January str , h.15 , off.323

Kherson Ukraine

MARINE AGENCY "IZIDA"

Tel. [phone] www.izida-9.com.ua

Tel. [phone] e-mail: [e-mail]

January str, h.15, off.323

APPLICATION FORM

Surname: Salmanzade	Name: Norlan	Patronymic: Araz oglu	Rank: motorman
Date of birth: 06.02.1995	Minimal Wage: 900
Children under 18: no	Position applied for: Second class motorman
Nationality: Azerbaijan	Readiness for work: 03.07.2015
Present Address:		English language:	Fluent	Very Good
Good	satisfied
City: Mariupol	Country: Ukrainian	Other languages:
Tel.: [phone]	Email: [e-mail]	Skype: narimanka32

CERTIFICATE CHECK LIST

Certificate of STCW – 78/95	Number	Issued	Expired	Place of issue
Travel Passport	ER838703	24.06.2014	24.06.2024	Ukrainian
Seaman’s Book	AB534081	21.08.2014	21.08.2019	Ukrainian
Seaman’s seagoing service Record Book	00258/2014/23	22.04.2014	22.04.2019	Ukrainian
USA VISA
Certificate of competency	A-V1/6-1		28.07.2014	28.07.2019	Ukrainian
Endorsement
Certificate of competency	A-V1/6-2		30.07.2014	30.07.2019	Ukrainian
Endorsement
Advanced fire fight	A-VI/3-3
Medical care/first aid	A-VI/4-2,1
Proficiency in survival craft	A-VI/2/1-4		25.07.2014	25.07.2019	Ukrainian
Carriage of dangerous and hazard	B-V/b, B-V/c
RADAR/ARPA (Deck Off)	A-I/12 STCW A-II/1
Certificate of competency GMDSS	IV/2
Endorsement GMDSS	IV/2
GMDSS Certificate	TGS-4100
Basic Safety Training and Instruc.	VI/1, A-VI/1…		25.03.2014	25.03.2019	Ukrainian
Ship Security Officer	VI/5 STCW 1978-74
River transport
Electrician
Oil Tanker
Chemical Tanker
Breathing Apparatus
Other Skills	_ _ _ _ _ _ _ _ _ _

SCHOOL/ACADEMY ATTENDED

Name of School / Course	Location of School	From:	To:	Type of diploma, certificate
Mariupol sea Lyceum		01.09.2013	31.05.2014	Motorman

PREVIOUS SEA SERVICE (LAST 5 YEARS)

Vessel’s name	Type	DWT/ENGINE	Rank	From	To	Owner
Wizard	DRY CARGO Phnom Penh	5545/2535	motorman	20.11.2014	24.03.2015	Atlas Pacific Shipping Co. LTD

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Дата добавления: 2015-07-26