RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE | ||||||||||||||||||||||||
Name in full(First, Middle, Last) Svietik Oleksandr | Rank: Ordinary Seaman 2nd choice: Cadet | Min. Wage: 500usd per month |
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Date & place of birth: 11.09.1992, Izmail, Ukraine | Nationality: Ukrainian | |||||||||||||||||||||||
Marital Status: | Single+ | Married | Divorced | Widower | Nearest Airport: Odessa Airport | |||||||||||||||||||
Permanent Address: Izmail, Lesy-Ukrainky str.39
E-mail:11showtime09@mail.ru Tel: Mob:380959399063; 380683295708 | Next of kin (surname, name, date of birth): Svietik Marianna 07.12.1966
Relationship: mother Address: Izmail
| Children (surname, name, date of birth): 1.
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3. | ||||||||||||||||||||||
Colour of hair/eyes: brown/green | Height: 195sm | Weight: 85kg | Shoes size: | Clothes size: | ||||||||||||||||||||
Educational History (name of educational institution, dates of entry / graduation and degree): Maritime Academy after Hetman Petro Konashevich-Sagaydachniy From 01.09.2010 Till 17.06.2014 Speciality Navigation,cmmc | ||||||||||||||||||||||||
YELLOW FEVER VACCINATION: | ||||||||||||||||||||||||
Country of issue | Number: | Date issued: | Place issued: | Expiry Date: | Remarks | |||||||||||||||||||
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LICENCE INFORMATION: | ||||||||||||||||||||||||
Country: | Grade of Licence: | Number: | Date issued: | Place issued: | Expiry Date: | |||||||||||||||||||
National
| Second class seaman | 12177/2014/01 | 04/12/2014 | Izmail |
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Marshall Islands |
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STCW 78\95 CERTIFICATES | ||||||||||||||||||||||||
Type of Documents | Reg. | No: | Place of Issue | Date of Issue | Date of Expiry | |||||||||||||||||||
Basic safety training STCW’ 78/95 | A-VI/1 | 16221U | Izmail | 09/09/2014 | 09/09/2019 | |||||||||||||||||||
Advanced Fire Fighting | A-VI/3 |
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Proficiency in Survival Craft | A-VI/2 | 19704U | Izmail | 06/11/2014 | 06/11/2019 | |||||||||||||||||||
Medical First Aid | A-VI/4-1 |
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Security Awareness Training | A-VI/6-1 | 25962U | Izmail |
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Designated Security Duties | A-VI/6-2 | 2336U | Izmail |
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Medical Care | A-VI/4 |
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HAZMAT / Dangerous Cargoes | B-V/b,c |
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Ship’s Safety Officer | ISM Code |
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Ship’s Security Officer | ISPS Code |
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Electrical and Electronic Equip. | A-III/2 |
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Ship Handling Arrangements | A-II/1, 2 |
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Tanker Familiarization | A-V/1 |
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Oil Tanker Training | A-V/1 |
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Chem. Tanker Training | A-V/1 |
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Inert Gas System | MARPOL |
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C.O.W. | MARPOL |
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Radar Navigation | A-I/11,12,A-II/2,3 |
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GMDSS | IV/2 |
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GMDSS Endorsement | IV/2 |
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Bridge Team | A-II/1,2, B-VIII/2 |
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Large Ship’s Handling |
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ECDIS | A-II/1, 2 |
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DP Certificate |
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BOSIET | OPITO |
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HUET | OPITO |
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Drug&Alcohol Test |
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Medical Examination |
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Vaccination Yellow Fever |
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SEAMAN’S & PASSPORT BOOK INFORMATION: | ||||||||||||||||||||||||
National Seaman’s Book (ULM) No: AB 536068 | Place & Date Issued: Izmail, 06.01.2015 | Expiry Date: 06.01.2020 | Passport No: KM 590633 | Place & Date Issued: Izmail, 26.02.2009 | Expiry Date: | |||||||||||||||||||
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Marshall Islands Seaman’s Book No: | Place & Date Issued: | Expiry Date: |
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VISA INFORMATION: | ||||||||||||||||||||||||
| Visa: | Type: | Valid Until: | Remarks: | ||||||||||||||||||||
American |
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Schengen |
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LANGUAGE INFORMATION: | ||||||||||||||||||||||||
Good | Satisfactory | Poor | Remarks | |||||||||||||||||||||
English |
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Other |
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Availability for Service: I am ready | ||||||||||||||||||||||||
RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE | ||||||||||
RECORD OF SEA SERVICE | ||||||||||
Vessel | Flag | IMO Number | DWT / M.E Type, kW | Vessel Type | Rank | From (date-month-year) | To (date-month-year) | Months | Company | |
m/s " Dolphin " | Ukraine | 193,12 | Refrigerator | Seaman-Practicant | 25.08.2014 | 27.10.2014 | "UKRAINIAN SHIPPING COMPANY" | |||
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I hereby provide that all the information provided by me in this form is true and correct to the best of my knowledge.
Signed by Seaman: |
Date:20.08.2015 | |||||||||
References:
Company / Contact person / Telephone number
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С автоматической обработкой моих персональных данных, указанных в анкете, включая их передачу третьим лицам на территории нашей страны и за ее пределами, их хранением в целях трудоустройства, в соответствии с Законом СОГЛАСЕН.
Подтверждаю, что мои персональные данные, указанные в анкете, являются общедоступными.
I hereby give my consent to automatic processing of the information contained herein, including its transfer to third parties in the territory our country and abroad, as well as its storage for the purposes of employment assistance, in accordance with the Law.
I hereby confirm that my personal details contained herein are for public use.
Signature of Seaman (подпись моряка): _________________ Date (дата): _______________________20.08.2015________
Дата добавления: 2015-11-04; просмотров: 14 | Нарушение авторских прав
| <== предыдущая лекция | | | следующая лекция ==> |
| | | Position applied for: ordinary seaman |
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