SEAFARER'S APPLICATION FORM | http://crewdata.com (http://crewdata.com/) |
Position: | ELECTRICAL CADET | Readiness: | ********** |
Citizenship: | Ukraine | ||
Last name: | ********** | Marital status | unknown |
First name: | Andrii | Children: | |
Middle name: | Olegovich | Nationality: | |
Birth date: | ********** | Birth place: | Ukraine |
Home address: | Belgorod-Dnestrovskiy, Ukraine | Phone mobile: | |
Phone home: | ************** | ||
Email: | *********************** | ||
English level: | Average |
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Salary | Minimum: 500 | Expected: | Last: | $/month |
Education | ||||||
Educational institution | Speciality | Faculty | Place | Number | From | Till |
Maritime College of Technical Fleet of ONMA | Operation of Ships Electric and Automated Equipment | Operation of ships electric | Odessa/UKR | 092648 | ********** | ********** |
Passports, Licenses & Certificates | |||||
Title | Class | Number | Place of issue | Issued | Valid |
Passports & Visas | |||||
Civil passport | КМ1833982 | Belgorod-Dnestrovskiy, UKR | ********** | ********** | |
Seaman's book | AB575627 | Odessa, UKR | ********** | ********** | |
Travel passport | FC045161 | Belgorod-Dnestrovskiy, UKR | ********** | ********** | |
Diplomas & Endorsements | |||||
Certificate of Competency | Third-class electro-technical officer | 03416 | Odessa, UKR | ********** | ********** |
Certificate of Competency Endorsement | 3rd | 03416 | Odessa, UKR | ********** | ********** |
Certificates & Licenses | |||||
Proficiency in Fast Rescue Boats | 13155 | Odessa, UKR | ********** | ********** | |
Basic Safety Training (VI/1.1-4) | 27550 | Odessa, UKR | ********** | ********** |
Sea-going experience | |||||||
Vessel’s name | Flag | Type | Engine | Rank | From | Shipowner | |
Year | DWT | HP | Till | Crew Agency | |||
1 | Bogatyr | UKR | Floating Crane | Rus Diesel | Electrical Cadet | ********** | Ilechevskiy seaport |
1987 | 832 | 2400 | ********** | ||||
2 | Dnestrovets | UKR | Tug Boat | Rus Diesel | Electrical Cadet | ********** | B-dnestrovskiy seaport |
1995 | 250 | 1400 | ********** |
General Physical State | |||||
Height (cm) | Weight (kg) | Shoes | Clothes | Hair color | Eye color |
175 | 75 | 43 | XL | brown | brown |
Date applied: | ********** | Signature: |