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WIPER. Education. Passports, Licenses & Certificates. General Physical State

SEAFARER'S APPLICATION FORM

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Position:	WIPER Messman	Readiness:	01. 01. 2017
Position:	WIPER Messman	Citizenship:	Ukraine
Last name:	Shilo	Marital status	Single
First name:	Danyil	Children:
Middle name:		Nationality:	Ukrainian
Birth date:	29. 08. 1995	Birth place:	Ukraine
Home address:	Izmail, Odessa reg., Ukraine, 68800	Phone mobile:	380(98)8335949
		Phone home:
		Email:	shilodanik1@gmail. com
English level:	Good

PHOTO

Salary

Minimum: 600

Expected:

Last:

$/month

Education
Educational institution	Speciality	Faculty	Place	Number	From	Till
Training Center Illichivsk shiprepair yard	First class Motorman	Engineering	Illichivsk/UKR		15. 02. 2016	13. 06. 2016

Passports, Licenses & Certificates
Title	Class	Number	Place of issue	Issued	Valid
Passports & Visas
Civil passport		КМ763115	Izmail, UKR	30. 01. 2012
Seaman's book		AB582089	Izmail, UKR	08. 07. 2016	08. 07. 2021
Travel passport		FB588217	Odessa, UKR	22. 06. 2015	22. 06. 2025
Diplomas & Endorsements
Certificate of Competency	2nd class motormen	11867/2016/01	Izmail, UKR	22. 06. 2016
Certificates & Licenses
security-related training and instruction for all seafarrers			Illichivsk, UKR	04. 06. 2016		04. 06. 2021
Basic Safety Training (VI/1. 1-4)			Illichivsk, UKR	01. 06. 2016		01. 06. 2021

Training for proficiency in survival craft and rescue boats other than fast rescue boats			Izmail, UKR	27. 05. 2016		27. 05. 2021

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

Date applied:

01. 01. 2017

Signature:

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