APPLICATION FORM
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APPLICATION FORM |
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| Name: Valeriy | Surname: Kudriashov | ||||||
| Date of birth: 04.09.1957 | Place of birth: Russia | ||||||
| Permanent address: Murmansk, Russia | |||||||
| Passport (OVIR): 63 0052457 | Place of issue: Russia | Date of issue: 03.09.2007 | Valid until: 03.09.2012 | ||||
| Seaman’s book: PX 0347294 | Place of issue: Russia | Date of issue: 25.09.2007 | Valid until: 13.09.2013 | ||||
| Citizenship: Russia | Expiry date of U.S. visa: NO | ||||||
| Marital Status | Married | ||||||
| Next of kin: (name, pas. No) | wife - Irina Kudriashova | ||||||
| Supported children under age of 18 | . | ||||||
| (name, surname, date of birth) | . | ||||||
| Knowledge of English language | Good | ||||||
| Education: | Qualification: | No Diploma: | Date of Issue: | ||||
| Murmansk Marine College | Engineer | . | 1976 | ||||
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Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency | 1031303760 | Russia |
29.07.2008 |
--- |
| Endorsement STCW | 279 | Russia |
29.07.2008 |
11.06.2013 |
| Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1) | 160013 | Russia |
11.07.2008 |
11.07.2013 |
| Advanced Fire Fighting (A-VI/3) | 080089 | Russia |
19.07.2008 |
19.07.2013 |
| Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2) | 136043 | Russia |
17.07.2008 |
17.07.2013 |
| Medical First Aid (A-VI/4-1) | 086395 | Russia |
24.07.2008 |
24.07.2013 |
Sea service (during five last years):
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Name of vessel |
Company |
DWT |
Flag |
Type |
Position |
From |
To |
| 1. Hinlopen | Transokean Ship | 6000 | Russia | Reefer |
2-nd Eng |
01.02.2002 |
01.05.2005 |
| 2. Pxoeniks | Trust Shipping Ltd | 9600 | Cyprus | Reefer |
2-nd Eng |
07.05.2005 |
18.12.2006 |
| 3. Vima | Vima Ltd | 3500 | Russia | Reefer |
Ch. Eng |
14.05.2007 |
02.12.2008 |
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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. A2 |
Wartsila Vasa |
4 |
5500 |
Mitsubishi |
/290; 390 |
. |
. |
| 2. A2 |
SKL |
4 |
7200 |
VD26 |
/800 |
. |
. |
| 3. A2 |
Mak |
4 |
3200 |
Caterpillar |
/400 |
. |
. |
| Experience at sea: Since 1976 | Knowledge Personal Computer (Yes / No): Yes | |||
| Medical Certificate | ¹ 8627622 | Issued: 04.07.2008 | Place: Murmansk | Exp.date: 04.07.2010 |
| Vaccination for cholera valid until: 18.05.2012 | Vaccination for yellow fever valid until: 30.05.2013 | |||
Ready to work from: any time