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APPLICATION FORM

 Name: Petro  Surname: Malchev
 Date of birth: 08.10.1973  Place of birth: Izmail
 Permanent address: Izmail, Odessa reg., Ukraine
 Passport (OVIR): AX 100546  Place of issue: Izmail  Date of issue: 13.06.2002  Valid until: 13.06.2012
 Seaman’s book: AB 383048  Place of issue: Izmail  Date of issue: 03.06.2009  Valid until: 03.06.2014
 Citizenship: Ukraine  Expiry date of U.S. visa: NO
 Marital Status  Married
 Next of kin: (name, pas. No)  wife - Malcheva Olesia
 Supported children under age of 18  1. Malcheva Maria, 23.12.2007
 (name, surname, date of birth)  
 Knowledge of English language  Good
 Education:  Qualification:  No Diploma:  Date of Issue:
 Seamen's Training Centre   Motorman    2002

 Certificates of STCW 78/95

 No.

 Place

 Date of issue

 Expiry date

 Certificate of competency  00136/2004/01  Izmail

15.06.2009

---

 Endorsement STCW  00136/2004/01  Izmail

15.06.2009

15.06.2014

 Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1)  202590 U  Izmail

24.03.2009

24.03.2014

 Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2)  212407 U  Izmail

11.06.2009

11.06.2014

Sea service (during five last years):

Name of vessel

Company

DWT

Flag

Type

Position

From

To

 Khudozhnik Plastov  Seanev Ltd  3712

Phon

Dry cargo

motorman

12.04.2004

08.07.2005

 Khudozhnik Plastov  Seanev Ltd  3712

Phon

Dry cargo

motorman

18.12.2005

18.09.2006

 Khudozhnil Plastov  Seanev Ltd  3712

Phon

Dry cargo

motorman

20.10.2006

18.05.2007

 Skif  Ritch holding Co  3466

St.Vincent

Gen cargo

motorman

31.08.2007

28.11.2007

 Fairplay  Brookes & Partners Ltd  1834

Dominica

Gen cargo

motorman

14.03.2008

25.07.2008

 Fairplay  Brookes & Partners Ltd

1834

Dominica

Gen cargo

motorman

15.10.2008

16.01.2009

 Experience at sea: Since 2004

 Knowledge Personal Computer (Yes / No): No 
 Medical Certificate  Issued: 21.08.2009  Place: Izmail  Exp.date: 21.08.2010
 Vaccination for cholera valid until:  Vaccination for yellow fever valid until: 03.11.2015 

Ready to work from:  any time

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