APPLICATION FORM
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APPLICATION FORM |
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| Name: Igor | Surname: Andryeyev | ||||||
| Date of birth: 25.12.1977 | Place of birth: Moscow | ||||||
| Permanent address: Melitopol, Ukraine | |||||||
| Passport (OVIR): AT 159216 | Place of issue: Mariupol | Date of issue: 06.09.2001 | Valid until: 06.09.2011 | ||||
| Seaman’s book: AB 425169 | Place of issue: Mariupol | Date of issue: 19.04.2010 | Valid until: 19.04.2015 | ||||
| Citizenship: Ukraine | Expiry date of U.S. visa: NO | ||||||
| Marital Status | Single | ||||||
| Next of kin: (name, pas. No) | |||||||
| Supported children under age of 18 | |||||||
| (name, surname, date of birth) | |||||||
| Knowledge of English language | Very good | ||||||
| Education: | Qualification: | Date of Issue: | |||||
| Odessa State Maritime Academy | Enigneer-Bachelor | 2003 | |||||
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Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency | 00226/2009/11 | Kherson |
27.05.2009 |
--- |
| Endorsement STCW | 00226/2009/11 | Kherson |
27.05.2009 |
21.04.2014 |
| Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1) | 2/569/09 | Illichevsk |
21.04.2009 |
21.04.2014 |
| Advanced Fire Fighting (A-VI/3) | 2/101/09 | Illichevsk |
21.04.2009 |
21.04.2014 |
| Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2) | 2/186/09 | Illichevsk |
21.04.2009 |
21.04.2014 |
| Medical First Aid (A-VI/4-1) | 2/045/09 | Illichevsk |
21.04.2009 |
21.04.2014 |
Sea service (during five last years):
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Name of vessel |
Company |
DWT |
Flag |
Type |
Position |
From |
To |
| 1. Casino Royale | Tenmark Marine Inc | 9500 | Bahamas | Pass |
3-rd Eng |
29.12.2005 |
02.05.2006 |
| 2. Turama | Sete Yacht Manag. | 7500 | Malta | Pass |
3-rd Eng |
27.09.2006 |
28.03.2007 |
| 3. Turama | Sete Yacht Manag. | 7500 | Malta | Pass |
3-rd Eng |
20.06.2007 |
20.08.2007 |
| 4. Hebridean Spirit | Hebridean Cruises | 4200 | UK | Pass |
3-rd Eng |
24.10.2007 |
12.01.2008 |
| 5. Hebridean Spirit | Hebridean Cruises | 4200 | UK | Pass |
3-rd Eng |
16.02.2008 |
17.06.2008 |
| 6. Spirit of Adventure | SAGA Shipping | 9570 | Bahamas | Pass |
2-nd Eng |
15.08.2008 |
15.12.2009 |
| 7. Saga Pearl | SAGA Shipping | 18000 | Bahamas | Pass |
2-nd Eng |
09.02.2010 |
15.03.2010 |
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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. |
Mak 8M551AK |
4 |
8000 |
Wartsila/2; Deutz/2 |
/530 |
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| 2. |
Wartsila 8M32D |
4 |
8000 |
Wartsila/2 |
/1010 |
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| 3. |
Wartsila 8M32D |
4 |
8000 |
Wartsila/2 |
/1010 |
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| 4. |
Man B&W8L28/32A |
4 |
5000 |
Man B&W/2 |
/1070 |
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| 5. A1 |
Man B&W8L28/32A |
4 |
5000 |
Man B&W/2 |
/1070 |
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| 6. |
Mak 12M453AK |
4 |
10000 |
Yanmar/4; CAT/1 |
500/700 |
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| 7. |
Man 6L 40/45 |
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18000 |
Man/3 |
700/1000 |
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| Experience at sea: Since 2002 | Knowledge Personal Computer (Yes / No): Yes | |||
| Medical Certificate | ¹ | Issued: | Place: | Exp.date: |
| Vaccination for cholera valid until: | Vaccination for yellow fever valid until: 2012 | |||