Вахтенный помощник капитана бункеровочного судна

Описание



Application Form for Seafarers_General Template


EMPLOYMENT APPLICATION FORM
Rank: 3rd Officer, Junior Officer Date Available for Joining:
Vessel:

Personal details
Surname: Aksenov First name: Evgenii      Photo:      
Date of birth: 12/03/1995 Place of birth: Russia. Krasnodar. Nationality: russian
Home address: Russia, Krasnodar, st. Kotlyarova 103, ap. 103
Phones: 8994635244

Nearest airport: Krasnodar Nearest international airport: Sochi

Documents

Passport No.
MOT Grade Cert No Place of Issue Date of Issue Expiry date
Endorsement NVS208853729 Novorossiysk 24/04/2025 03/02/2029
Tanker endorsement Crude Oil
G.M.D.S.S. 5042237023 15/052024 15/05/2029
G.M.D.S.S. Endorsement NVS208823889 10/04/2025 15/05/2029
Proficiency In Survival Craft 2042230660 03/02/2024 03/02/2029
Basic Safety Training 0142250372 10/10/2024 10/10/2029
Advanced Fire Fighting 0142249583 02/10/2024 02/10/2029
ARPA 0142250171 08/10/2024 08/10/2029
ROP 0142250166 08/10/2024 08/10/2029
Medical First Aid 0142249224 01/10/2024 01/10/2029
Basic training for oil and chemical tanker 9042248317 20/09/2024 20/09/2029
ECDIS 1042241840 05/02/2024 05/02/2029
Designated Security Duties 0142250168 08/10/2024 08/10/2029
Yellow fever 76 1162715 29/03/2020

Pre-SEA Training / Nautical School / Maritime School Qualifications Passed:

SEA SERVICE
Name of Vessel YearFlag Type of Vessel
Buil and Engine (Type)
t
Name of company: Nationalities: Philippinos,Hindus
( No.
Name of company: Level of English
( No. Marlins Test % 60

Next of kin Personal data:


Name/Relationship Weight, kg: 100 Height, cm: 190 Home address: Eyes: Brown Hair: Black Phones: Overall size: XXL Safety shoes: 43
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