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APPLICATION FORM EMPLOYMENT. GRADUATED. Kherson. Number/ Place of Issue. LICENCES. ISSUED. US Visa Type / Expire date. STCW CERTIFICATES



APPLICATION FORM EMPLOYMENT

SURNAMETuranov

POSITION APPLIED FOR: 3rd Engineer.

GIVEN NAME:Aleksey

MARITAL STATUS: Married

FATHER’S NAME:Sergeevich

NUMBER OF CHILDREN: 1

DATE/PLACE OF BIRTH:23.10.79

NEXT KIN: Turanova Marina Pavlovna

CITIZENSHIP : Russian

RELATION: wife

ADDRESS: RussiaВ Krasnodar

В 

NEXT KIN ADDRESS: RossiaВ Chernomorskoe

PHONE:+79787736762

PHONE: +79787757674

NAME OF SCHOOL:

В CITY

GRADUATED

TYPE OF DEGREE RECEIVED:

ХГМА

Kherson

Specialist

 

 

 

 

PASSPORTS:

Number/ Place of Issue

ISSUED

VALID

SEAMANS PASSPORT:

RUS 0252277В NOVOROSIYSK

10.12.2014

09.12. 2019

В TRAVELВ PASSPORT:

RUS 75 0543276

21.10.2014

21.10.2024

SEAMANSВ PASSPORT:

UKR AB 449628

23.07.2014

24.07.2019

В TRAVELВ В PASSPORT:

UKRВ EK 988402

21.05.2010

21.05.2020

OTHER:

 

 

 

LICENCES

GRADE

NO.

ISSUED

VALID

NATIONAL LICENCE:

Marine college of Kherson state maritime academy

11765/2014/11

17.07.2014

 

ENDORSEMENT:

Seaport of Kherson UKRAINE

11765/2014/11

17.01.2017

24.01.2022

GMDSS:

 

 

 

 

ENDORSEMENT:

В NOVOROSSIYSK RUSSIA

В 2015910320/2017

28.02.2017

07.05.2019

OTHER:

 

 

 

 

MARLINS: 83%

NOVOROSSIYSK. RUSSIA

88A69DBA6F462BB9

30.11.2017

 

US Visa Type / Expire date

 

STCW CERTIFICATES

в„–

VALID

STCW CERTIFICATES

в„–

VALID

Proficiency in survival craft and rescue boats other than fast rescue boats

07.05.2019

Engine room resource managementВ В В В В В В В (operational level)

07.05.2019

Basic safety training and instruction

В В В В В В В В В В В 07896

07.05.2019

Basic training for oil and chemicalВ tanker cargo operation

В В В В 01149

07.05.2019

Medical first aid on board ship

В В В В В В В В В В В 03354

07.05.2019

Basic training for liquefied gas tanker cargo operation

В В В В 01579

07.05.2019

Advanced fire fighting

В В В В В В В В В В В 07749

07.05.2019

Training for personnel serving on passenger ships

В В В В 02737

07.05.2019

Carriage of dangerous and hazardous substance

В В В В В В В В В В В 02914

07.05.2019

Yellow Fever Certificate

В В В В В В 704

08.11.2016

Security awareness training for all seafarers

В В В В В В В В В В В 12720

07.05.2019

Medical care on board ship

01/40/2014

31.07.2019

Security training for seafarers with designated security duties

В В В В В В В В В В 19402

07.05.2019

Physical examination/certificate

22.11.2017

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HEALTH CERTIFICATE DATE:

 

YELLOW FEVER:

 

WEIGHT:100

CLOTHES:54

SHOES:43

HEIGHT:183



  

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