Главная страница Случайная страница
КАТЕГОРИИ:
АвтомобилиАстрономияБиологияГеографияДом и садДругие языкиДругоеИнформатикаИсторияКультураЛитератураЛогикаМатематикаМедицинаМеталлургияМеханикаОбразованиеОхрана трудаПедагогикаПолитикаПравоПсихологияРелигияРиторикаСоциологияСпортСтроительствоТехнологияТуризмФизикаФилософияФинансыХимияЧерчениеЭкологияЭкономикаЭлектроника
National License
Стр 1 из 2Следующая ⇒
|
|
APPLICATION FORM
POSITION APPLIED FOR: __ Cook _____________
Personal data
| Family Name: Stoianov | Name: Volodymyr | Father's name: Vyktorovych | ||||||
| Date of birth: 27/12/1987 | Place of birth: Odesa, Ukraine | Nationality: Ukrainian | ||||||
| Marital status: not married | Children (name & DOB): | |||||||
| Address: Ukraine, Odesa, Balkovskaia Str., 36/1, flat 164 | Tel (including city code): +380487229309 | Mobile; +380974432378 | ||||||
| Next of kin and relationship: Ekateryna Geyvaluk, sister | ||||||||
| Next of kin’s address: Ukraine, Odesa, Segetskaya Str., | Tel: +380502917080 | |||||||
| Inter. P’port No: ET 952048 | Issued: 10/05/2012 | Valid: 10/05/2022 | Place of issue: 5109 | |||||
| Seaman's book No: AB 548381 | Issued: 18/03/2015 | Valid: 18/03/2020 | Place of issue: Port Odessa | |||||
| Civil P’port No: KM 308231 | Date of issue: 06/04/2005 | Place of issue: Shevchenkivskiy VM Prymorskogo RV UMVS of Ukraine | ||||||
| USA visa No: none | Issued: | Valid: | Place of issue: | |||||
Medical information
| Medical examination | Issued: | Valid: | Weight, kg: 60 | Height, cm: 166 |
| Drug & alcohol test | Issued: | Valid: | Eyes: green | Hair: brown |
| Yellow fever | Issued: | Valid: | Overall size: 42 | Safety shoes: 39 |
| Name of marine school attended | Address of school | From | To | Degree of diploma |
National License
| Certificate of competency hold | Number | Issued | Valid | Place of issue |
| Диплом | 10555/2015/08 | 12/02/2015 | Port Odessa | |
| Endorsement |
| IMO | STCW Certificates | Number | Issued | Valid | Place of issue | ||
| GMDSS Endorsement | |||||||
| Carriage of dangerous and hazardous substances | |||||||
| 1.08 | ARPA (A-I/12, A-II/1, A-II/2, B-I/12) | ||||||
| Personal safety (A-VI/1) (IMO 1.13, 1.19, 1.20, 1.21) | 26714/2014-A | 22/10/2014 | 22/10/2019 | Odessa | |||
| 2.03 | Advanced fire fighting (A-VI/3) | ||||||
| 1.23 | Prof. in survival craft (A-VI/2 p.1-4) | 22403/2014-A | 22/10/2014 | 22/102019 | Odessa | ||
| 1.14 | Medical first aid (A-VI/4-1) | ||||||
| 1.15 | Medical care (A-VI/4-2) | ||||||
| Hazardous cargoes (B-V/4, B-V/5) | |||||||
| Safety officer (ISM code) | |||||||
| Crowd management (A-V/3) | |||||||
| Bridge Team Management | |||||||
| Training for person. serving onpassenger ships other than RO-RO pas.ships | |||||||
| RoRo passenger (A-V/2-1, -2, -3, -4, -5) | |||||||
| Ship security officer | |||||||
| Ship handling arrangements | |||||||
| Свид-ство о повышении квалификации | |||||||