APPLICATION FORM
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APPLICATION FORM |
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| Name: Igor | Surname: Manachyn | ||||||
| Date of birth: 14.11.1978 | Place of birth: Kherson | ||||||
| Permanent address: Kherson, Ukraine | |||||||
| Passport (OVIR): AK 041078 | Place of issue: Kherson | Date of issue: 31.03.2004 | Valid until: 31.03.2014 | ||||
| Seaman’s book: AB 388423 | Place of issue: Kherson | Date of issue: 15.04.2008 | Valid until: 15.04.2013 | ||||
| Citizenship: Ukraine | Expiry date of U.S. visa: NO | ||||||
| Marital Status | Married | ||||||
| Next of kin: (name, pas. No) | wife - Manachyna Larisa | ||||||
| Supported children under age of 18 | 1. Manachyna Vladislava, 13.08.2001 | ||||||
| (name, surname, date of birth) |
. | ||||||
| Knowledge of English language | Satisfactory | ||||||
| Education: | Qualification: | No Diploma: | Date of Issue: | ||||
| Kherson Maritime College | 3-rd Engineer | . | 26.06.1998 | ||||
| Nikolaev Tech Maritime University | Engineer | . | 01.03.2001 | ||||
|
Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency | 00776/2007/07 | Nikolaev |
25.06.2007 |
--- |
| Endorsement STCW | 00776/2007/07 | Nikolaev |
25.06.2007 |
07.06.2012 |
| Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1) | 11197/07 KH | Kherson |
07.06.2007 |
07.06.2012 |
| Advanced Fire Fighting (A-VI/3) | 5225/07 KH | Kherson |
07.06.2007 |
07.06.2012 |
| Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2) | 7542/07 KH | Kherson |
07.06.2007 |
07.06.2012 |
| Medical First Aid (A-VI/4-1) | 4130/07 KH | Kherson |
07.06.2007 |
07.06.2012 |
|
Bahamas Seaman's book |
LON87285 | Bahamas |
15.06.2008 |
15.06.2018 |
| Bahamas Endorsement | LN129775/00 | Bahamas |
02.2008 |
07.06.2012 |
| Cyprus Seaman's book | CY103139 | Limassol |
21.11.2006 |
20.11.2016 |
Sea service (during five last years):
|
Name of vessel |
Company |
DWT |
Flag |
Type |
Position |
From |
To |
| 1. Gevo Victory | Gezairi Chart | 3800 | Lebanon | Dry cargo |
oiler |
24.09.2005 |
27.06.2006 |
| 2. Pacific Bridge | Deleas Ship Ltd | 30500 | Cyprus | Container |
wiper |
05.11.2006 |
01.05.2007 |
| 3. Pirgos | Nadin Shipping | 17700 | St.Vincent | Univers. cargo |
4-th Eng |
05.08.2007 |
24.02.2008 |
| 4. Delphine Delmas | Delmas | 33520 | Bahamas | Cont-bulker |
4-th Eng |
01.06.2008 |
15.12.2008 |
|
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. |
. |
. |
. |
. |
/ |
. |
. |
| 2. A2 |
Sulzer7RTA78 |
2 |
21000 |
Hyunday |
/ |
. |
. |
| 3. |
Pielstick 12PC2V |
4 |
6000 |
. |
/ |
. |
. |
| 4. A1 |
Sulzer6RTA58 |
2 |
8160 |
Wartsila |
/ |
. |
. |
| Experience at sea: Since 2005 | Knowledge Personal Computer (Yes / No): | |||
| Medical Certificate | ¹ | Issued: | Place: | Exp.date: |
| Vaccination for cholera valid until: | Vaccination for yellow fever valid until: 21.09.2015 | |||
Ready to work from: any time