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PERSONAL DATA. NEXT OF KIN AND FAMILY DETAILS. PASSPORT DETAILS. MEDICAL INFORMATION. CERTIFICATES



 

   

P

 
ERSONAL APPLICATION FORM

Full name ChernenkoOleksandr
Rank AB
Expected salary 900-1500
Level of English SATISF.
Home airport Odessa

 

PERSONAL DATA

Date of birth 14/12/1974 Place of birth Belgorod-Dnestrovsky
Home address

81Pervomayskaya str app3. Belgorod-Dnestrovsky. Odessa reg. Ukraine

Nationality Ukrainian Skype  
Mobile phone +380977456767 E-mail  
Marital status No Married Children under 18 y. o.

BMI

Height (sm) Weigh (kg)
Size of overall Size of shoes
Hair Black Eyes  

NEXT OF KIN AND FAMILY DETAILS

Full name Relationship Date of birth Mobile phone Home address
  ChernenkoValeria Daughter 20/07/1993 +380967789301 81Pervomayskaya str app3. Belgorod-Dnestrovsky. Odessa reg. Ukraine

PASSPORT DETAILS

Documents Place of issue Date of issue Date of expiry
Seaman`s book AB601765 Chernomorsk 17/10. 2017 17. 10. 2022
Travel passport FB736834 Belgorod-Dnestrovsky 14. 08. 2015 14. 08. 2025
Schengen visa        
USA visa        
Other passports        
Other visas        
         
         

MEDICAL INFORMATION

Medical certificates Date of issue Date of expiry
Medical fitness    
Drug & Alcohol test    
Yellow fever  
Other    
     

CERTIFICATES

Certificates Date of issue Date of expiry
Certificate of Competency (COC) 10961/2016/08 14/03/2016  
Endorsement      
Advanced Fire Fighting 13. 08. 2015 13. 082020
ARPA      
Basic Safety Training 15. 06. 2015 15. 06. 2020
Bridge Resource Management      
Bridge Team Management      
Carriage of Dangerous and Hazardous Substances      
Designated Security Duties      
ECDIS      
Engine Team and Resource Management      
GMDSS (endorsement)      
Hazardous Cargoes      
Maintenance of Electrical and Electronic Engineering      
Medical First Aid 31. 05. 2016 31. 05. 2021
Proficiency in Fast Rescue Boats 13. 08. 2015 13. 08. 2020
Radar Navigation      
RO-RO Passenger Ships      
Security Training for All Seafarers 31. 05. 2016 31. 05. 2021
Ship Handling Management      
Ship Safety Officer      
Ship Security Officer      
Survival Craft and Rescue Boats      
Training for Passenger Ship Personnel      
Additional Certificates (e. s. BOSIET)      
       
       


  

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