APPLICATION FORM
|
|
APPLICATION FORM |
|
| Name: Sergey | Surname: Bondar | ||||||
| Date of birth: 12.11.1965 | Place of birth: Cherkassy | ||||||
| Permanent address: Cherkassy, Ukraine | |||||||
| Passport (OVIR): EE 581001 | Place of issue: Cherkassy | Date of issue: 07.10.2008 | Valid until: 07.10.2018 | ||||
| Seaman’s book: AB 334440 | Place of issue: Odessa | Date of issue: 05.08.2005 | Valid until: 05.08.2010 | ||||
| Citizenship: Ukraine | Expiry date of U.S. visa: 2013 | ||||||
| Marital Status | Married | ||||||
| Next of kin: (name, pas. No) | wife - Bondar Elena | ||||||
| Supported children under age of 18 | 1. Bondar Valera, 2003 | ||||||
| (name, surname, date of birth) | |||||||
| Knowledge of English language | Good | ||||||
| Education: | Qualification: | Date of Issue: | |||||
| Odessa High Engineer Marine School | Engineer | 1988 | |||||
|
Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency | 01816/2002/01 | Izmail |
11.12.2002 |
--- |
| Endorsement STCW | 01816/2002/01 | Nikolaev |
22.08.2007 |
22.08.2012 |
| Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1) | 10344K | Kiev |
08.08.2007 |
08.08.2012 |
| Carrying dangerous & hazardous cargo (B-V/4, B-V/5) | 01517K | Kiev |
08.08.2007 |
08.08.2012 |
| Advanced Fire Fighting (A-VI/3) | 04412K | Kiev |
08.08.2007 |
08.08.2012 |
| Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2) | 03062K | Kiev |
08.08.2007 |
08.08.2012 |
| Medical First Aid (A-VI/4-1) | 01220K | Kiev |
08.08.2007 |
08.08.2012 |
| Maintenance of Electrical and Electronic Engineering | Izmail |
11.12.2002 |
--- |
Sea service (during five last years):
|
Name of vessel |
Company |
DWT |
Flag |
Type |
Position |
From |
To |
| 1. Maersk Valparais | Alpha Ship | 29566 | N.Antilles | Cont |
2-nd Eng |
25.11.2004 |
07.05.2005 |
| 2. Venus | Alpha Ship | 18425 | N.Antilles | Cont |
2-nd Eng |
03.08.2005 |
02.02.2006 |
| 3. Merkur | Alpha Ship | 18425 | N.Atnilles | Cont |
2-nd Eng |
13.06.2006 |
09.11.2006 |
| 4. Astor | Alpha Ship | 18425 | N.Antilles | Cont |
2-nd Eng |
26.12.2006 |
08.06.2007 |
| 5. El Flaco | Alpha Ship | 18425 | N.Antilles | Cont |
2-nd Eng |
14.09.2007 |
08.02.2008 |
| 6. Aries | Alpha Ship | 29566 | Marshall isl | Cont |
2-nd Eng |
16.08.2008 |
05.03.2009 |
| 7. New Delhi Express | Seaspan Corp | 50500 | Hong Kong | Cont |
2-nd Eng |
12.11.2009 |
12.03.2010 |
|
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 |
Man B&W |
2 |
17200 |
Wartsila |
/4x1200 |
yes |
|
| 2. A1 |
Man B&W |
2 |
10010 |
Wartsila |
/3x1000 |
yes |
|
| 3. A1 |
Man B&W |
2 |
10010 |
Wartsila |
/3x1000 |
yes |
|
| 4. A1 |
Man B&W |
2 |
10010 |
Wartsila |
/3x1000 |
yes |
|
| 5. A1 |
Man B&W |
4 |
10000 |
Wartsila |
/3x1000 |
yes |
|
| 6. A1 |
Man B&W |
2 |
17200 |
Wartsila |
/4x1200 |
yes |
|
| 7. A1 |
Man B&W |
2 |
36500 |
Man B&W |
/4x1800 |
yes |
|
| Experience at sea: Since 1988 | Knowledge Personal Computer (Yes / No): Yes | |||
| Medical Certificate | ¹ | Issued: | Place: | Exp.date: |
| Vaccination for cholera valid until: 2015 | Vaccination for yellow fever valid until: 2017 | |||