APPLICATION FORM
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APPLICATION FORM
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| Name: Vyacheslav | Surname: Akhmetov | ||||||
| Date of birth: 01.08.1954 | Place of birth: Crimea Region | ||||||
| Permanent address: Odessa, Ukraine | |||||||
| Passport (OVIR): EC 638870 | Place of issue: Odessa | Date of issue: 14.07.2006 | Valid until: 14.07.2016 | ||||
| Seaman’s book: AB 340661 | Place of issue: Odessa | Date of issue: 17.07.2006 | Valid until: 17.07.2011 | ||||
| Citizenship: Ukraine | Expiry date of U.S. visa: 14.11.2003 | ||||||
| Marital Status | Married | ||||||
| Next of kin: (name, pas. No) | wife - Molokovich Lyudmila | ||||||
| Supported children under age of 18 | son - Kostya Akhmetov | ||||||
| (name, surname, date of birth) | . | ||||||
| Knowledge of English language | Good | ||||||
| Education: | Qualification: | No Diploma: | Date of Issue: | ||||
| Feodosya Marine Vocation School | Seaman | -- | 1976 | ||||
Licences, grades, certificates:
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Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency |
01500 |
Odessa |
15.09.2005 |
15.09.2010 |
| Endorsement STCW |
01500 |
Odessa |
15.09.2005 |
15.09.2010 |
| Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1) |
0184 |
Odessa |
30.08.2005 |
30.08.2010 |
| Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2) |
1494 |
Odessa |
29.08.2005 |
29.08.2010 |
| Passenger ships other than Ro-Ro (A-V/3) |
043176 |
Odessa |
23.07.2003 |
23.07.2008 |
Sea service (during five last years):
|
Name of vessel |
Company |
HP/DWT |
Flag |
Type |
Position |
From |
To |
| "Enchanted Capri" | Commodore |
18000 |
Bahamas |
pass. |
Boatswain |
20.11.2001 |
20.09.2002 |
| "Enchanted Capri" | Wallem |
18000 |
Bahamas |
pass. |
Boatswain |
31.12.2002 |
27.04.2003 |
| "Albatros" | Club Cruise |
28512 |
Bahamas |
pass. |
Carpinter |
18.01.2004 |
22.09.2004 |
| "Albatros" | Club Cruise |
28512 |
Bahamas |
pass. |
Carpinter |
20.11.2004 |
04.09.2005 |
| "Albatros" | Club Cruise |
28512 |
Bahamas |
pass. |
Carpinter |
28.09.2005 |
28.05.2006 |
Ready to work from: any time