRUNNER BULKER | MARSHALL ISL. | BULK |
| OS | 19.07.2014 | 02.04.2015 | EAGLE SHIPMANAGEMENT/SKIPER | |
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I, hereby, certify that all entries are true and I authorize «INTERIDAN company Ltd» to gather such additional information to verify such details as may be necessary for purpose of considering me an applicant for employment. Any false statement or misinterpretation in this application shall be ground for dismissal subsequent to employment. Я, нижеподписавшийся, подтверждаю, что вся информация правдива и предоставляю право «INTERIDAN company Ltd» собирать любую дополнительную информацию и выяснять необходимые для моего дальнейшего трудоустройства детали. Любые недостоверные данные или неверное истолкование данных могут служить причиной отказа в предоставлении трудоустройства.
Signed by Seaman: | Date:
10.09.2015 |
Дата добавления: 2015-11-04; просмотров: 11 | Нарушение авторских прав
| <== предыдущая лекция | | | следующая лекция ==> |
| Объективы 70-400 мм F4-5,6 G SSM II и Carl Zeiss Planar T* 50 мм F1,4 ZA SSM | | | MS ACCESS – система управления реляционными базами данных, т.е. информация в таких базах данных хранится в таблицах, свеянных между собой. |
