Хелпикс

Главная

Контакты

Случайная статья



PERSONAL DATA / APPLICATION FORM

⇐ ПредыдущаяСтр 2 из 3Следующая ⇒


 

 

                                                                                   

PERSONAL DATA / APPLICATION FORM

Position applied for -  

 
  Family Name: YAKOVENKO

Name:

SERHII

 

 

Father's name:

ANATOLEVICH
  Date of birth: 30. 05. 95

Place of birth:

Kherson

 

Nationality:

Ukraine

Marital status: Single
 

Address: Nova Mayachka, Kherson region

 

 

Nearest Airport: Kherson

 

 

Home phone:     
 

E-mail: serezha. yakovenko. 1995@mail. ru                

Mobile phone:  +380666943506

 

 

 

Next of kin Mother

Children (name & DOB):

 

Next of kin’s address: Nova Mayachka      

Next of kin’s name: Yakovenko Tatyana
 

Inter. Passport: EX723897

Issued: 06. 11. 13          

Valid: 06. 11. 23

Place of issue: Kherson/Ukraine             
 

Seaman's book: AB448394  

Issued: 05. 03. 14               

Valid: 05. 03. 19

Place of issue: Kherson/Ukraine            
 

Civil Passport: MP350697    

 

 

Issued:  12. 08. 11             

 

Place of issue: Kherson/Ukraine           
 

 Schengen visa:    

Issued:               

Valid:

Place of issue:            
 

CES 4. 1 -

 

 

MARLINS TEST -
                   

SEA GOING EXPERIENCE FOR THE LAST 5 YEARS

(MOST RECENT VESSEL LAST)

Name of vessel Year of built Company Owner / Ship Manager Flag Type of vessel DWT / TEU ME type / Model BHP Rank FromDD/MM/YYYY ToDD/MM/YYYY
TUR   World line LTD Ukraine tug   Sulzer 2x927   cadet 14. 10. 13 16. 12. 13
GS-82 Derzhgidrografiya Ukraine gydrographical   SKL 2X820   cadet 18. 06. 14 10. 01. 15
                     
                     
                     

 

Name of Maritime Institution attended Address of institution From To Degree of Diploma
KHERSON MARINE COLLEGE OF FISHERY INDUSTRY LENINA 55 01. 09. 12 01. 07. 15 JUNIOR SPECIALIST OF ENGINEERING
         

 

STCW Certificates Number Issued Valid Place of issue STCW Certificates Number Issued Valid Place of issue
Cert. of Competency 14844/2016/11 15. 09. 16   Kherson GMDSS Endorsement        
COC Endorsement 14844/2016/11 15. 09. 16 29. 08. 21 Kherson Radar observer        
Basic Safety Training 05. 07. 13 05. 07. 18 Kherson          
Advance Fire Fighting 05. 07. 13 05. 07. 18 Kherson ARPA        
Survival Craft & Rescue Boat 05. 07. 13 05. 07. 18 Kherson AIS course        
Medical Care         BTM course        
Medical first aid 15 289 26. 07. 16 26. 07. 21 Illichivsk ECDIS course        
Basic training for liquefied gas tanker cargo operations         Security officer (ISPS)        
Designated Security Duties                                                                                                                              14. 03. 14 14. 03. 19 Kherson Safety officer (ISM)        
Security Awareness Training 07. 02. 14 07. 02. 19 Kherson          
Carrying of Dangerous & Hazard. Substances 11 355 26. 07. 16 26. 07. 21 Illichivsk          
                   

 

Medical certificate Issued: 25. 04. 16 Valid: 25. 04. 17 Weight, kg: 60 Height, cm:    173
Drug & alcohol test Issued: 25. 04. 16 Valid: 25. 04. 17 Eyes: brawn         Hair: fair    
Yellow fever Issued:   Valid: Overall size: 46 Safety shoes: 42

 

 

Date: 22. 09. 16                                                                                                            Signature:  

                                                                                                                                                                YAKOVENKO SERHII                                                                         

 


⇐ Предыдущая123Следующая ⇒
  

© helpiks.su При использовании или копировании материалов прямая ссылка на сайт обязательна.