APPLICATION FORM
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APPLICATION FORM |
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| Name: Aleksiy | Surname: Beleverya | ||||||
| Date of birth: 17.05.1974 | Place of birth: Odessa | ||||||
| Permanent address: Odessa, Ukraine | |||||||
| Passport (OVIR): EA 365058 | Place of issue: Odessa | Date of issue: 30.10.2007 | Valid until: 30.10.2017 | ||||
| Seaman’s book: AB 339076 | Place of issue: Odessa | Date of issue: 18.04.2006 | Valid until: 18.04.2011 | ||||
| Citizenship: Ukraine | Expiry date of U.S. visa: 01.08.2013 | ||||||
| Marital Status | Married | ||||||
| Next of kin: (name, pas. No) | mother - Kobarzenkova Nadejda | ||||||
| Supported children under age of 18 | 1. Timerlan Beleverya, 12.04.2007 | ||||||
| (name, surname, date of birth) | |||||||
| Knowledge of English language | Very good | ||||||
| Education: | Qualification: | Date of Issue: | |||||
| Kherson Secondary Marine School | Tech Engineer | 1991 | |||||
| Kherson Marine University | Marine Manager | 1994 | |||||
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Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency | 000346/2003/08 | Odessa |
24.02.2003 |
--- |
| Endorsement STCW | 000346/2003/08 | Odessa |
04.12.2007 |
23.10.2012 |
| Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1) | 15183B | Odessa |
23.10.2007 |
23.10.2012 |
| Advanced Fire Fighting (A-VI/3) | 06391B | Odessa |
23.10.2007 |
23.10.2012 |
| Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2) | 09919B | Odessa |
23.10.2007 |
23.10.2012 |
| Medical First Aid (A-VI/4-1) | 01417B | Odessa |
23.10.2007 |
23.10.2012 |
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Cyprus Seaman's book |
CY099807 | Limassol |
15.09.2006 |
14.09.2016 |
| N.Antilles Endorsement | 1707/2008 | Willemstad |
03.04.2008 |
23.10.2012 |
Sea service (during five last years):
|
Name of vessel |
Company |
DWT |
Flag |
Type |
Position |
From |
To |
| 1. Maersk Narvik | MPS | 36000 | Liberia | Container |
Oiler |
02.2005 |
08.2005 |
| 2. Oula | Falcon Maritime | 4600 | Panama | Bulker |
3-rd Eng |
11.2005 |
05.2006 |
| 3. Syriotissa | Third-Millenium | 49000 | Cyprus | Bulker |
3-rd Eng |
08.2006 |
03.2007 |
| 4. Yacht Express | Anglo-Eastern | 50000 | N.Antilles | Heavy lift |
4-th Eng |
01.2008 |
05.2008 |
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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 |
SulzerRTA72U-B |
2 |
30000 |
MAN&Caterpillar |
2206/3000 |
yes |
yes |
| 2. A1 |
B&W |
2 |
3000 |
Deutz |
294/400 |
no |
yes |
| 3. A1 |
B&W5L67GBE |
2 |
10880 |
B&Wmtbh30 |
368/500 |
no |
yes |
| 4. E0 |
Wartsila12V38CR |
4 |
2x11832 |
Wartsila L20CR |
368/500 |
yes |
yes |
| Experience at sea: Since 2002 | Knowledge Personal Computer (Yes / No): Yes | |||
| Medical Certificate | ¹ 004877 | Issued: 10.01.2008 | Place: Kherson | Exp.date: 10.01.2009 |
| Vaccination for cholera valid until: 10.01.2011 | Vaccination for yellow fever valid until: 10.01.2012 | |||