APPLICATION FORM
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APPLICATION FORM |
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| Name: Sergey | Surname: Ananev | ||||||
| Date of birth: 20.04.1975 | Place of birth: Novosibirsk, Russia | ||||||
| Permanent address: Chernjakhovsk, Kaliningrad reg. Russia | |||||||
| Passport (OVIR): 62 4309149 | Place of issue: Kaliningrad | Date of issue: 21.01.2005 | Valid until: 21.01.2010 | ||||
| Seaman’s book: MF 0246915 | Place of issue: Kaliningrad | Date of issue: 25.09.2007 | Valid until: 25.09.2012 | ||||
| Citizenship: Russia | Expiry date of U.S. visa: NO | ||||||
| Marital Status | Married | ||||||
| Next of kin: (name, pas. No) | wife - Ananeva Elena | ||||||
| Supported children under age of 18 | 1. Maxim Ananev, 11.08.2003 | ||||||
| (name, surname, date of birth) | |||||||
| Knowledge of English language | Very good | ||||||
| Education: | Qualification: | Date of Issue: | |||||
| Baltic Fleet State Academy | Ship Engineer | 01.08.1997 | |||||
|
Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency | 1041103946 | Kaliningrad |
22.10.2007 |
09.10.2011 |
| Endorsement STCW | 1041103946 | Kaliningrad |
22.10.2007 |
09.10.2011 |
| Personal Sea Survival (A-VI/1) | 097416 | Kaliningrad |
09.10.2006 |
09.10.2011 |
| Carrying dangerous & hazardous cargo (B-V/4, B-V/5) | 5403 K | Kaliningrad |
12.10.2006 |
12.10.2009 |
| Advanced Fire Fighting (A-VI/3) | 044914 | Kaliningrad |
09.10.2006 |
09.10.2011 |
| Proficiency in Survival craft, Rescue Boats (A-VI/2) | 077830 | Kaliningrad |
09.10.2006 |
09.10.2011 |
| Medical First Aid (A-VI/4-1) | 048910 | Kaliningrad |
09.10.2006 |
09.10.2011 |
| Proficiency in fast rescue boats (A-VI/2-2) | 115940 | Kaliningrad |
01.08.2008 |
01.08.2013 |
| Dutch Seaman's book | A220936 | Rotterdam |
18.02.2005 |
18.02.2015 |
| Dutch Endorsement | 8500171539/10000297 | Rotterdam |
04.01.2008 |
09.10.2011 |
| Germany Seaman's book | 0335/04 | Hamburg |
06.05.2004 |
--- |
| Cyprus Seaman's book | CY 047323 | Limassol |
10.09.2003 |
10.09.2013 |
Sea service (during five last years):
|
Name of vessel |
Company |
DWT |
Flag |
Type |
Position |
From |
To |
| 1. Amaret | Q-Shipping | 1500 | Cyprus | Gen cargo |
Single Eng |
10.09.2003 |
11.12.2003 |
| 2. Lappland | Petra Heinrich | 6900 | Germany | Container |
2-nd Eng |
07.05.2004 |
10.12.2004 |
| 3. WMS Amsterdam | Navigia Shipmanagement | 7464 | Cyprus | Container |
2-nd Eng |
10.03.2005 |
20.09.2005 |
| 4. Westerhaven | Reider Shipping | 8450 | Dutch | Container |
2-nd Eng |
18.02.2006 |
22.08.2006 |
| 5. Christina Scan | Reider Shipping | 6023 | Dutch | Heavy lift |
2-nd Eng |
06.11.2006 |
29.07.2007 |
| 6. Reykjafoss | Reider Shipping | 8450 | Dutch | Container |
Ch. Eng |
04.12.2007 |
18.04.2008 |
| 7. Aurelia | RS Research Shipping | 842 | Malta | Seismic/Research |
Ch. Eng |
16.05.2008 |
16.07.2008 |
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Automation (A1/A2) |
Main Eng. Maker/Model |
Engine Stroke |
Engine Total HP |
Aux. Engine Maker/Number |
Aux. Engine H.P. / KW |
Unmanned |
Without El.Eng. |
| 1. A1 |
Caterpillar |
4 |
1500 |
Caterpillar/2 |
408/300 |
yes |
yes |
| 2. A1 |
MAN B&W/8L 40/54 |
4 |
7833 |
Caterpillar/2 |
680/500 |
yes |
yes |
| 3. A1 |
MAK/8M43 |
4 |
9792 |
Yanmar/3 |
612/450 |
yes |
yes |
| 4. A1 |
MAK/8M552 |
4 |
8160 |
Caterpillar |
680/500 |
yes |
yes |
| 5. A1 |
MAK/8M32 |
4 |
5222 |
MAN/1 |
748/550 |
yes |
yes |
| 6. A1 |
MAK/8M552 |
4 |
8160 |
Caterpillar/2 |
680/500 |
yes |
yes |
| 7. A2 |
SKL/8NVD48 |
4 |
1320 |
MAN/3 |
231/170 |
no |
no |
| Experience at sea: Since 1997 | Knowledge Personal Computer (Yes / No): Yes | |||
| Medical Certificate | ¹ 005264 | Issued: 29.08.2008 | Place: Kaliningrad | Exp.date: 29.08.2010 |
| Vaccination for cholera valid until: 13.03.2011 | Vaccination for yellow fever valid until: 27.01.2016 | |||