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ORDINARY SEAMAN. Education. Passports, Licenses & Certificates. Sea-going experience. Crewing Agencies or Marine Companies. General Physical State

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SEAFARER'S APPLICATION FORM

http: //crewdata. com

Position:	ORDINARY SEAMAN or ABLE SEAMAN	Readiness:	06. 02. 2016
Position:	ORDINARY SEAMAN or ABLE SEAMAN	Citizenship:	Ukraine
Last name:	Kalkutin	Marital status	single
First name:	Eduard	Children:
Middle name:	Sergiyovych	Nationality:	Ukrainian
Birth date:	03. 03. 1993	Birth place:	Ukraine
Home address:	Ochakov, Nikolaev reg., Ukraine	Phone mobile:	380(98)8186309
		Phone home:
		Email:	kalkytin93@gmail. com
English level:	Average

Salary

Minimum: 700

Expected: 900

Last: 300

$/month

Education
Educational institution	Speciality	Faculty	Place	Number	From	Till
Educationally training institution of state enterprise " Sea Commercial Port of Izmail"	Second class seaman	Ordinary Seaman	Izmail/UKR		20. 07. 2011	05. 12. 2011

Passports, Licenses & Certificates
Title	Class	Number	Place of issue	Issued	Valid
Passports & Visas
Civil passport		EP 356162	Ochakov, UKR	07. 12. 2009	01. 01. 2100
Seaman's book		AB 545870	Izmail, UKR	02. 04. 2015	02. 04. 2020
Travel passport		FA 090306	Izmail, UKR	25. 02. 2015	25. 02. 2025
Diplomas & Endorsements
Certificate of Competency	II/4	10469/2015/01	Izmail, UKR	27. 02. 2015	01. 01. 2100
Certificates & Licenses
Basic Safety Training (VI/1. 1-4)		1632/2015-A	Odessa, UKR	10. 02. 2015	10. 02. 2020
Proficiency in Survival Craft (VI/2)		1662/2015-A	Odessa, UKR	10. 02. 2015	10. 02. 2020
Medical Certificates
Medical Fitness Certificate			Izmail, UKR	26. 02. 2015	26. 02. 2016
Yellow Fever Vaccination			Nikolaev, UKR	05. 02. 2015	05. 02. 2025

Sea-going experience
	Vessel’s name	Flag	Type	Engine	Rank	From	Shipowner
	Vessel’s name	Year	DWT	HP	Rank	Till	Crew Agency
	Mriya S	VCT	General Cargo		Deck Cadet	10. 05. 2015	Hran Servis Euroasia LLC
	Mriya S				Deck Cadet	02. 11. 2015	Aliance Navigation

Crewing Agencies or Marine Companies
Crew Agency	City	Country	Contact Person	Phone
Aliance Navigation	Kherson	Ukraine		380(050)4944555

General Physical State
Height (cm)	Weight (kg)	Shoes	Clothes	Hair color	Eye color
			M	black	brown

Date applied:

12. 03. 2016

Signature:

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