APPLICATION FORM. Position applied for: Seaman/Cook/Navigator of small craft. Position applied for: Seaman. Date available: march 2019. CERT.NO

APPLICATION FORM Position applied for: Seaman/Cook/Navigator of small craft Minimum acceptable salary: 2000?
Position applied for: Seaman			Date available: march 2019
SURNAME	Krupskii
NAME	Vadim
FATHER'S NAME	Vasil
Date and place of birth:	07. 07. 1968, Poltava region, Ukraine, USSR
Address:	City: Sevastopol		Str.
	House: 11 Apt.: 19		Mob ☎ +7 978 0382642
E-Mail: vkrupskij19@gmail. com	Viber: +7 978 03 82 642		SKYPE:

TITLE OF THE DOCUMENT	INSTITUTION	PLACE	CERT. NO	DATE ISSUED	VALID UNTILL
Civil Passport	ФМС 900-003	Sevastopol	29 13 620521	21. 03. 2014	Permanent
Travel Passport	ФМС 23201	Krasnodar	75 4589256	01. 04. 2017	01. 04. 2027
Seaman’s Identification Card	Port Kherson	Kherson	AB 657842	21JUN2019	21 JUN 2024
Seaman’s Book	Harbour Master port of Novorossiysk	Novorossiysk	MK 0295901	20/06/2018	Permanent
Seafarer's identity document	Harbour Master port of Novorossiysk	Novorossiysk	RUS 0414947	26/06/2018	25/06/2023
Certificate of competency
Rank: OS (Rating forming part of a navigational watch)	Harbour Master port of Novorossiysk	Novorossiysk	NVS	30. 10. 2018	Permanent
Others Professional license
Rank: Ship's cook	Harbour Master port of Novorossiysk	Novorossiysk	NVS 203287395	30. 01. 2019	Permanent
Rank: Navigator of small craft	Harbour Master port of Sevastopol	Sevastopol	SVP 203335249	25. 02. 2019	14. 02. 2029
STCW
Basic safety trainingA-VI/1-4	Institute of Professional Development «Admiral Ushakov Maritime State University»	Novorossiysk	AB №0999243	04. 02. 2017	04. 02. 2022
Medical First Aid		Novorossiysk		16. 02. 2019	16. 02. 2024
Advanced Fire FightingA-VI/3		Novorossiysk	АВ №0633839	02. 03. 2018	02. 03. 2023
Proficiency In Survival Craft & Rescue BoatsA-VI/2-1		Novorossiysk	АВ №0636690	11. 02. 2017	11. 02. 2022
Security-related training VI/6-2		Novorossiysk	АВ №1001585	20. 01. 2017	20. 01. 2022

Med. Examination				29. 10. 2018	29. 10. 2019
Yellow fever Vaccination	-
Second (relative) specialty	Ship's cook, Navigator of small craft
English knowledge	Middling, moderate
Welding skills	Selfeducation electric welding
Experience with mixed Nationality crew	Experience of working with foreign tourists
Valid USA visa	21 okt 2029
SCHENGEN Visa	Ukrainian Travel Passport
Other Visas	-

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