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APPLICATION FORM

 Name: Igor  Surname: Borzykhin
 Date of birth: 17.02.1965  Place of birth: Kazakhstan
 Permanent address: Kherson, Ukraine
 Passport (OVIR): EA 826493  Place of issue: Kherson  Date of issue: 28.03.2008  Valid until: 28.03.2018
 Seaman’s book: AB 388239  Place of issue: Kherson  Date of issue: 26.03.2008  Valid until: 26.03.2013
 Citizenship: Ukraine  Expiry date of U.S. visa: NO
 Marital Status  Married
 Next of kin: (name, pas. No)  wife - Elena Borzykhyna
 Supported children under age of 18  .
 (name, surname, date of birth)  .
 Knowledge of English language  Satisfactory
 Education:  Qualification:  No Diploma:  Date of Issue:
 Kherson Maritime College   Radiotechnician  .  08.07.1985

Certificates of STCW 78/95

No.

Place

Date of issue

Expiry date

 Certificate of competency

00184/2008/11

Kherson

18.03.2008

---

 Endorsement STCW

00184/2008/11

Kherson

18.03.2008

21.02.2013

 Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1)

12332/08 KH

Kherson

22.02.2008

22.02.2013

 Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2)

8535/08 KH

Kherson

22.02.2008

22.02.2013

 N.Antilles Seaman's book 

33134

N.Antilles

08.04.2005

08.04.2010

 Panama Seaman's book 

403940HV

Manila

20.09.2007

19.09.2012

Sea service (during five last years):

Name of vessel

COMPANY

DWT

Flag

Type

Position

From

To

 Marlin-II 

 Mariteam Shipping Ltd

3834

Dominica

Trawler

AB

21.06.2004

26.02.2005

 Kaf-D 

 DM Shipping and Trading

2000

N.Antilles

Gen cargo

AB

02.04.2005

10.08.2005

 Vera 777 

 Dewlex Invest Ltd

5100

Panama

Gen cargo

AB

13.09.2007

22.01.2008

 Nadezhda

 Palas Shipping LLC

3500

Comoras

Gen cargo

Bosun

25.04.2008

15.08.2008

 Experience at sea: Since 1986  Knowledge Personal Computer (Yes / No): Yes 
 Medical Certificate  ¹ ÄÃ 499474  Issued: 28.03.2008   Place: Kherson  Exp.date: 28.03.2009
 Vaccination for cholera valid until:  Vaccination for yellow fever valid until: 22.03.2015 

Ready to work from:  any time

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