APPLICATION FORM
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APPLICATION FORM |
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| Name: | Vasil | ||||
| Surname: | Moraru | ||||
|
Date of Birth: |
21.05.1965 | ||||
| Place of Birth: | Moldova | ||||
| Permanent address: | Ilyichevsk, Odessa reg., Ukraine | ||||
| Personal code: | 2388209598 | ||||
| Citizenship: | Ukraine | ||||
| Passport No.: | AM 638527 | ||||
| Date of issue: | 25.11.1998 | ||||
| Place of issue: | Ilyichevsk, Ukraine | ||||
| Valid untill: | 25.11.2008 | ||||
| Seaman's Book No.: | AB 069911 | ||||
| Date of issue: | 06.07.2000 | ||||
| Place of issue: | port of Illichevsk | ||||
| Valid untill: | 06.07.2005 | ||||
| Expiry date of U.S. visa: | 21.08.2004 | ||||
| vaccination valid untill for cholera: | 23.05.1983 | ||||
| vaccination valid untill for yellow fever: | 30.10.2000 | ||||
| Date of last medical certificate: |
- | ||||
| Marital status: | Married: X | Single: | Divorced: | Widower: | |
| Next of kin: (name, pas. No) | Moraru Irina - KK 156077 | ||||
| Supported children under age of 18 | Moraru Anna - 1988 | ||||
| (name, surname, date of birth) | Moraru Elena - 1999 | ||||
| Knowledge of English language: | Very good: | Good: | Satisfactory: X | Fair: | Poor: |
Licences, grades, certificates:
|
Licence held/grade, certificate |
No. |
Authority |
Country |
Date of issue |
Expiry date |
| Certificate |
51806 |
"TRAINING AND CERTIFYING |
Ukraine |
13.09.00 |
13.09.05 |
| Certificate |
0218 |
CENTRE SURVIVAL |
Ukraine |
09.04.03 |
09.04.05 |
| Ship's welder |
0828 |
AT SEA OF ODESSA" |
Ukraine |
13.10.03 |
13.10.05 |
| At present he is a student of Kherson Secondary Maritime chool. (4 year of study - engineer ) |
Sea service (during five last years):
|
Name of vessel |
Company |
HP/DWT |
Flag |
Type |
Position |
From |
To |
| Achellis | All Oceans Shipping Co |
- |
Malta |
bulker |
welder |
10.04.01 |
22.11.01 |
| Ocean Breeze | Celebration World Cruise |
- |
Bahama |
SS |
welder |
07.10.02 |
17.10.02 |
| Ocean Breeze | Celebration World Cruise |
- |
Bahama |
SS |
fitter-welder |
24.10.02 |
22.04.03 |
| Regal Empress | Celebration World Cruise |
- |
Bahama |
pass |
fitter-welder |
08.09.03 |
16.10.03 |
Ready to work from: ANY TIME