Roman
Резюме Able Seaman
28 февраля 2019 г.Одесса
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APPLICATION FORM | |||||||||||||||||||||||||
Position Applied for | A/B | Alternative | |||||||||||||||||||||||
Family name | ******** | ||||||||||||||||||||||||
Given name | Roman | ||||||||||||||||||||||||
Fathers name | Vladimirovich | ||||||||||||||||||||||||
Date & place of birth | ********** Donetsk r-n, Ukraine | ||||||||||||||||||||||||
USA visa valid till | 22.************** | Height 188 . cm | Weigh 110. kg | Overall size 56 . | Shoes size45… | ||||||||||||||||||||
Addres | Street | Ogorodnaya,8 | |||||||||||||||||||||||
City/Country | Belgorod-Dnestrovskyi, Odessa r-n, Ukraine | Airport(s) | |||||||||||||||||||||||
Tel: | Mobile | **************** | E-mail: | ******************** | |||||||||||||||||||||
Next of Kin | Name / Relationship | ******** Vladimir/Father | Date of birth | ********** | |||||||||||||||||||||
Street | Same me | ||||||||||||||||||||||||
City/Country | Same me | ||||||||||||||||||||||||
Tel | ************* | Mobile | E-mail: | ||||||||||||||||||||||
Name of School / Academy attended | Address | Dates attended | Type of Degree & Diploma | ||||||||||||||||||||||
From | To | Received upon Graduation | |||||||||||||||||||||||
Marine fishing industry college | Belgorod-Dnestrovskyi, | 2002 | 2006 | ||||||||||||||||||||||
Marine academy | Odessa | 2006 | 2012 | Navigator | |||||||||||||||||||||
SEA SERVICE (from latest to previous)
NAME of VESSEL | Position | Vessel’s type | Engine type | Flag | Company | Period of service |
DWT | HP | Year of built | Crew Agent | |||
Hyundai | O/S | Car Carrier | Hyundai | Liberia | Zodiac | S/on 04.06.07 |
12516 | 14400 | 1987 | S/*********.07 | |||
Yacht Express | O/S | Yacht Carirer | Wartsila | Netherlands | Dockwise(Univis) | S/on********** |
9348.4 | 2*8700kW | 2007 | S/*********.08 | |||
Super Servant 3 | O/S | Semi Submersible Heavy Lift | Wartsila | Netherlands | Dockwise(Univis) | S/on04/08/09 |
10224 | 8503 | 1982 | S/*********/10 | |||
Ocean Voyager | A/B | Multi-Purpose Dry Cargo | Kingstown | Kaalbye Shipping Ukraine | S/on ********** | |
7249GRT | 6830HP | 1994 | S/off ********** | |||
Orient Tribune | A/B | Bulker | Limassol | InterOrient | S/on 11.11.15 | |
23426t | S/*********.16 | |||||
S/on | ||||||
S/off | ||||||
UNISTAR | A/B | DRY CARGO | S/on********** | |||
4997 | 2652 | Riga | Unimars | S/off ********** | ||
S/on | ||||||
S/off | ||||||
S/on | ||||||
S/off |
Above information is to the best of my knowledge and correct. (to be signed by the person, who completed the form)
Date ********** . Signature .
DOCUMENTS / VISAS
Type of documents | Place of issue | Serial Number | Issue Date | Expiration date | |
Seaman’s book (National) | Odessa | AB524027 | 08/01/14 | 08/01/24 | |
Travel. Passport | Odessa | ER049252 | 30.01.14 | 30.01.24 | |
USA Visa | |||||
Certificate. of Competency | Avant Ilyichevsk | 017329 | 21.08.06 | ||
Endorsement | Odessa | 1************ | 19.08.14 | NO Expiration | |
Certificate. of Competency | |||||
Endorsement | |||||
GMDSS : | |||||
GMDSS Endorsement | |||||
********** CERTIFICATES / OTHER CERTIFICATES
CERTIFICATE | Issued on | Valid till | ||||
Basic Safety Training (VI/1) | 24.07.18 | 24.07.23 | ||||
Proficiency in survival craft & rescue boats (VI/2) | 30/07/18 | 30/07/23 | ||||
Advanced fire fighting (VI/3) | 21.03.14 | 21.03.19 | ||||
Medical First Aid (VI/4) | ||||||
Medical Care (VI/4) | ||||||
Dangerous and Hazardous Cargoes (B-V/b ,B-V/c) | 26/05/17 | 26/05/22 | ||||
Tanker familiarization | ||||||
Oil advanced (V/1) | ||||||
Chemical advanced (V/1 ) | ||||||
Gas advanced (V/1) | ||||||
IGS (Inert gas system) | ||||||
COW (Crude oil washing: IMO model ***********) | ||||||
Ship Security Officer (VI/5) | ||||||
Ship Safety Officer (ISM Code) | ||||||
AMOS for WINDOWS | ||||||
Engine Resources Management | ||||||
Bridge Team Management (IMO-model ***********) | ||||||
Ship’s Handling (B-V/A) | ||||||
Radar Navigation (Radar & ARPA) | ||||||
ECDIS | ||||||
Cargo & Ballast handling | ||||||
Dynamic *************, 3 | ||||||
VACCINATION | ||||||
Yellow Fever | Date of vaccination: *************.09.2024 | |||||
Hepatitis A, B | Date of vaccination: | |||||
Date of readiness / Wage expectation and -Last salary | ||||||