APPLICATION FORM

 Name: Sergey  Surname: Bugerya
 Date of birth: 25.09.1962  Place of birth: Ukraine, lugansk
 Permanent address: Lugansk, Ukraine
 Passport (OVIR): AK860819  Place of issue: Odessa  Date of issue: 16.11.2005  Valid until: 16.11.2015
 Seaman’s book: AB335456  Place of issue: Odessa  Date of issue: 05.10.2005  Valid until: 05.10.2010
 Citizenship: Ukrainian  Expiry date of U.S. visa: NO
 Marital Status  Divorced
 Next of kin: (name, pas. No)  sister - Frolova Olga EM998006
 Supported children under age of 18  son - Bugerya Ivan 18.03.1996
 (name, surname, date of birth)  
 Knowledge of English language  Fair
 Education:  Qualification:  Date of Issue:
 Sakhalin Marine College  3-rd class engineer  03.10.2005

 Certificates of STCW 78/95

No.

Place

Date of issue

Expiry date

 Certificate of competency  01220  Odessa

03.10.2005

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 Endorsement STCW  01220  Odessa

03.10.2005

13.09.2010

 Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1)  81273  Odessa

13.09.2005

13.09.2010

 Advanced Fire Fighting (A-VI/3)  39500  Odessa

13.09.2005

13.09.2010

 Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2)  43501  Odessa

14.09.2005

14.09.2010

 Medical First Aid (A-VI/4-1)  29065  Odessa

13.09.2005

13.09.2010

 Refresher and updating courses (II/1)  111054  Odessa

13.09.2005

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Sea service (during five last years):

Name of vessel

Company

DWT

Flag

Type

Position

From

To

 1. Geroi Shipki  Ukrferry  20000  Ukraine  Ferry

4-th engineer

01.04.2006

17.06.2006

 2. Geroi Shipki  Ukrferry  20000  Ukraine  Ferry

4-th engineer

29.12.2005

15.03.2006

 3. Sakhalin-4  Sakhalin sh. comp.  15000  Russia  Ferry

4-th engineer

15.04.2005

12.10.2005

 4. Naderibokovaite  Sakhalin sh. comp.  3000  Russia  Dry Cargo

4-th engineer

05.07.2004

01.01.2005

 5. Nakhodka  Sakhalin sh. comp.  12000  Russia  Bulker

4-th engineer

20.09.2003

12.03.2004

 6. Sakhalin-5  Sakhalin sh. comp.  15000  Russia  Ferry

4-th engineer

25.12.2002

07.06.2003

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

B&W - GF

900

2x8800

3 Zulcer

1180/880

 

 

 2. A2

B&W - GF

900

2x8800

3 Zulcer

1180/880

 

 

 3. A2

Rus diesel

610

4x2500

3 rus diesel

470/350

 

 

 4. A2

NVD

480

1000

2 NVD

540/400

 

 

 5. A2

SKL

630

2x4100

3 Zulcer

675/500

 

 

 6. A2

Rus diesel

610

4x2500

3 rus diesel

470/350

 

 

 Experience at sea: Since 1998  Knowledge Personal Computer (Yes / No):
 Medical Certificate  ¹ 00781  Issued: 13.12.2005  Place: Odessa  Exp.date: 13.12.2006
 Vaccination for cholera valid until:  Vaccination for yellow fever valid until: 14.12.2015