APPLICATION FORM

 Name: Oleg  Surname: Andriyanov
 Date of birth:  16.09.1957  Place of birth: Odessa reg. 
 Permanent address: Odessa, Ukraine
 Passport (OVIR): AM 636630  Place of issue: Odessa  Date of issue: 18.11.1998  Valid until: 18.11.2008
 Seaman’s book: AB 190338  Place of issue: Odessa  Date of issue: 18.10.2000  Valid until: 07.06.2010
 Citizenship: Ukraine  Expiry date of U.S. visa: 02.05.2011
 Marital Status:  Married
 Next of kin: (name, pas. No)  wife - Andriyanova Elena
 Supported children under age of 18  
 (name, surname, date of birth)  
 Knowledge of English language:  Good
 Education:  Qualification:  Date of Issue:
 Marine Engineering College:  Electrician-Technician  1979/1991

Certificates of STCW 78/95

No.

Place

Date of issue

Expiry date

 Certificate of competency  01277/2003/03  Odessa

08.12.2003

---

 Endorsement STCW  01277/2003/03  Odessa

10.07.2008

19.05.2013

 Personal Sea Survival (ÁÆÑ)(A-VI/1)  104855B  Odessa

19.05.2008

19.05.2013

 Proficiency in Survival Craft, Rescue Boats & Fast Rescue Boats (A-VI/2)  55037B  Odessa

26.04.2005

26.04.2010

Sea service (during five last years):

N

Name of vessel

COMPANY

DWT

Flag

Type

Position

From

To

 1.  Maersk Valparaiso  Alpha Ship

21199

N.Antilles

Container

Ass.El.Engineer

27.01.2004

25.07.2004

 2.  Maersk Hong Kong  Alpha Ship

23722

N.Antilles

Container

Ass.El.Engineer

20.10.2004

19.04.2005

 3.  Maersk Valparaiso  Alpha Ship

21199

N.Antilles

Container

Ass.El.Engineer

20.07.2005

20.01.2006

 4.  CSAV Montreal  Oskar Wehrkg

21211

Marshall isl

Container

Ref.Technician

08.05.2006

20.10.2006

 5.  CSAV Montreal  Oskar Wehrkg

21211

Marshall isl

Container

Ref.Technician

14.02.2007

22.06.2007

 6.  CSAV Rio Baker  Oskar Wehrkg

31198

Marshall isl

Container

Ref.Technician

15.11.2007

03.05.2008

 7.  CSAV Rio Baker  Oskar Wehrkg

31198

Marshall isl

Container

Ref.Technician

15.10.2008

10.01.2009

 Experience at sea:  Since 2003   Knowledge Personal Computer: Yes
 Medical Certificate:  ¹ 5.163  Issued: 25.03.2008  Place: Odessa  Exp. date: 05.03.2009
 Vaccination for cholera valid until:  Vaccination for yellow fever valid until: