APPLICATION FORM
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APPLICATION FORM |
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| Name: Vyacheslav | Surname: Asaulenko | ||||||
| Date of birth: 22.06.1982 | Place of birth: Ukraine | ||||||
| Permanent address: Feodosiya, Ukraine | |||||||
| Passport (OVIR): AX 950465 | Place of issue: Ukraine | Date of issue: 29.12.2003 | Valid until: 29.12.2013 | ||||
| Seaman’s book: AB 391956 | Place of issue: Ukraine | Date of issue: 11.02.2009 | Valid until: 09.02.2014 | ||||
| Citizenship: Ukraine | Expiry date of U.S. visa: NO | ||||||
| Marital Status | Single | ||||||
| Next of kin: (name, pas. No) | Mother - Asaulenko Valentina Ivanovna | ||||||
| Supported children under age of 18 | |||||||
| (name, surname, date of birth) | |||||||
| Knowledge of English language | Good | ||||||
| Education: | Qualification: | Date of Issue: | |||||
| Admiral Makarov National Shipbuld University | Engineer | 2005 | |||||
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Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency | 00159/2005/10 | Sevastopol |
12.04.2005 |
-- |
| Endorsement STCW | 00159/2005/10 | Sevastopol |
28.12.2009 |
26.11.2014 |
| Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1) | 06757/2009/25/01 | Sevastopol |
29.01.2009 |
29.01.2014 |
| Advanced Fire Fighting (A-VI/3) | 12640/2009/25/04 | Sevastopol |
26.11.2009 |
26.11.2014 |
| Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2) | 06757/2009/25/02 | Sevastopol |
29.01.2009 |
29.01.2014 |
| Medical First Aid (A-VI/4-1) | 12641/2009/25/05 | Sevastopol |
26.11.2009 |
26.11.2014 |
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Tanker Certificates |
. |
. |
. |
. |
| Chemical Tanker (Advanced and Familiarization, A-V/1, p.2-7) | 12642/2009/25/10 | Sevastopol |
26.11.2009 |
26.11.2014 |
| LPG carrier (Advanced and Familiarization, A-V/1, p.2-7) | 8714Ñ | Sevastopol |
01.07.2005 |
02.07.2010 |
| Oil Tanker Specialized Training (A-V/1, p.9-14) | 4616C | Sevastopol |
01.07.2005 |
02.07.2010 |
| Oil Tankerscargo & Ballast Handling | 0576/2005 | Sevastopol |
01.07.2005 |
02.07.2010 |
| Crude oil washing | 3409C | Sevastopol |
01.07.2005 |
02.07.2010 |
| Inert gas system | 0575/2005 | Sevastopol |
01.07.2005 |
02.07.2010 |
Sea service (during five last years):
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Name of vessel |
Company |
DWT |
Flag |
Type |
Position |
From |
To |
| 1. CHALSI | Concord Shipping Co. |
7500 |
Cambodia |
Dry cargo |
cadet |
22.09.2005 |
08.03.2006 |
| 2. CHALSI | Concord Shipping Co. |
7500 |
Cambodia |
Dry cargo |
3-rd Eng |
09.03.2006 |
11.08.2006 |
| 3. Polar Star | Multibulk Marine Manag. S.A. |
25000 |
Panama |
Bulker |
4-th Eng |
09.11.2006 |
25.06.2007 |
| 4. Tuas Express | Goldenport |
7624 |
Malta |
Cont carrier |
4-th Eng |
25.05.2008 |
30.11.2008 |
| 5. Gazellebank | Andrew Weir Shipping Ltd |
18500 |
St.Johns |
Gen cargo/Cont/Oil tank |
4-th Eng |
25.04.2009 |
03.08.2009 |
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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. A2 |
SKL |
4 |
2400 |
SKL |
500/390 |
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| 2. A2 |
SKL |
4 |
2400 |
SKL |
500/390 |
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| 3. A1 |
B&W |
2 |
10900 |
Daihatsu |
600/450 |
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| 4. A1 |
B&W |
2 |
7040 |
Yanmar |
450/300 |
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| 5. A1 |
Sulzer |
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2x11000 |
Wartsila |
/4x1000 |
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| Experience at sea: Since 2005 | Knowledge Personal Computer (Yes / No): Yes | |||
| Medical Certificate | ¹ | Issued: 14.04.2009 | Place: Sevastopol | Exp.date: 14.05.2010 |
| Vaccination for cholera valid until: | Vaccination for yellow fever valid until: 18.03.2014 | |||