Dangerous cargoes certificates. Position applied FOR: clener/wiper/engine cadet/el. Eng. Cadet/

APPLICATION FORM

POSITION APPLIED FOR: clener/wiper/engine cadet/el.eng.cadet/

Personal data 23.03.2015

Family Name: Svyrydov	Name: Yevhen	Father's name: vitalievich
Date of birth: 29/05/1995	Place of birth: Ukraine,Odessa	Nationality: ukrainian
Marital status: Single	Children (name & DOB): No
Address: boulevard of Marshala Zhukova d.51 apt20 ,Odessa,Ukraine	Tel (including city code):	Mobile; [phone]
Next of kin and relationship: Mother Svyrydova Alena Vasilevna
Next of kin’s address :: boulevard of Marshala Zhukova d.51 apt20 ,Odessa,Ukraine	Tel: [phone]
Inter. P’port No: FB012385	Issued03/02/2015	Valid:03/02/2025	Place of issue: Odessa
Seaman's book No:AB548201	Issued:12.03/2015	Valid:12/03/2020	Place of issue: Odessa
Civil P’port No: KM1730418	Place of issue:Odessa,Ukraine	Date of issue: 17/08/2011
USA Visa No:	Issued:	Valid:	Place of issue:

Medical information

Medical examination	Issued:	Valid:	Weight, kg:82	Height, cm: 184
Drug & alcohol test	Issued:	Valid:	Eyes: Blue	Hair:Black
Yellow fever	Issued:	Valid:	Overall size: 54	Safety shoes: 42

Name of marine school attended	Address of school	From	To	Degree of diploma
OMC of FI	Mechnikova 130	01.09.2012	01.09.2016	Electrician engine

National License

Certificate of competency hold	Number	Issued	Valid	Place of issue
Диплом			unlimited
Endorsement

IMO	STCW Certificates	Number	Issued	Valid	Place of issue
	AB Endorsement
	Carriage of dangerous and hazardous substances
1.08	ARPA (A-I/12, A-II/1, A-II/2, B-I/12)
	Personal safety (A-VI/1) (IMO 1.13, 1.19, 1.20, 1.21)
2.03	Advanced fire fighting (A-VI/3)	№168	02/02/2015	02/02/2020	Odessa
1.23	Prof. in survival craft (A-VI/2 p.1-4)	№ 347	02/02/2015	02/02/2020	Odessa
	Designated security duties of shipboard personnel	№ 5	02/02/2015	02/02/2020	Odessa
	Basic training and instruction for all seafarers	№ 2 129	02/02/2015	02/02/2020	Odessa
	Crane Handling Simulator
1.14	Medical first aid (A-VI/4-1)	№ 20	02/02/2015	02/02/2020	Odessa
1.15	Medical care (A-VI/4-2)
	Hazardous cargoes (B-V/4, B-V/5)
	Safety officer (ISM code)
	Crowd management (A-V/3)
	Bridge Team Management
	Training for person. serving onpassenger ships other than RO-RO pas.ships
	RoRo passenger (A-V/2-1,-2,-3,-4,-5)
	Ship security officer
	Ship handling arrangements
	Свид-ство о повышении квалификации

Dangerous cargoes certificates

1.01	Oil tank. familiarization (A-V/1)
1.02	Oil tank.Specialized training (A-V/1,p.9-14)
1.03	Chem. tank. familiarization (V/1)				.
1.04	Chem. tank. advanced (A-V/1,p.16-21)
1.05	LPG familiarization (V/1)
1.06	LPG advanced (A-V/1,p.23-34)

PREVIOUS SEA SERVICES (last 5 years)

Name of vessel	Year of built	Company	Flag	Type of vessel	DWT	Type of main engine	BHP	Rank	From Day,mont,year	To Day,month,year
RS ”MERKURII”		Christopher Columbus	Ukraine	Dry Cargo				OS	02.07.2009	30.08.2009
m/v “G. Petrovskiy”		Aliance Navigation Marshall Islands Bulk Carrier 31222 OS 08.10.2008 08.04.2009	Ukraine	Dry Cargo				OS	27.06.2010	20.01.2011
m/v “Elans”		Niesko	Ukraine	Dry Cargo				OS	22.01.2013	10.08.2013

Another States Seamen’s Books	Rank	Document No	Issued	Valid		Another States Certificates of competency	Rank	Document No	Issued	Valid
Liberia						Liberia
Panama						Panama
Antigua and Barbuda

Please complete addresses of your previous employers for references

Дата добавления: 2015-07-26