A P P L I C A T I O N F O R M 
Position applied for: Deck-Cadet | Availability date – 05.07.2015 |
Family name, first name | Yuzyk Vladyslav | Father’s Name | Oleksandrovych |
Date/place of birth | 10.03.1995 / Kherson, Ukraine | Nearest airport | Kherson, Odessa |
Present address | Karla Marksa 102, apt.12 | Contact Number | +380995537031
|
Marital status | Not married | Citizenship | Ukrainian |
Next of kin | Yuzyk Svetlana and Oleksandr (parents) | Contact Number | +380995537031 |
Children under 18 | Haven’t |
E-mail: | vladuzuk1234567@mail.ru |
Skype: | vladuzuk1 |
DISTINCTIVE MARKS | |||
Height: | Weight: | ||
Color of eyes: | Brown | Color of hair: | Brown |
Shoes Size: | Cloth size: | L |
Identification document | Number | Date/place of issue | Expiry | |
Seamen’s passport | AB 534737 | 30.06.2014 / Kherson, Ukraine | 12.07.2019 | |
Tour passport | FB 008149 | 29.01.2015/ Kherson, Ukraine | 29.01.2025 | |
National passport | MP 365519 | 12.12.2011/ Kherson, Ukraine | Permanent | |
Other Certificates | Number | Date and Place of Issue | Expiry | |||||
DESIGNATED SECURITY DUTIES OF SHIPBOARD PERSONNEL | 28.01.2015 / Odessa, Ukraine | 00.00.0000 | ||||||
SECURITY-RELATED TRAINING AND INSTRUCTION FOR ALL SEAFARERS | 28.01.2015/ Odessa, Ukraine | 00.00.0000 | ||||||
MEDICAL FIRST AID ON BOARD SHIP | 21.05.2015/ Odessa, Ukraine | 21.05.2020 | ||||||
ADVANCED FIRE FIGHTING | 22.05.2015/ Odessa, Ukraine | 22.05.2020 | ||||||
SAFETY FAMILIRIZATION,BASIC TRAINING AND INSTRUCTION FOR ALL SEAFARERS | 27.06.2014/ Odessa, Ukraine | 27.06.2019 | ||||||
PROFICIENCY IN SURVIVAL CRAFT AND RESCUE BOATS OTHER THAN FAST RESCUE BOATS | 30.01.2015/ Odessa, Ukraine | 30.01.2020 | ||||||
SEAMAN’S SEAGOING SERVICE RECORD BOOK | 28.05.2014/Nikolaev,Ukraine | 00.00.0000 | ||||||
YELLOW FIEVER VACCINATION |
No number |
17.03.2015/ Kherson, Ukraine |
17.03.2025 | |||||
Medical Examination |
|
10.04.2015/ Kherson, Ukraine |
10.04.2016 | |||||
Drug & Alcohol test |
005922 K-N |
10.04.2015/ Kherson, Ukraine |
10.04.2016 | |||||
English - good | Russian-fluent | Ukrainian-fluent Дата добавления: 2015-11-04; просмотров: 28 | Нарушение авторских прав
|