APPLICATION FORM

 Name: Oleg  Surname: Kostenko
 Date of birth: 31.01.1966  Place of birth: Poltava reg.
 Permanent address: Odessa, Ukraine
 Phone: +38-048-7662008;   mob.+38-050-9176543
 Passport (OVIR): EK 012380  Place of issue: Odessa  Date of issue: 05.03.2009  Valid until: 05.05.2019
 Seaman’s book: AB 265277  Place of issue: Odessa  Date of issue: 19.09.2003  Valid until: 14.05.2013
 Citizenship: Ukraine  Expiry date of U.S. visa: NO
 Marital Status  Married
 Next of kin: (name, pas. No)  wife - Nataliya Kostenko
 Supported children under age of 18  Svetlana Kostenko - 29.10.1990 
 (name, surname, date of birth)  
 Knowledge of English language  Satisfactory
 Education:  Qualification:  No Diploma:  Date of Issue:
 Odessa Marine School   Seaman-motorman    1991

Certificates of STCW 78/95

No.

Place

Date of issue

Expiry date

 Certificate of competency

01049

Illichivsk

21.07.2008

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 Endorsement STCW

01049

Illichivsk

21.07.2008

21.07.2013

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

104663B

Odessa

06.05.2008

06.05.2013

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

12834B

Odessa

06.05.2008

06.05.2013

 Cyprus Seaman's book 

CY 092469

Limassol

16.02.2006

15.02.2016

Sea service (during five last years):

Name of vessel

COMPANY

DWT

Flag

Type

Position

From

To

 Isabella

 Akacia Universal Ltd

1850

Moroni

Dry cargo

AB

10.12.2004

09.09.2005

 Mekong Spirit 

 Starlio Ship Co Ltd

1045

Cyprus

Container

AB

16.02.2006

13.09.2006

 Clipper Sun 

 Tabala Co Ltd

14000

Panama

Bulker

AB

10.05.2007

18.07.2007

 CEC ACE 

 K/S Difko ACE

3838

Nassau

Multipurp

AB

05.08.2007

15.02.2008

 Barbara

 Reederei MS Barbara GmbH

22147

Nassau

Bulk/Tank

AB

13.08.2008

15.02.2009

 Experience at sea: Since 1994  Knowledge Personal Computer (Yes / No): Yes 
 Medical Certificate  ¹  Issued:  Place:  Exp.date:
 Vaccination for cholera valid until:  Vaccination for yellow fever valid until: