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Position applied for/ Alternative | AB, OOW, deck officer | ||||||||||||||
Expected Salary | 80-140 euro per day | ||||||||||||||
Personal Details | |||||||||||||||
Surname | Goncharov | First name(s) | Konstantin |
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Date of Birth | 14/06/1988 | Place of Birth | Kaliningrad | ||||||||||||
Nationality | Russia | Marital Status | single | ||||||||||||
Sex | male | Children | none | ||||||||||||
Shoes Size | Weight | ||||||||||||||
Height | Overall size | ||||||||||||||
Address | Russia, Kaliningrad, Kashtanovay alley st. 119-1 | ||||||||||||||
City / Country | Kaliningrad,Russia | Phone |
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Nearest Airport | Khrabrovo (KGD) | Mobile phone | +79527928667; +79501150511 | ||||||||||||
Next of kin | Goncharova Larisa | Relationship& tel. | mother, +79062102225 | ||||||||||||
postmeeter@yandex.ru | |||||||||||||||
National Documents | |||||||||||||||
Name of Maritime Training Institute | Baltic Maritime Training Center of the Baltic State Academy | ||||||||||||||
| No. | Date / Place of issue | Expiry Date | ||||||||||||
Passport | 17.12.2010/Kaliningrad | 17.12.2020 | |||||||||||||
Seaman’s Book | rus 0261232 | 06.08.2013/Kaliningrad | 05.08.2018 | ||||||||||||
US Visa |
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Shengen VISA | 29.03.2015 | 29.03.2017 | |||||||||||||
COC: AB/ OOW Endorsement: |
| 1044109962 /1040307076 | 21.09.2010/ 21.05.2015 |
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GOC (GMDSS) (IV/2) | 24.04.2015/Kaliningrad | 20.03.2020 | |||||||||||||
Basic Safety Training (VI/1) | 14.04.2015/Kaliningrad | 14.04.2020 | |||||||||||||
Survival Craft (VI/2) | 26.11.2014/Kaliningrad | 26.11.2019 | |||||||||||||
Advanced Fire Fighting (VI/3) | 02.04.2015/Kaliningrad | 02.04.2020 | |||||||||||||
Medical Care (VI/4) | 02.04.2015/Kaliningrad | 02.04.2020 | |||||||||||||
Tanker Familiarization (V/1) |
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Advanced Oil (V/1) |
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Advanced Chemical (V/1) |
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Advanced Gas (V/1) |
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Ship Security Officer |
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Inert Gas System Operations |
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Crude Oil Washing |
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Bridge Team Management |
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Safety Management System |
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Operation of Electrical and Electronic Control Equipment |
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ARPA | 28.02.2015/ Kaliningrad | 28.02.2020 | |||||||||||||
Radar | 06.03.2015/ Kaliningrad | 06.03.2020 | |||||||||||||
Yellow Fever Vaccination | 07.06.2007/Kaliningrad | 07.06.2017 | |||||||||||||
Personal Skills | |||||||||||||||
Excellent | Very Good. | Good | Poor | Fair | Remarks | ||||||||||
Command of English language |
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Computer literacy |
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Other |
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Super-statutory training |
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Flag State Documents / Endorsements | |||||||||||||||||
Enter No. and Exp. Date | Dutch | Luxembourg | Cyprus | Other | |||||||||||||
Seaman’s Book |
| C27909 33593/13 | CY207169 |
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Dutch endorsement |
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Dutch medical |
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Basic Safety Training (VI/1) |
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Survival Craft (VI/2) |
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Advanced Fire Fighting (VI/3) |
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Medical Care (VI/4) |
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GOC (GMDSS) (IV/2) |
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Tanker Familiarization (V/1) |
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Advanced Oil (V/1) |
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Advanced Chemical (V/1) |
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FRC Boatman | 26.04.14 | 26.04.17 | UK |
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ITSO | 21.04.14 | 24.04.17 | UK |
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BOSIET(OPITO) | 12.04.2013 | 11.04.2017 | Rotterdam |
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HUET | 12.04.2013 | 11.04.2017 | Rotterdam |
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Sea Service (from latest to previous for last 5 years due to Seaman’s Book) !!! ONLY PRINT LETTERS!!! | |||||||||||||||||
Name of Vessel | Position | Vessel Type | DWT | Eng. Type | kW | Flag | Manager / Crew Agent | from | to | ||||||||
Graf Uko | OS | General Cargo |
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| Antigua & Barbuda | Skof shipping | 20.02.2010 | 26.08.2010 | |||||||||
Addi L | OS | General Cargo |
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| Gibraltar | Skof shipping | 07.02.2011 | 19.07.2011 | |||||||||
ESKY | AB | General Cargo |
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| Malta | KOF | 15.05.2012 | 14.09.2012 | |||||||||
Stanislav Yudin | AB | Crane Vessel |
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| Cyprus | Seaway Heavy Lifting | 18.04.2013 | 27.06.2013 | |||||||||
DN 46 | AB | Multicat |
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| Luxsembourg | Jan De Nul | 02.09.2013 | 05.10.2013 | |||||||||
Allure G | AB | ERRV |
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| Panama | Groen BV | 28.04.2014 | 28.05.2014 | |||||||||
Allure G | AB | ERRV |
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| Panama | Groen BV | 01.07.2014 | 26.07.2014 | |||||||||
Allure G | AB | ERRV |
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| Panama | Groen BV | 25.08.2014 | 27.09.2014 | |||||||||
Sea Sailor | AB | PSV/ERRV |
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| Norway | Sea Supply/Chriship | 12.10.2014 | 19.10.2014 | |||||||||
Sea Sailor | AB | PSV/ERRV |
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| Norway | Sea Supply/Chriship | 13.01.2015 | 13.02.2015 | |||||||||
Santenel Randger | AB | ERRV |
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| UK | Santenel Marine | 02.07.2015 | 24.07.2015 | |||||||||
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Above information is to the best of my knowledge correct. (to be signed by the person, who completed the form) I hereby confirm that above information is true and correct to the best of my knowledge. I understand that this information will be held in the computer database due to my real or possible employment. Signing it, I willfully give my permission to collect and process my personal information and to use it in all and any legal way. I give my permission for my personal information to be provided to the possible employers and any other persons, if such need arises from my employment. Besides, I permit the IPS employees to request personal information (data) about me from my former employers. | |||||||||||||||||
Availability Date |
| Name in Print | GONCHAROV KONSTANTIN | Signature |
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Дата добавления: 2015-11-04; просмотров: 14 | Нарушение авторских прав
| <== предыдущая лекция | | | следующая лекция ==> |
| UKRAINE Kharkiv reg. Kupyansk | | | Position applied for: os/ 2-class. Deck kadet. Welder. |
