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APPLICATION FORM. LICENSE: ENGINEER-TECHNICAL RATING. Rank : 3-ENGINEER. Readiness:NOVEMBER2017. Date of birth: 13.01.1976. 94/1,Koshevogo str., Vilkovo, Odessa region, Ukraine. Odessa region, Ukraine. GENERAL DETAILS. QUALIFICATION. CERTIFICATION . SEA S

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APPLICATION FORM

LICENSE: ENGINEER-TECHNICAL RATING

Rank: 3-ENGINEER

Readiness: NOVEMBER2017

Surname: Krivosheya			First Name: Oleksiy			Father Name: Ananoliy
Date of birth: 13. 01. 1976			Place of birth: Ukraine			Nationality: Ukrainian
Permanent address:	94/1, Koshevogo str., Vilkovo, Odessa region, Ukraine			Next of kin: Liliya Krivosheya Relation: wife Contact Tel. No.: +380971364277 Adress: 94/1, Koshevogo str., Vilkovo Odessa region, Ukraine
Contact Tel. No.: +380977037399
e-mail: alexvlk335@gmail. com Skype: liliya_vlk
Weight: 70		Eyes: green		Overall size:
Height: 180		Heir: brown		Shoes:
Education: 1— Kyiv secondary river school, technician-engineer, 1996

GENERAL DETAILS

Document	Number	Date and place of issue	Date of expiry
Seaman’s book	AB 590655	14. 02. 2017—Port Odessa	14. 02. 2022
Tourist Passport	FF 404466	22. 12. 2016—Ukraine	22. 12. 2026
USA Visa	NIL
Yellow Book	c-02	05. 06. 2006—Odessa UA

QUALIFICATION

Type	Grade/Class	Number	Date/Place of issue	Date of expiry
Certificate of Competency	Third-class engineer	01141/2017/01	29. 03. 2017—P. Izmail	N/A
Endorsement	N/A	N/A	N/A	N/A

CERTIFICATION

Type	Number	Date/Place of issue	Date of expiry
Basic Safety		06. 07. 2015—USTC Odessa	06. 07. 2020
Proficiency in survival crafts		06. 07. 2015—USTC Odessa	06. 07. 2020
Advanced Fire Fighting		06. 07. 2015—USTC Odessa	06. 07. 2020
Medical First Aid		24. 01. 2017—USTC Odessa	24. 01. 2022
Carriage of dangerous and hazardous substances		24. 01. 2017—USTC Odessa	24. 01. 2022
Security awareness training for all seafarers		06. 07. 2015—USTC Odessa	06. 07. 2020
English Language Level	GOOD

SEA SERVICE

Vessel	Type DWT	Type of engine/KW	Owners or Managers	Rank	From (d/m/y)	To (d/m/y)
ST. ELIZABETH	GENERAL CARGO 7400	BMW/3000KW	SHIPPING& TRUCHS, UK	MOTORMAN	07. 08. 2006	01. 01. 2007
SCALA	GENERAL CARGO 8100	DAIHATSU/3100KW	SCALA NAVIGATION LTD	OILER	11. 10. 2007	06. 04. 2008
ST. VALENTINA	GENERAL CARGO 10100	DAIHATSU 3400KW	VALENTINA NAV. CO. INC	OILER	22. 05. 2008	30. 11. 2008
ANAGEIA	B. CARRIER38750	MITSUBISHI13825KW	STAFF CENTRE	OILER	18. 03. 09	03. 09. 2009
SPARTA	GENERAL CARGO 10315	DAIHATSU3400KW	SPARTA STREAMSHIP CO. LTD	OILER	01. 03. 2010	22. 08. 2010
SPARTA	GENERAL CARGO 10315	DAIHATSU3400KW	SPARTA STREAMSHIP CO. LTD	4-ENG	23. 08. 2010	07. 01. 2011
SPARTA	GENERAL CARGO 10315	DAIHATSU3400	SPARTA STREAMSHIP CO. LTD	4-ENG	26. 08. 2011	02. 02. 2012
KOMKOV	TUG76	SULZER882	KSTP	3-ENG	02. 09. 2012	25. 04. 13

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