Повар судовой

Описание





[pic] “CH.P. TISCHENKO”
52, Ostryakova str. - of. № 330
299029 Sevastopol, Crimea
Tel: +38-0692-45-17-12 ,+7-978-741-27-83,
+7-978-956-12-41
Skype: avtischenko2008
E-mail: seamanapp2012@mail.ru web: www. Тищенко.com



APPLICATION FORM


Position applied for: Minimum acceptable salary:
Position applied for: Date available: 20.11.2014
Surname
name
Father's Name
Date and place of birth:
Address: City: Str.
Personal civil code: House: Apt.: Mob ( +380
Mob ( +380
E-Mail : ICQ : SKYPE :

TITLE OF THE DOCUMENT INSTITUTION PLACE CERT.NO DATE VALID
ISSUED UNTILL
Civil Passport
Travel. Passport
Seaman’s Book
Certificate of competency
Rank
Endorsement
Others Professional license
Rank
Endorsement
GMDSS (GOC) Certificate
GMDSS Endorsement
Radar Observer and Plotting
ARPA
Basic Safety (incl Pers.Safety & Social Resp.)
Medical First Aid or Medical Care
Basic Fire Fighting or Advanced Fire Fight.
Proficiency In Survival Craft & Rescue Boats
Fast Rescue Boats
Hazardous cargoes (solid and bulk)
Ship Security Officer( ISPS/SSO)
Bridge Team Management
Bridge Resources Management
Ship Handling Simulator
Electronic charts
ISM Code
Training on Ro-Ro Passenger ships
Training on Pass. ship other than Ro-Ro
Crowd Management
Oil Tanker Familiaris. or Specialized
Liq.Gas Tanker Familiaris. or Specialized
Chem. Tanker Familiaris. Or Specialised
C.O.W. / I.G.S.
Maintenance of electronic and electrical eqp.
Yellow fever Vaccination
Second (relative) specialty
English knowledge
Welding skills (навыки
Experience with mixed Nationality crew
Reason for leaving last Company
Valid USA visa
SCHENGEN Visa
Other Visas


MARINE EDUCATION RECEIVED
NAME OF SCHOOL FROM TILL TYPE OF DEGREE RECEIVED



REFERENCES
NAME OF COMPANY CREWING AGENT CONTACTS




ADDITIONAL INFORMATION
Marital status: Married/Single
Wife/Mother/Father
(Name, First name, Date and place of birth)

Children under the age of 18 (names, date of birth )

Children under the age of 18 (names, date of birth )

Next of kin (Name, date of birth, address, phone #)


Physical details: Height: Weight: Overall: Shoes:


PREVIOUS SEA EXPERIENCE (FOR LAST 10 YEARS):
RANK NAME OF THE VESSEL TYPE VESSEL YEAR OF BUILD DWT TYPE OF THE MAIN ENGINE FROM TILL Owner COMPANY FLAG HP