MARINE EDUCATION RECEIVED. ADDITIONAL INFORMATION. Level English test

MARINE EDUCATION RECEIVED

NAME OF SCHOOL	FROM	TILL	TYPE OF DEGREE RECEIVED
OMTC Odessa	16/09/2015	23/02/2016	motorman

ADDITIONAL INFORMATION

Child (Name and Date of Birth):	Daniil 08/07/09
Next of kin:	Name: Eugenia Date of birth: 16/03/86
	Address: Ukraine, Odessa reg., Artsiz., Chkalova str., 43 app. 4
wife	Home tel.: 0484536231	Mob Tel.: 0967559245

Level English test

English language knowledge	Excellent		Good		Satisfactory	x	Poor
Computer proficiency	Excellent		Good		Satisfactory	x	Poor

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I, undersigned, confirm all above information to be true and correct to my best knowledge:

Date 07/06/2016 Signature of the Applicant Kushnirov________