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APPLICATION FORM

 Name: Vitaliy  Surname: Manko
 Date of birth: 19.08.1974  Place of birth: Kiliya
 Permanent address: Kiliya, Odessa reg., Ukraine
 Passport (OVIR): EA 916024  Place of issue: Odessa  Date of issue: 21.04.2008  Valid until: 21.04.2018
 Seaman’s book: AB 380236  Place of issue: Izmail  Date of issue: 03.06.2008  Valid until: 03.06.2013
 Citizenship: Ukraine  Expiry date of U.S. visa: NO
 Marital Status  Married
 Next of kin: (name, pas. No)  wife - Manko Irina
 Supported children under age of 18  1. Nikita Manko, 06.10.1999
 (name, surname, date of birth)  2. Ksenia Manko, 04.03.2005
 Knowledge of English language  Satisfactory
 Education:  Qualification:  No Diploma:  Date of Issue:
 Odessa Marine College   Ship's welder  .  24.11.2008

 Certificates of STCW 78/95

 No.

 Place

 Date of issue

 Expiry date

 Certificate of competency  00524/2008/08  Odessa

17.12.2008

---

 Endorsement STCW  00524/2008/08  Odessa

17.12.2008

22.04.2013

 Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1)  103083U  Izmail

22.04.2008

22.04.2013

 Advanced Fire Fighting (A-VI/3)  14189U  Izmail

12.09.2008

12.09.2013

 Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2)  17147U  Izmail

16.09.2008

16.09.2013

 Bureau Veritas Welder Qualification Certificate   ODS/005/NC/08  Kiliya

15.02.2008

14.02.2010

Sea service (during five last years):

Name of vessel

Company

DWT

Flag

Type

Position

From

To

 .   Vyborg Shipyard  .  Russia  .

fitter

10.10.2004

12.03.2005

 .   St.Petersburg Shipyard  .  Russia  .

fitter

01.06.2005

29.09.2005

 .   Vyborg Shipyard  .  Russia  .

fitter

02.01.2006

07.07.2006

 .   Vyborg Shipyard  .  Russia  .

fitter

03.10.2006

05.02.2007

 .   St.Petersburg Shipyard  .  Russia  .

fitter

12.06.2007

14.09.2007

 .   St.Petersburg Shipyard  .  Russia  .

fitter

18.12.2007

21.04.2008

 Experience at sea: Shipyard Experience 

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

Ready to work from:  any time

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