Middle name: Viktorovich

Application form

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1st A.B. Seaman

2nd

Surname: Gavrylov

First name: Iurii

Middle name: Viktorovich

Permanent address: Lenina str. 42-3 Golaya Pristan, Kherson Reg.

E-mail: [e-mail]

Date of birth: Jan 13, 1988

Place of birth: Golaya Pristan, Kherson Reg., Ukraine

Citizenship: Ukraine

Min.salary: $1400

Phone (home): None

Phone (mob.): [phone] [phone]

Nearest Airport: Kherson,Odessa

Marital status (married/Single/Divorced): Single

Number/ age of children: None

Next of kin (name/relation): Gavrylova Elena/mother

Next of kin (address): Lenina str. 42-3 Golaya Pristan, Kherson Reg.

Colors of eyes: Grey

Colors of hair: Dark

Special marks: None

Height: 178 cm

Weight: 89 kg

Overall size: 52

Shoes size: 43-44

Knowledge of English (Fluent/Good/Satisfactory/Poor): Satisfactory

Other languages:

Licenses & Certificates held

Date of issue (дата выдачи):

Date of expiry (дата истечения строка):

Place of issue (место выдачи):

Certificate off competency

26.09.2011

29.09.2016

Nikolaev Centre of Training of Seafarers

Endorsement of certificate

26.09.2011

26.07.2016

Nikolaev Centre of Training of Seafarers

Seaman’s passport

02.03.2009

22.07.2018

Port Nikolaev

Travel passport

30.01.2009

30.01.2019

Designated security duties of shipboard personnel

11.01.2014

11.01.2019

Training Center of Seafarers – “AVAST” LCC

Basic safety

27.07.2011

27.07.2016

Nikolaev Centre of Training of Seafarers

Proficiency in survival craft & Rescue boats

27.07.2011

27.07.2016

Nikolaev Centre of Training of Seafarers

Advanced fire fighting

26.12.2014

26.12.2019

Kherson Seafarers Training Center “Marine Pro Service”

Proficiency in fast rescue boats

26.12.2014

26.12.2019

Kherson Seafarers Training Center “Marine Pro Service”

Med first aid / care on board

-

-

-

GMDSS

-

-

-

RADAR

-

-

-

ARPA

-

-

-

Ship security officer (ISPS)

-

-

-

HAZMAT

27.07.2011

27.07.2016

Nikolaev Centre of Training of Seafarers

Tanker certificate

US VISA

19.06.2012

17.06.2017

Shengenstaten

11.08.2013

11.08.2014

Foreign flag state seaman’s book (паспорт моряка)

Graduated from (образование): Kherson marine college of fish industry (junior specialist)

Date: 28.11.2014

Yellow fever (Date of Vaccination): 20.03.2009

Last medical examination (Date of Expiry/Med Certificate):

Details of previous sea service

Rank

Name of ship owner

Flag

Name of VSL

Type of VSL

МЕ

DWT

BHP

From

To

Deck cadet

Petra Shiping N.V.(Interse)

Netherland Antilles

Petra

General cargo

1520 kW

mtons

-

09.03.2009

15.08.2009

Ordinary Seaman

AMANDA SHIPING (Intersee)

Curacao (CW)

Amanda

General cargo

2700 kW

5780 mtons

-

15.12.2009

31.05.2010

Able Seaman

AURORA SHIPING (Intersee)

Curacao (CW)

Aurora

General cargo

2700 kW

5780 mtons

-

12.11.2010

17.05.2011

Able Seaman

Nicola Shipping C.V., Postbus 1033 7801B (Intersee)

Curacao (CW)

Nicola

General cargo

2400 kW

5012 mtons

-

10.10.2011

24.04.2012

Able Seaman

MS "Jop" Schiffahrtsgesellschaft mbH. (Intersee)

Antigua & Barbuda

Uta

Multi-Purpose

4320 kW

11200 mtons

-

01.10.2012

29.04.2013

Able Seaman

MS "Leandra" Shiffahrtsgesellschaft mbH (Intersee)

Antigua & Barbuda

Leandra

Multi-Purpose

4320 kW

11200 mtons

-

20.08.2013

02.03.2014

Date available from: Feb 2014

Дата добавления: 2015-08-27