Dmytro

Резюме AB/Painter/Deckhand/Crane vessel/Oil-chemical/FORKLIFT OPERATOR/North Sea/Baltic/World wide exp – 1 $

30 марта 2019 г.

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APPLICATION FORM

1.Name- Last: Shabroi *****: Dmytro

(As per Passport) Citizenship: Ukrainian

2.Date of Birth: ********** Place: (City and Country): Nationality: UKRAINIAN

3.Nearest Airport / Station: ODESSA

4.Present Address: Belgorod-Dnistrovsky Street, Kievskaya 25

5.Civil Status: Single No.of Children

6.Next of kin: mother Relation: ********** - **********

7.Address of next of kin: THE SAME

Phone: Mobile:

9.Position applied for: AB Date of Availability: **********

Preferred contract length: 6 +-2 Expected Salary: 2500$

Preferred type of vessel: Tankers, Offshore Preferred sailing region: Irrelevant

11.Passport number: FS437954 Place of Issue: 5118 Issue Date: ********** Expiry Date: **********

13.Certificate of Competency	Number	Date of Issue	Date of Expiry	Country of Issue
ON BASIC TRAINING FOR CARGO OPERATION ON TANKERS	************8	**********	**********	UKRAINE
Able seafarer Deck	************8	**********		UKRAINE


Flag State Endorsement ( if any)
MARSHALL ISLANDS	MH538926	**********	**********	LONDON

14.Courses/Certificates	Number	Date of Issue	Date of Expiry	Place of Issue
BASIC SAFETY TRAINING	28102	**********	**********	ADMIRAL
SECURITY-RELATED FO ALL SEAFARERS	11505	**********	**********	ADMIRAL
Proficiency in Survival Craft and Rescue Boats	23810	**********	**********	ADMIRAL
Advanced Training in Fire-Fighting	19611	**********	**********	ADMIRAL
Medical Emergency-***** Aid	30403	**********	**********	ADMIRAL
BASIC TRAINING FOR OIL AND CHEMICAL operation	3639	**********	**********	ADMIRAL
Designated security duties for shipboard personnel	10932	**********	**********	ADMIRAL
Forklift Operator	51150	**********	**********	STATE ENTERPRISE
Radar Observer and Plotting Certificate
ARPA
Ship Security Officer
Ship Safety Officer
HAZMAT
Bridge Team and Resource Management
Ship Handling and Maneuvering
ECDIS / Electronic charts
BOSIET / HUET (OPITO)
Maritime English
Revalidation course
Amos-D / Amos-W
Yellow Fever	FC524749	**********	**********	VACCINATIONE ODESSA CENTR

Details of any courses/certificates not included in the above to be specified in spare or unutilized columns

I HAVE A GOOD EXPERIENCE OF WORK ON FORKLIFTS

15. PREVIOUS SEA SERVICES (Datewise up to 10 previous vessels ending with last. Experience prior to that to be attached separately).

Name of vessel	Type of vessel	Flag	DWT	Type of Engine	HP	Name of Owners or Managers	Rank	From (day, month, year)	To (day, month, year)
Captain Glushko	TOW	UKRAINE	118	2X782 KWT		LTD «UDS»	Cadet	**********	**********
CARINA	BULK CARRIER	MARSHAL ISLAND	77283	11033KWT		SKARLETT SHIPPING LTD	OS	**********	**********
«SC BEIHAI»	CHEMICAL/OIL PRODUCTS TANKER	Hong Kong	17777	4440 KWT	6037	DONGHAI INTERNATIONAL SHIP	OS	**********	**********
GLOSTER-1	CHEMICAL/OIL PRODUCTS TANKER	COOK ISLANDS	4595	2X640 KWT		PELAGIC CO LTD	AB	**********	**********

Have you worked with mixed crew before? Yes

Estonians, Latvians, Arabs, Filipinos, Ukrainians,
Russian

17.LANGUAGES (M: Moderate) Spoken Written Read

English Good Good Good

Other -

18.PHYSICAL DECLARATION: Height: 190 Weight: 85 Color of Hair: BROWN Color of Eyes: BLUE

19. Boiler Suit size:

Working Shoes size:

“___” _______ _______________ _____ _______________________________

Date Signature