APPLICATION FORM
1.
POSITION(S):
waitress
PERSONAL INFORMATION
2.
SURNAME (as indicated in your international passport):
Pushchal
3.
NAME(as indicated in your international passport):
Liudmyla
4.
Father’s name
Andrei
5.
DATE OF BIRTH:
*************
6.
PLACE OF BIRTH(country, region, city/town/village):
Ukraine, Vinnytsia region, Mogilev-Podilsky.
7.
PLACE OF RESIDENCE (country, region, city/town/village, street, apartment)
Post Code
Ukraine, Vinnytsia region, Mogilev-Podilsky, Sportivnya street, 55.
8.
CITIZENSHIP:
Ukrainian
Height
164
9.
MARITAL STATUS (single, married, divorced):
single
Weight
53
11.
NUMBER OF CHILDREN:
-
12.
PHONE CONTACTS :
13.
E-MAIL:
*****************
14.
SKYPE:
live:d877983455b3435f
15.
NEAREST INTERNATIONAL AIRPORT:
Kiev Boryspil International Aiport
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.
Ukrainian and Russian
POOR
SATISFACTORY
GOOD
*
EXCELLENT
22.
NATIVE LANGUAGE:
Ukrainian
EDUCATION
23.
NAME OF INSTITUTION:
Technoljgical- Economical colledge
24.
YEARS OF STUDY, GRADE Specialization:
2008-2012
Cook, Waitress
NEXT OF KIN
25.
RELATION(mother/father, sister/brother, other):
mather
26.
SURNAME, NAME:
Telefus Catherine
27.
TELEPHONE NUMBERS:
*************
28.
ADDRESS: Ukrain, Vinnytsa region, in the city Mohyliv-Podilsky, Sportivnya street, 55.
DOCUMENTS AND CERTIFICATES
NAME
NUMBER
BODY/ORGANIZATION ISSUED THE DOCUMENT
DATE OF ISSUE
DATE OF EXPIRE
29.
INTERNATIONAL PASS
FB348865
0525
**********
**********
30.
SEAMAN’SBOOK
AB625524
PORT ODESSA
**********
22.022023
31.
BASIC SAFETY TRAINING
06938
Ukraine Seafarers Training Centre
28.12.17
28.12.22
32.
PANAMA SEAMAN BOOK
33.
SECURITY AWARENESS TRAINING
05868
Ukraine Seafarers Training Centre
28.12.17
28.12.22
34.
YELLOW FEVER
-
-
-
35.
36.
QUALIFICATION CERTIFICATES
NAME
NUMBER
BODY/ORGANIZATION ISSUED THE DOCUMENT
DATE OF ISSUE
DATE OF EXPIRE
37.
ENDORSEMENT
38.
Advanced Fire Fighting
05019
Ukraine Seafarers Training Centre
28.12.17
28.12.22
39.
Training for Personnel Serving on Passenger Ship
03704
Ukraine Seafarers Training Centre
28.12.17
28.12.22
40.
Steward Assistant
00171
Ukraine Seafarers Training Centre
28.12.17
28.12.22
41.
Ship Administrator
00041
Ukraine Seafarers Training Centre
28.12.17
28.12.22
MARITIME EXPERIENCE (LAST CONTRACTS)
VESSEL
FLAG
OWNER/
MANAGMENT
TYPE
RANK
FROM
TO
42.
Salamis Filoxenia
Cyprus
Salamis Lines
Cruise ship
Bar waitress
09.05.19
21.10.19
43.
.
44.
45.
46.
.
WORK EXPERIENCE | ||||||
OCCUPATION OR POSITION HELD | NAME AND ADRESS OF EMPLOYER | TYPE OF BUSINESS OR SECTOR | MAIN ACTIVITIES AND RESPONSIBILITIES | DATES | ||
FROM | TO | |||||
| Waiter | Restaurant “Petro Palats” Vinnytsa region, in the city Mogilev-Podilsky, Kievskaya street 1 | Meeting and serving guests; cleaning the working place; assisting chief cook; providing bills; | 24.03.12 | 25.05.15 | |
| Waiter | Restaurant “Sofia” Kherson region, Genichesk city, Paris Commune street, 4 | Meeting and serving guests; cleaning the working place; assisting chief cook; providing bills; | 01.09.15 | 30.10.16 | |
| Waiter | Intourist hotel Zaporozhye region, Zaporozhye, Prospect Soborny, 135 | Meeting and serving guests; cleaning the working place; assisting chief cook; providing bills; | 25.11.16 | 05.01.18 | |
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Hobbies / Skills:
Hardworking, responsible, reliable and honest person
Computer knowledge:
Please indicate where/how you found us | ||
Date |