|
|
APPLICATION FORM |
|
|
Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency | 01698/2005/01 | Odessa |
21.09.2005 |
-- |
| Endorsement STCW | 01698/2005/01 | Odessa |
21.09.2005 |
06.09.2010 |
| Proficiency in Survival Craft and Rescue Boats | 60360B | Odessa |
06.09.2005 |
06.09.2010 |
| Basic Safety Training STCW-95 | 83249B | Odessa |
06.09.2005 |
06.09.2010 |
| Advanced Fire Fighting (A-VI/3) | 37147B | Odessa |
06.09.2005 |
06.09.2010 |
| Medical First Aid (A-VI/4-1) | 31596B | Odessa |
06.09.2005 |
06.09.2010 |
Sea service (during five last years):
|
Name of vessel |
Company |
DWT |
Flag |
Type |
Position |
From |
To |
| 1. Agios Gerasimus | Maritime Service |
30000 |
Malta |
Bulker |
4-th Eng |
01.10.2003 |
28.03.2004 |
| 2. Argo | Target Marine |
6000 |
Malta |
Reefer |
4-th Eng |
13.10.2003 |
28.03.2004 |
| 3. Splendid Harvest | Wallem |
8600 |
Liberia |
Reefer |
3-rd Eng |
12.10.2004 |
02.06.2005 |
| 4. Fanta | Wallem |
12000 |
Panama |
PCC |
3-rd Eng |
03.12.2005 |
05.05.2006 |
| 5. Marianne Shulte | Vorsetzen |
2500 |
Monrovia |
Container |
3-rd Eng |
03.12.2006 |
05.03.2007 |
| 6. Maersk Dallas | . |
. |
Liberia |
Container |
3-rd Eng |
04.05.2007 |
02.09.2007 |
| 7. CMA CGM Lavender | . |
. |
Monrovia |
Container |
3-rd Eng |
09.12.2007 |
27.03.2008 |
|
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. |
Sulser |
- |
11200 |
- |
- |
. |
. |
| 2. |
B&W |
- |
8600 |
- |
- |
. |
. |
| 3. |
Sulser |
- |
9250 |
- |
- |
. |
. |
| 4. |
B&W |
- |
12600 |
- |
- |
. |
. |
| 5. |
Hyundai - Sulzer |
- |
11300 |
- |
- |
. |
. |
| 6. |
Sulser |
- |
51480 |
- |
- |
. |
. |
| 7. |
B&W |
- |
25270 |
- |
- |
. |
. |
| Experience at sea: Since 1997 | Knowledge Personal Computer (Yes / No): Yes | |||
| Medical Certificate | ¹ | Issued: | Place: | Exp.date: |
| Vaccination for cholera valid until: | Vaccination for yellow fever valid until: 2018 | |||
Ready to work from: any time