APPLICATION FORM
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Main information
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Position: Position:
| motoman-OS-AB
| Desired Type of Ship:
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Desired salary:
| 800- 2000
| Available from:
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Full Name:
| Serhii
| Date of birth:
| 10. 09. 1996
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Citizenship:
| Ukraine
| Place of birth:
| Golaya Pristan
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Phones:
| +380509287618
| Country of residence:
| Ukraine
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E-mail address:
| serega. lipen2017@yandex. ua
| City/ Address:
| Golaya Pristan. Gogolya 31
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Skype:
| Lupen Serhii
| USA visa valid up:
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English level:
| Middle
| Schengen visa valid up:
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Passports / Smbk
| #
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Date of issue
| Place of issue
| Date of expire
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Seaman's book
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| 09. 09. 2015
| Kherson
| 09. 09. 2020
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International passport
| FB378218
| 21. 10. 2015
| Kherson
| 21. 10. 2025
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Diplomas
| #
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Date of issue
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Place of issue
| Valid up
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Rank
| Motorman-Seaman. 3rd-engieer
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AB ( Seaman )
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| 16. 01. 2017
| Kherson
| Unlimited
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OS ( Motorman )
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| 16. 01. 2017
| Kherson
| Unlimited
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Certificates
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Date of issue
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Place of issue
| Valid up
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GMDSS Operator
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GMDSS Endorsement
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Basic Safety Training
| 5212MPS
| 14. 11. 2014
| Kherson
| 14. 11. 2019
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Advanced Fire Fighting
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Medical care
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Medical First aid
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Proficiency in Survival craft
| 14918MPS
| 04. 09. 2015
| Kherson
| 04. 09. 2020
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Security Awareness Training
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Security training for seafarers with designated security duties
| 23933MPS
| 04. 09. 2015
| Kherson
| 04. 09. 2020
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Designated security duties of shipboard personnel
| 1743MPS
| 04. 09. 2015
| Kherson
| 04. 09. 2020
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Radar Management
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Ship handling arrangements
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Ship security officer
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Electronic chart display and information systems (ECDIS)
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Tanker familiarization
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Oil tank specialized training
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Cmk tank specialized training
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LGtank tank specialized training
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Crude oil washing of oil tankers
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Passenger vessel training
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Bridge team management
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HUET (Helicopter underwater escape training - OPITO approved)
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BOSIET (OPITO approved)
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Offshore Medical (OPITO approved)
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ARAMCO approve
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Crane operator courses
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DP maintenance
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H2S Alive course
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Fast Rescue Boats course
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DP basic course
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DP advanced course
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DP Full
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Medicine
| #
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Date of issue
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Place of issue
| Valid up
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Medical fitness certificate:
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| 01. 11. 2017
| Kherson
| 01. 11. 2018
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Alco-drug certificate:
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| 01. 11. 2017
| Kherson
| 01. 11. 2018
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Yellow fever:
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Flag Documents and Other Countries Seaman's Books
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Country
| №
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Document type
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Date of issue
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Date of expire
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Sea experience (reverse order)
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Position
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Name
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Type
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DWT/GTN
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ME Type/kW
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From - Till
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Employer
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Motorman-AB
| BOSKO GILAN
| General Cargo Ship
Iran
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IMO-9188752
| SKL-2834
| 14. 10. 2015
21. 05. 2016
| Bonyad Ship Corp
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Motorman-AB
| Forty Two
Nassau
| Yacht
Nassau
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IMO-Y0006
| CAT-6304T
| 27. 08. 2017
27. 11. 2017
| Tirrel Finance Ltd
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Motorman-AB
| Water
| Vodoley-4
Ukraine
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IMO-2020378
| BSW-3D8
| 01. 06. 2014
21. 11. 2014
| ASK Ukrrechflot
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Additional info
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Education: Junior Specialist
| Knowledge of other languages:
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Specialty: Motorman-seaman. 3rd Engineer
| Lathe machine skills:
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Second (relative) specialty:
| Welding skills: GOOD
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Next of Kin
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Next of kin:
| Phone:
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Name, Surname:
| Address:
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Biometrical data
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Sex MEN
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Height: 170
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Overall size: L
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Eyes color: BLUE
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Weight: 80
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Shoe size: 42
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