ENGINE-RATINGS

GALLEY

HOTEL

CADETS

ENGINEERS

OFFICERS

CREWING COMPANIES

APFORMS

VACANCIES

 CONTACTS

HOME

APPLICATION FORM

 Name: Vadym  Surname: Gayduchenko
 Date of birth: 19.01.1984  Place of birth: Kherson, Ukraine
 Permanent address: Kherson, Ukraine
 Passport (OVIR): EA 153821  Place of issue: Kherson  Date of issue: 22.08.2007  Valid until: 22.08.2017
 Seaman’s book: AB 361385  Place of issue: Kherson  Date of issue: 06.06.2007  Valid until: 06.06.2012
 Citizenship: Ukraine  Expiry date of U.S. visa: NO
 Marital Status  Married
 Next of kin: (name, pas. No)  wife - Tatyana Gayduchenko
 Supported children under age of 18  Elizaveta Gayduchenko, 21.09.2006
 (name, surname, date of birth)  .
 Knowledge of English language  Good
 Education:  Qualification:  No Diploma:  Date of Issue:
 Nikolaev Seafarers' Training Centre   AB  .  27.04.2007

Certificates of STCW 78/95

No.

Place

Date of issue

Expiry date

 Certificate of competency

00188/2007/07

Nikolaev

27.04.2007

---

 Endorsement STCW

00188/2007/07

Nikolaev

27.04.2007

27.04.2012

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

03352/2007/42/01

Nikolaev

25.04.2007

25.04.2012

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

02365/2007/42/02

Nikolaev

25.04.2007

25.04.2012

 Hazardous Cargoes 

02365/2007/42/02

Nikolaev

25.04.2007

25.04.2012

Sea service (during five last years):

Name of vessel

COMPANY

DWT

Flag

Type

Position

From

To

 Nikolaev

 Orenburg Gazprom

2991

Russia

Dry cargo

AB

10.11.2005

20.11.2006

 Nicolas Delmas 

 Delmas

30453

Bahamas

Container

AB

13.08.2008

25.01.2009

 Experience at sea: Since 2005  Knowledge Personal Computer (Yes / No):
 Medical Certificate  ¹  Issued:  Place:  Exp.date:
 Vaccination for cholera valid until:  Vaccination for yellow fever valid until: 23.11.2017 

Ready to work from:  any time

ENGINE-RATINGS

GALLEY

HOTEL

CADETS

ENGINEERS

OFFICERS

CREWING COMPANIES

APFORMS

VACANCIES

 CONTACTS

HOME