Матрос / Боцман

Описание


--------------------------------------------------------------------------------
Application for Employment
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Position applied for: AB
--------------------------------------------------------------------------------
Address: Blukher str 9a-52
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Surname: Sergei
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Forenames Ostapenko
--------------------------------------------------------------------------------
Tel.: 79119414687
--------------------------------------------------------------------------------
Cont.Tel:
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Date of Birth: 26.11.1974
--------------------------------------------------------------------------------
Marital status: maried
--------------------------------------------------------------------------------
No of Children: no
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Place of Birth: USSR
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Nationality: rus
--------------------------------------------------------------------------------
Date, Place issued: 15.01.2025 МВД 23201
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Native Language: rus
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Languages spoken: ang
--------------------------------------------------------------------------------
Passport: 09 24 643157.16.12.2024
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Education: highere ducation
--------------------------------------------------------------------------------
Next of Kin ( ):
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Education Body: SVMI im Nakhimov, Sevastopol
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Address:
--------------------------------------------------------------------------------
Tel.:
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Licenses
--------------------------------------------------------------------------------
Grade
--------------------------------------------------------------------------------
Number
--------------------------------------------------------------------------------
Date Issued
--------------------------------------------------------------------------------
Education Body
--------------------------------------------------------------------------------
Expiry Date
--------------------------------------------------------------------------------
Certificate of Competence
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Flag St. Recognition Cert
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Flag St. Recognition Cert
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Flag St. Recognition Cert.
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
GMDSS
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Endorsement of GMDSS
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Radar Observ. Simulator
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
ARPA
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Survival craft & rescue boat
--------------------------------------------------------------------------------
AB
--------------------------------------------------------------------------------
53240228/6358
--------------------------------------------------------------------------------
28.02.2024
--------------------------------------------------------------------------------
Sevastopol
--------------------------------------------------------------------------------
28.02.2029
--------------------------------------------------------------------------------
Advanced Fire-Fighting
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Carriage of D-s & Has-s sub-s
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
First Aid at Sea
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Basic safety training
--------------------------------------------------------------------------------
AB
--------------------------------------------------------------------------------
36240220/6358
--------------------------------------------------------------------------------
20.02.2024
--------------------------------------------------------------------------------
Sevastopol
--------------------------------------------------------------------------------
20.02.2029
--------------------------------------------------------------------------------
Watchkeeping
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Security trainibg
--------------------------------------------------------------------------------
AB
--------------------------------------------------------------------------------
16240226/6358
--------------------------------------------------------------------------------
26.02.2024
--------------------------------------------------------------------------------
Sevastopol
--------------------------------------------------------------------------------
26.02.2029
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Document
--------------------------------------------------------------------------------
Number
--------------------------------------------------------------------------------
Date Issued
--------------------------------------------------------------------------------
Place Issued
--------------------------------------------------------------------------------
Expiry Date
--------------------------------------------------------------------------------
Seaman's Passport
--------------------------------------------------------------------------------
Rus 0690614
--------------------------------------------------------------------------------
19.03.2024
--------------------------------------------------------------------------------
FSBI"BLACK SEA MPA"
--------------------------------------------------------------------------------
18/03/2029
--------------------------------------------------------------------------------
Seaman's Book
--------------------------------------------------------------------------------
MK 0203516
--------------------------------------------------------------------------------
09.11.15
--------------------------------------------------------------------------------
Port of Taganrog
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Travel Passport
--------------------------------------------------------------------------------
77 5387900
--------------------------------------------------------------------------------
01.09.15
--------------------------------------------------------------------------------
23201
--------------------------------------------------------------------------------
15/01/2035
--------------------------------------------------------------------------------
US Visa
--------------------------------------------------------------------------------
20180820220006
--------------------------------------------------------------------------------
26.03.18
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
22.03.20
--------------------------------------------------------------------------------
Health Certificate
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Yellow Fever
--------------------------------------------------------------------------------
06.09.2008
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Drug and Alcohol
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Schengen visa
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Eyes: gray
--------------------------------------------------------------------------------
Hair: gray
--------------------------------------------------------------------------------
Height: 181
--------------------------------------------------------------------------------
Weight: 97
--------------------------------------------------------------------------------
Shoes: 46
--------------------------------------------------------------------------------
Overall: 56
--------------------------------------------------------------------------------
Previous Sea Experience (for last 10 Years)
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
From
--------------------------------------------------------------------------------
To
--------------------------------------------------------------------------------
Vessel
--------------------------------------------------------------------------------
Flag
--------------------------------------------------------------------------------
DWT
--------------------------------------------------------------------------------
HP
--------------------------------------------------------------------------------
Engine
--------------------------------------------------------------------------------
TypeOfVessel
--------------------------------------------------------------------------------
Position
--------------------------------------------------------------------------------
Company
--------------------------------------------------------------------------------
Com. Tel
--------------------------------------------------------------------------------
10.06.03
--------------------------------------------------------------------------------
15.12.03
--------------------------------------------------------------------------------
Kamyshovaya bukhta
--------------------------------------------------------------------------------
panama
--------------------------------------------------------------------------------
5700
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Reefer
--------------------------------------------------------------------------------
OS
--------------------------------------------------------------------------------
Yug reef trans fleet
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
06.10.08
--------------------------------------------------------------------------------
14.04.09
--------------------------------------------------------------------------------
Sevastopolskay bukhta
--------------------------------------------------------------------------------
panama
--------------------------------------------------------------------------------
5700
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Reefer
--------------------------------------------------------------------------------
OS
--------------------------------------------------------------------------------
Yug reef trans fleet
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
16.04.09
--------------------------------------------------------------------------------
20.08.2009
--------------------------------------------------------------------------------
Т-х
--------------------------------------------------------------------------------
Керчь
--------------------------------------------------------------------------------
1621
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Рифер
--------------------------------------------------------------------------------
АВ
--------------------------------------------------------------------------------
Евразия бункер
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
15.09.09
--------------------------------------------------------------------------------
16.11.09
--------------------------------------------------------------------------------
ТХ
--------------------------------------------------------------------------------
Украина
--------------------------------------------------------------------------------
2700
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Рифер
--------------------------------------------------------------------------------
АВ
--------------------------------------------------------------------------------
СГП Атлантика
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
28.08.13
--------------------------------------------------------------------------------
01.05.14
--------------------------------------------------------------------------------
m/v Paris JR
--------------------------------------------------------------------------------
Valletta
--------------------------------------------------------------------------------
14241
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Контейнер
--------------------------------------------------------------------------------
АВ
--------------------------------------------------------------------------------
Голден порт
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
10.07.14
--------------------------------------------------------------------------------
11.04.15
--------------------------------------------------------------------------------
m/v Cristina star
--------------------------------------------------------------------------------
Monrovia
--------------------------------------------------------------------------------
37113
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Контейнер
--------------------------------------------------------------------------------
AB
--------------------------------------------------------------------------------
Голден порт
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
07.04.16
--------------------------------------------------------------------------------
23.03.17
--------------------------------------------------------------------------------
m/v MSC Shanon
--------------------------------------------------------------------------------
panama
--------------------------------------------------------------------------------
37071
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Контейнер
--------------------------------------------------------------------------------
АВ
--------------------------------------------------------------------------------
BGI
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
14.06.17
--------------------------------------------------------------------------------
29.11.17
--------------------------------------------------------------------------------
m/v MSC Shanon
--------------------------------------------------------------------------------
panama
--------------------------------------------------------------------------------
37071
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Контейнер
--------------------------------------------------------------------------------
АВ
--------------------------------------------------------------------------------
BGI
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
27.06.18
--------------------------------------------------------------------------------
10.01.19
--------------------------------------------------------------------------------
m/v MSC Shanon
--------------------------------------------------------------------------------
panama
--------------------------------------------------------------------------------
37071
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Контейнер
--------------------------------------------------------------------------------
АВ
--------------------------------------------------------------------------------
BGI
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
10.04.19
--------------------------------------------------------------------------------
04.12.19
--------------------------------------------------------------------------------
m/v MSC Jordan
--------------------------------------------------------------------------------
panama
--------------------------------------------------------------------------------
37071
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Контейнер
--------------------------------------------------------------------------------
АВ
--------------------------------------------------------------------------------
BGI
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
13.05.20
--------------------------------------------------------------------------------
01.09.21
--------------------------------------------------------------------------------
m/v MSC Jordan
--------------------------------------------------------------------------------
panama
--------------------------------------------------------------------------------
37071
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Контейнер
--------------------------------------------------------------------------------
АВ
--------------------------------------------------------------------------------
IQrew
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
29.03.21
--------------------------------------------------------------------------------
30.10.21
--------------------------------------------------------------------------------
m/v MSC Jordan
--------------------------------------------------------------------------------
panama
--------------------------------------------------------------------------------
37071
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Контейнер
--------------------------------------------------------------------------------
AB
--------------------------------------------------------------------------------
IQrew
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
16.04.22
--------------------------------------------------------------------------------
14.11.22
--------------------------------------------------------------------------------
m/v MSC Jordan
--------------------------------------------------------------------------------
panama
--------------------------------------------------------------------------------
37071
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Контейнер
--------------------------------------------------------------------------------
AB
--------------------------------------------------------------------------------
IQrew
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
07.05.23
--------------------------------------------------------------------------------
10.11.23
--------------------------------------------------------------------------------
m/v MSC Jordan
--------------------------------------------------------------------------------
panama
--------------------------------------------------------------------------------
37071
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Контейнер
--------------------------------------------------------------------------------
Bosun
--------------------------------------------------------------------------------
IQrew
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
25.05.24
--------------------------------------------------------------------------------
23.11.24
--------------------------------------------------------------------------------
m/v MSC Jordan
--------------------------------------------------------------------------------
panama
--------------------------------------------------------------------------------
37071
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
Контейнер
--------------------------------------------------------------------------------
Bosun
--------------------------------------------------------------------------------
IQrew
--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
С автоматизированной обработкой моих персональных данных указанных в анкете, их передачей (включая трансграничную) и хранением в целях трудоустройства согласен.
--------------------------------------------------------------------------------
Подпись___________________________________________________
--------------------------------------------------------------------------------
Дата______________________________________________________
--------------------------------------------------------------------------------
Готовность в рейс: апрель - май.