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PERSONAL DATA / APPLICATION FORM Position applied for ____ El.Engineer
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Family Name: MYRZOIEV | Name: IEVGEN
| Father's name: ILGAR | ||||||||||||
Date of birth: 28.08.1991 | Place of birth: Ukraine
| Nationality Ukrainian | Marital status: single | |||||||||||
Address: Odesssa reg,kiliya.bolgradskaya 39
| Nearest Airport: Odesssa ……………………………………………………………
| Home phone:+380964300606 | ||||||||||||
E-mail: mirzoev211@yandex.ru | Mobile phone: +380937797935
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Next of kin and relationship:MYRZOIEV ILGAR | Children (name & DOB):NIL | |||||||||||||
Next of kin’s address: Odesssa reg,kiliya.bolgradskaya 39 | Next of kin tel: | |||||||||||||
Inter. P’port No: EH 075477 | Issued: 22.06.2010 | Valid: 22.06.2020 | Place of issue: odessa | |||||||||||
Seaman's book No: AB 531093 | Issued: 23.07.2014 | Valid: 23.07.2019 | Place of issue: Izmail | |||||||||||
Civil P’port No: KM 534982
| Place of issue: Odesssa reg,city kiliya
| Date of issue: 05.05.2008
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USA visa No: | Issued: | Valid: | Place of issue: | |||||||||||
TOSE: |
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| MARLINS: | |||||||||||
(MOST RECENT VESSEL LAST)
Name of vessel | Year of built | Company Owner / Ship Manager | Flag | Type of vessel | DWT / TEU | ME type / | BHP | Rank | From | To |
AKKORD | Navigator
| Ukraine | GeneralCargo | SHKODA |
| El.Engineer | 23.12.2011 | 23.04.2012 | ||
AKUA | Aqvas limited | Cook islands | GeneralCargo | SHKODA |
| El.Engine | 24.04.2012 | 03.10.2012 | ||
ZEEBONY | Kirazoglu shipping com | Comoros | GeneralCargo | MAK | 2500 kw | El.Engine | 23.10.2012 | 01.06.2013 | ||
ALBA | Alba Management Co.S.A. | Cook islands | GeneralCargo | M.A.N.B&W | Electrician | 02.09.2013 | 05.06.2014 | |||
NORWIND | NTO Sgipping Gmbh& Co.kg | Antigua&Barbuda | GeneralCargo | WARTSILA 6L32 | 3754 HP | Electrician | 01.08.2014 | 14.12.2014 | ||
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Name of Maritime Institution attended | Address of institution | From | To | Degree of Diploma |
Odessa maritime college fishing industry | Ukraine,odessa |
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STCW Certificates | Number | Issued | Valid | Place of issue | STCW Certificates | Number | Issued | Valid | Place of issue |
Certificate of competency | 11065/2014/01 | 10.07.2014 |
| Izmail | GMDSS Endorsement |
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Endorsement | 11065/2014/01 | 10.07.2014 | 10.07.2019 | Izmail | Radar observer |
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Personal safety | 23.06.2014 | 23.06.2019 | Izmail | ARPA |
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Advanced fire fighting | 23.06.2014 | 23.06.2019 | Izmail | AIS course |
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Prof. in survival craft | 23.06.2014 | 23.06.2019 | Izmail | BTM course |
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Training for Personnel Serving on RO-RO Passenger ships | 4/151/11 | 12.07.2011 | 12.07.2016 | Illichivsk | ECDIS course |
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Medical care | 23.06.2014 | 23.06.2019 | Izmail | Security officer (ISPS) |
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Security Duties | 27827/2014/AT | 31.072014 | 31.07.2019 | Izmail | Safety officer (ISM) |
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Tanker Familiarization | 4/223/11 | 12.07.2011 | 12.07.2016 | Illichivsk |
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Training for Personnel Serving on Passenger Ships other then RO-RO Passenger Ships | 4/081/11 | 12.07.2011 | 12.07.2016 | Illichivsk |
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Medical examination | Issued:30.08.2013 | Valid:30.08.2014 | Weight, kg:90 | Height, cm:180 |
Drug & alcohol test | Issued: 30.08.2013 | Valid: 30.08.2013 | Eyes:blue | Hair: blond |
Yellow fever | Issued: 14.07.2010 | Valid:14.07.2020 | Overall size:56 | Safety shoes:43 |
Another States Seamen’s Books | Rank | Document No | Issued | Valid |
| Another States Certificates of competency | Rank | Document No | Issued | Valid |
Liberia |
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| Liberia |
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Panama |
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| Panama |
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Antigua and Barbuda | EL.ENG | 31.07.2014 | 30.07.2019 |
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Дата добавления: 2015-08-27; просмотров: 33 | Нарушение авторских прав
| <== предыдущая лекция | | | следующая лекция ==> |
| Анкета «Участник конкурсной программы» | | | Position applied for: Motorman, Wiper, Cadet |
