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Personal particulars. Documents and certificates. Date of issue. Vessel’s. Main engine. Ship-owner/Manager



 

    Foto
SEAMAN’S EMPLOYMENT APPLICATION FORM

Position applied for:

2nd engineer                Second choice (if any): 2nd engineer

Available from:

01. 08. 2016
Family name:

Svislotskiy

First name:

Sergey

               

 

Date of birth: 20/03/1982 Place of birth: Lithuania

Nationality:

Ukrainian

Marital status: married Color of hair: Brown

Color of eyes:

blue

Height (cm): Weight (kg): Size:

2xl

Shoes:
                 

Personal particulars

Name of father: ____Anatoliy_________ Name of mother: ___Larisa____________ Name of spouse: ____Vasilina_____

Children under 18 (name/date of birth): ___Bogdan / 04/05/2011__________________________________________________

Home address:

Mariupol, Osoaviahima st. 28

Telephones: +380983769365

Next of Kin:        Surname_____Svislotskaya________Name__Vasilina___________ Relationship_____wife____________

Address/Telephones

Mariupol, Osoaviahima st. 28 +380983137446

Notes:

Documents and certificates

Documents No Place of issue

Date of issue

Valid until
Seaman’s passport AB457586 Mariupol SCP

15. 08. 2012

15. 08. 2017
Civil travel passport EX347185

6. 08. 2013

06. 08. 2023
Civil passport BB451832 Volodarskoe 27. 05. 1998

ID№3002906919

           
CertificatesofCompetency Grade No Place of issue Date of issue Endorsement valid until
National 2nd engineer Taganrog 14. 06. 2016 31. 05. 2021
Liberia          

Name of Marine School (Academy): _State Marine University of Ushakov, Rostov-na-Don__________ Graduated on _2012_

 

STCW Certificates No Date of issue Valid until
Basic safety/survival at sea 31. 05. 2016 31. 05. 2021
GMDSS      
ROPS, ARPA      
Advanced fire-fighting 09. 06. 2016 09. 06. 2021
Proficiency in survival craft 03. 06. 2016 03. 06. 2021
Medical care / First aid 08. 06. 2016 08. 06. 2021
Dangerous cargo (Hazmat) 02. 06. 2016 02. 06. 2021
Security officer 02. 06. 2016 02. 06. 2021
Safety officer      
A-VI/6-2 (off-s), A-VI/6-1(ratings)      
Yellow fever   01. 04. 2009 01. 04. 2019

Rank

Vessel’s

Main engine

Ship-owner/Manager

From
(mm. yy)

To (mm. yy)

Name Flag Type DWT Type HP
4th engineer Swansea Marshall Is Bulk Carrier MAN Norbulk Shipping UK ltd 11. 12. 2015 15. 04. 2016
4th engineer RAINBOW QUEST Gibraltar Bulk Carrier MAN Norbulk Shipping UK ltd 01. 04. 2015 30. 07. 2015
3rd engineer Medazov Julia St Vincent Grenadine Container ship MAK Medazov Rosa Co Ltd 09. 12. 2013 06. 12. 2014
                   
                   

Наличие справок о плавании и отзывов о работе приветствуется

Notes: U. S. visa expiration date 18. 10. 2025



  

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