APPLICATION FORM
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APPLICATION FORM |
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| Name: Sergiy | Surname: Byelov | ||||||
| Date of birth: 20.11.1981 | Place of birth: Mariupol | ||||||
| Permanent address: Mariupol, Ukraine | |||||||
| Passport (OVIR): AX025995 | Place of issue: Mariupol | Date of issue: 25.10.2002 | Valid until: 25.10.2012 | ||||
| Seaman’s book: AB143848 | Place of issue: Mariupol | Date of issue: 15.08.2001 | Valid until: 16.06.2010 | ||||
| Citizenship: Ukraine | Expiry date of U.S. visa: NO | ||||||
| Marital Status | Married | ||||||
| Next of kin: (name, pas. No) | wife - Byelova Svetlana | ||||||
| Supported children under age of 18 | 1. Byelov Evgeniy, 23.03.2005 | ||||||
| (name, surname, date of birth) | |||||||
| Knowledge of English language | Good | ||||||
| Education: | Qualification: | Date of Issue: | |||||
| Odessa National Maritime Academy | Engineer | 22.07.2004 | |||||
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Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency 3-rd Engineer |
00871/2004/07 |
Odessa |
22.07.2004 |
22.07.2009 |
| Certificate of competency motorman |
00173/2004/07 |
Odessa |
29.04.2004 |
29.04.2009 |
| Endorsement STCW 3-rd Engineer |
00871/2004/07 |
Odessa |
22.07.2004 |
22.07.2009 |
| Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1) |
066231-AS |
Mariupol |
12.07.2004 |
12.07.2009 |
| Advanced Fire Fighting (A-VI/3) |
031434-AS |
Mariupol |
09.07.2004 |
09.07.2009 |
| Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2) |
046244-AS |
Mariupol |
14.04.2004 |
14.04.2009 |
| Medical First Aid (A-VI/4-1) |
027619-AS |
Mariupol |
14.07.2004 |
14.07.2009 |
Sea service (during five last years):
|
Name of vessel |
Company |
DWT |
Flag |
Type |
Position |
From |
To |
|
1. Tolmi |
Larus |
16617,49 |
Panama |
Bulkcarrier |
Messboy |
24.06.2003 |
30.03.2004 |
|
2. Pilion |
Helicon |
29031 |
Cayman Island |
Bulkcarrier |
Wiper |
16.08.2004 |
27.04.2005 |
|
3. Minnesota |
Lomar Shipping Ltd |
6794 |
Valetta |
Reefer-cont |
Wiper |
21.11.2005 |
25.12.2005 |
|
4. South Cross |
Marachart |
16270 |
Panama |
Bulker |
Oiler |
05.01.2006 |
24.09.2006 |
|
5. Zografia |
Vulkanus |
17011 |
Malta |
Bulker |
4-th Eng |
01.01.2007 |
15.11.2007 |
|
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 |
Shinpatsu 8uec52 |
4 |
8000 |
Shinpatsu 8uec52 |
/3x450 |
|
with |
| 2. A1 |
MAN B&W 6s50ms |
2 |
11640 |
MAN B&W 6s50ms |
/8580 |
Unmanned |
with |
| 3. A2 |
Sulzer 5RTA-52 |
2 |
6656 |
MAN B&W 6s50ms |
4x450 |
|
with |
| 4. A2 |
MAN 16V40/45 |
4 |
6391 |
6M281A MAK BF6M7 |
2x450 |
|
with |
| 5. A2 |
Sulzer 6 RND 76 |
2 |
8780/12000 |
Daihatsu |
3x450 |
|
with |
| Experience at sea: Since 2003 | Knowledge Personal Computer (Yes / No): Yes | |||
| Medical Certificate | ¹ | Issued: | Place: Mariupol | Exp.date: 09.2005 |
| Vaccination for cholera valid until: | Vaccination for yellow fever valid until: | |||