Главная страница Случайная страница
КАТЕГОРИИ:
АвтомобилиАстрономияБиологияГеографияДом и садДругие языкиДругоеИнформатикаИсторияКультураЛитератураЛогикаМатематикаМедицинаМеталлургияМеханикаОбразованиеОхрана трудаПедагогикаПолитикаПравоПсихологияРелигияРиторикаСоциологияСпортСтроительствоТехнологияТуризмФизикаФилософияФинансыХимияЧерчениеЭкологияЭкономикаЭлектроника
Personal application form
|
|
| Position applied for | AB/OS |
| Available from | 01.08.16 |
| Min Excepted salary |
Personal Data
| Surname | Karpenko | Name | Dmytro | Father’s name | Oleksandr |
| Nationality | Ukraine | Date of birth | 06.01.1988 | Place of birth | Ukraine |
| Gender | Male | Marital Status | Married | Nearest airport | Kherson |
| Cell phone | +380950422717 | Home phone | karpenko.d88@gmail.com | ||
| Home address | Ukraine, Kherson.Karbysheva 8, 95 |
| Name | Country | Document No | Date of Issue | Issuer/Place of Issuer | Expiration Date |
| Travel Passport | UKRAINE | EE341247 | 29.07.2008 | Kherson | 29.07.2018 |
| Seaman’s Book | UKRAINE | AB387848 | 11.02.2008 | Kherson | 11.02.2018 |
| USA Visa | |||||
| Schengen visa |
Travel documents
| Name | Country | Document No | Date of Issue | Issuer/Place of Issuer | Expiration Date |
| Drug and Alcohol Test | |||||
| Physical Examination Certificate | |||||
| Yellow Fever | Ukraine | 20.10.2008 | Kherson | 20.10.2018 |
Medical documents
Measurements
| Eyes | brown | Safety shoes | |
| Hair | black | Boiler suit | |
| Height | |||
| Weight |
Certificates of competency
| Name | Country | Document No | Date of Issue | Issuer/Place of Issuer | Expiration Date |
| AB | Ukraine | 13048/2015/11 | 27.08.2015 | Kherson | |
Endorsements
| Name | Country | Document No | Date of Issue | Issuer/Place of Issuer | Expiration Date |
| Ukraine | 13048/2015/11 | 27.08.2015 | Kherson | ||
Training documents and tests
| Name | Country | Document No | Date of Issue | Issuer/Place of Issuer | Expiration Date |
| BasicSafetyTraining& Instruction | Ukraine | 5149/MPS | 24.10.2014 | Kherson | 24.10.2019 |
| Radar Navigation, Manual & Automatic Radar Plotting Aids (ARPA) | |||||
| Advanced Fire Fighting | Ukraine | 9541/MPS | 24.10.2014 | Kherson | 24.10.2019 |
| Proficiency in survival craft & rescue boats | Ukraine | 4425/MPS | 24.10.2014 | Kherson | 24.10.2019 |
| Medical first aid on board | |||||
| Ship Security Officer | Ukraine | 26.05.2014 | Kherson | 26.05.2019 | |
| Designated security duties | Ukraine | 26.05.2014 | Kherson | 26.05.2019 | |
| Electronic Chart Display and Information System (ECDIS) | |||||
| Proficiency in fast rescue boats | Ukraine | 4425/MPS | 24.10.2014 | Kherson | 24.10.2019 |
| Bridge / Engine team Management | |||||
| Carriage of dangerous & hazardous substances | Ukraine | 2685/MPS | 24.10.2014 | Kherson | 24.10.2019 |
| Training for personnel serving on Ro-Ro passenger ships | |||||
| Oil tanker / Chemical tankers/ Liqued Gas specialized trainig | Ukraine | 1066/MPS | 24.10.2014 | Kherson | 24.10.2019 |
| DP Basic/ DP Advanced | |||||
| Full DP / DP Maintenance | |||||
| Helicopter Underwater Escape Training (HUET) |
Sea service
| Date From | Date To | Vessel’s Name | Type of vessel | Flag | DWT | Engine | kW | Rank | Company |
| 26.10.08 | 20.04.09 | M/T Taipan | Tanker Chemical | Liberia | O/S | Taipan Chemical Carriers | |||
| 28.09.19 | 30.01.11 | Pioneer | Tanker Chemical | Belize City | A/B | Alston Globus | |||
| 27.06.11 | 02.02.12 | Miss Marina | Tanker Chemical | Valletta | O/S | Perseveranza Spa di Navigazione | |||
| 07.07.12 | 21.01.13 | Breeze A | Tanker Chemical | Valletta | O/S | Breeze A Marine Limited | |||
| 12.04.14 | 20.12.14 | Breeze A | Tanker Chemical | Valletta | A/B | Breeze A Marine Limited | |||
| 12.04.14 | 20.12.14 | Aleksandr Zhytnyk | General cargo | Ukraine | A/B | ||||
| 25.03.15 | 11.11.15 | Aleksandr Zhytnyk | General cargo | Ukraine | A/B | ||||
Відповідно до Закону України " Про захист персональних даних" N 2297-VI від 01.06.2010 р., надаю згоду на обробку моїх персональних даних, вказаних в анкеті, з метою можливого працевлаштування на суднах іноземних судновласників. З вимогами Закону України " Про захист персональних даних", правами та обов’язками сторін ознайомлений.
Date: Seaman’sSignature:
|