APPLICATION FORM |
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Position applied for: Cadet, motorman, wiper/ third engineer Minimum acceptable salary: negotiable Remarks: | |||||||||
Surname | Gromovoi | ||||||||
name | Aleksandr | ||||||||
Father's Name | Aleksandr | ||||||||
Date and place of birth: 20/05/1995 Izmail Ukraine | |||||||||
Address: Ukraine Izmail Gogolya 83 | |||||||||
Home (+380939694036 | Mob (+380677321416 | Personal civil code: | |||||||
E-Mail: shura.gromovoy.95@mail.ru | SKYPE:sashagromovoy1 | ICQ: | |||||||
Weight 75 | Height 175 | Overall 52 | Shoes 44 | Eyes blue | Hair brown | ||||
USA visa valid: no | Medical card valid: | Yellow Fever valid: yes | |||||||
Marital status select from: ●Single | |||||||||
Title of the document | № | Date of issue | Expire date | Place of issue | |||||
Seaman's book | AB507635 | 18.03.2013 | 18.03.2018 | Odessa Ukraine | |||||
National passport | KM724642 | 23.06.2011 | no | Odessa Ukraine | |||||
Foreign passport | ER134928 | 11.02.2014 | 11.02.2024 | Izmail Ukraine | |||||
Rank | |||||||||
Certificate of competency third-class engineer | №11492/2014/01 | 20.08.2014 | no | Izmail Ukraine | |||||
Endorsement third-class engineer | №11492/2014/01 | 20.08.2014 | 18.08.2019 | Izmail Ukraine | |||||
Others Professional license - Rank | |||||||||
Certificate of competency Second class motorman | №12271/2014/01 | 17.12.2014 | no | Izmail Ukraine | |||||
Basic Safety Training and Instruction (НБЖС) (A-VI/1) | №4/558/12 | 01.10.2012 | 01.10.2017 | Odessa Ukraine | |||||
Proficiency in Survival Craft, Rescue Boats & Fast Rescue Boats (A-VI/2) | №4/532/12 | 26.11.2012 | 26.11.2017 | Odessa Ukraine | |||||
Advanced Fire Fighting (A-VI/3) | №4/371/12 | 26.11.2012 | 26.11.2017 | Odessa Ukraine | |||||
Medical First Aid (A-VI/4-1) | №4/340/12 | 26.11.2012 | 26.11.2017 | Odessa Ukraine | |||||
security duties | №16238 | 18.04.2014 | 18.04.2019 | Odessa Ukraine | |||||
on basic training for cargo operations on tankers gas | №11596/2014/01 | 24.09.2014 | 15.09.2019 | Izmail Ukraine | |||||
on basic training for cargo operations on tankers oil chemical | №11594/2014/01 | 24.09.2014 | 15.09.2019 | Izmail Ukraine | |||||
engine-room resource management | №322 | 04.06.2014 | 04.06 2019 | Odessa Ukraine | |||||
Tanker Familiarization course | №/BN/0070/0/13 | 28.03.2013 | 28.03.2018 | Odessa Ukraine | |||||
PREVIOUS SEA EXPERIENCE (FOR LAST 10 YEARS):
RANK | NAME OF THE VESSEL | TYPE VESSEL | YEAR OF BUILD | DWT | TYPE OF THE MAIN ENGINE | FROM | TILL | COMPANY (name, address, () |
FLAG | HP | |||||||
cadet | m/v Diorit | tug |
| 23.10.2012 | 24.12.2012 |
Belgorod-Dnestrovsk | ||
Ukraine | ||||||||
wiper | m/v Yaroslayl | pusher |
2 SKL | 06.05.2013 | 06.11.2013 |
Ukrainian Danube Shipping Company | ||
Ukraine | ||||||||
Motorman | m/v Tiyam | General Cargo |
2 MAK | 22.10.2014 | 13.02.2015 | business consult +380980873036 | ||
Iran | ||||||||
motorman | m/v Laggar | Dry Cargo |
2 Skoda
| 07.03.2015 | 19.04.2015 | United Trade Group LTD +380672436029 | ||
Moldova |
MARINE EDUCATION RECEIVED
NAME OF SCHOOL | FROM | TILL | TYPE OF DEGREE RECEIVED |
Odessa Maritime College of fish industry | Operation of ships propulsion plants |
ADDITIONAL INFORMATION
Child (Name and Date of Birth): | no | |
Next of kin:Mother | Name: Rimma Gromovoya Date of birth: 24.06.1968 | |
Address: Gogolya 83 Izmail Ukraine | ||
Home (: no | Mob (: +380980010125 |
Level English test
English language knowledge | Good |
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Computer proficiency | Good |
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Откуда вы узнали о нашей компании | Знакомые | Интернет |
I, undersigned, confirm all above information to be true and correct to my best knowledge:
Date 21.04.2015 Signature of the Applicant _______________
Дата добавления: 2015-08-27; просмотров: 18 | Нарушение авторских прав
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