APPLICATION FORM
1.
POSITION(S):
Waiter/ Bar – waiter
Open for any suggestions
PERSONAL INFORMATION
2.
SURNAME (as indicated in your international *********:
Tikhonko
3.
NAME(as indicated in your international *********:
Denys
4.
Father’s name
Kostyantyn
5.
DATE OF BIRTH:
**********
6.
PLACE OF BIRTH (country, region, city/town/village):
Ukraine/ Sumy reg/ Romny
7.
PLACE OF RESIDENCE (country, region, city/town/village, street, apartment)
Post Code
Ukraine/ Sumy reg./ Romny/ Mayakovskogo st. 48
42009
8.
CITIZENSHIP:
Ukrainian
Height
182
9.
MARITAL STATUS (single, married, divorced):
single
Weight
85
11.
NUMBER OF CHILDREN:
12.
PHONE CONTACTS :
*************
13.
E-MAIL:
Показать контакты (mailto: Показать контакты )
14.
SKYPE:
dtihonko
15.
NEAREST INTERNATIONAL AIRPORT:
Boryspil
KNOWLEDGE OF LANGUAGES
16.
ENGLISH LEVEL
POOR
SATISFACTORY
+
GOOD
EXCELLENT
17.
GERMAN LEVEL
POOR
SATISFACTORY
GOOD
EXCELLENT
18.
ITALIAN LEWEL
POOR
SATISFACTORY
GOOD
EXCELLENT
19.
FRENCH LEVEL
POOR
SATISFACTORY
GOOD
EXCELLENT
20.
OTHER LANGUAGES (INDICATE PLEASE):
21.
Russian
POOR
SATISFACTORY
GOOD
+
EXCELLENT
22.
NATIVE LANGUAGE:
Ukrainian
EDUCATION
23.
NAME OF INSTITUTION:
24.
YEARS OF STUDY, GRADE Specialization:
NEXT OF KIN
25.
RELATION (mother/father, sister/brother, other):
Father
26.
SURNAME, NAME:
Tikhonko Kostyntun
27.
TELEPHONE NUMBERS:
*************
28.
ADDRESS:
DOCUMENTS AND CERTIFICATES
NAME
NUMBER
BODY/ORGANIZATION ISSUED THE DOCUMENT
DATE OF ISSUE
DATE OF EXPIRE
29.
INTERNATIONAL PASS
FB374081
5924
10.04.15
10.04.25
30.
SEAMAN’S BOOK
AB563557
PORT KHERSON
15.09.15
15.09.20
31.
BASIC SAFETY TRAINING
17720
OMTC
28.08.15
28.08.20
32.
PANAMA SEAMAN BOOK
33.
SECURITY AWARENESS TRAINING
04787
UKRAINE SEAFARERS TRAINING CENTRE
27.08.15
27.08.20
34.
YELLOW FEVER
12.01.16
12.01.26
35.
36.
QUALIFICATION CERTIFICATES
NAME
NUMBER
BODY/ORGANIZATION ISSUED THE DOCUMENT
DATE OF ISSUE
DATE OF EXPIRE
37.
ENDORSEMENT
0214/2015
OMTC
21.08.15
21.08.20
38.
.
39.
40.
41.
MARITIME EXPERIENCE (LAST CONTRACTS)
VESSEL
FLAG
OWNER/
MANAGMENT
TYPE
RANK
FROM
TO
42.
MAGELLAN
BAHAMAS
CRUISE
STAFF/OFF MESSMAN
26.03.16
12.11.16
43.
COLUMBUS
BAHAMAS
CRUISE
ASST. WAITER
19.05.17
05.01.18
44.
MAGELLAN
BAHAMAS
CRUISE
WAITER
02.06.18
11.11.18
45.
“RCGS” RESOLUT
MADEIRA
EXPEDITION
WAITER
17.06.19
12.09.19
46.
.
WORK EXPERIENCE | ||||||
OCCUPATION OR POSITION HELD | NAME AND ADRESS OF EMPLOYER | TYPE OF BUSINESS OR SECTOR | MAIN ACTIVITIES AND RESPONSIBILITIES | DATES | ||
FROM | TO | |||||
| BARMAN | UKRAINE/ ROMNY | NIGHT CLUB | 28.04.12 | 05.02.13 | |
| MANAGER | UKRAINE/ ROMNY | SERVICE CENTER | . | 11.04.13 | 18.09.16 |
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Hobbies / Skills:
FISHING, GYM, VOLLEYBOL