APPLICATION FORM
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APPLICATION FORM |
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| Name: Sergey | Surname: Savateev | |||
| Date of birth: 07.06.1972 | Place of birth: USSR | |||
| Permanent address: Novokuybyshevsk, Samara reg., Russia | ||||
| Passport (OVIR): 70 2467479 | Place of issue: Samara | Date of issue: 20.03.2009 | Valid until: 20.03.2014 | |
| Seaman’s book: RF 0069477 | Place of issue: Samara | Date of issue: 16.11.2005 | Valid until: 16.11.2010 | |
| Citizenship: Ukraine | Expiry date of U.S. visa: NO | |||
| Marital Status: | Single | |||
| Next of kin: (name, pas. No) | . | |||
| Supported children under age of 18 | . | |||
| (name, surname, date of birth) | . | |||
| Knowledge of English language: | Satisfactory | |||
| Education: | Qualification: | No Diploma: | Date of Issue: | |
| Kuybyshev River technical school | El. Engineer | . | 1991 | |
| Samara River technical school | Engineer | . | 2002 | |
|
Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency | 2033200079 | Astrakhan |
25.01.2002 |
--- |
| Endorsement STCW | 2033200079 | Astrakhan |
25.01.2002 |
25.09.2011 |
| Personal Sea Survival (ÁÆÑ)(A-VI/1) | 098534 | Samara |
25.09.2006 |
25.09.2011 |
| Advanced Fire Fighting (A-VI/3) | 045916 | Samara |
06.10.2006 |
06.10.2011 |
| Proficiency in Survival Craft, Rescue Boats & Fast Rescue Boats (A-VI/2) | 029892 | Samara |
30.09.2006 |
30.09.2011 |
| Medical First Aid (A-VI/4-1) | 030889 | Samara |
29.09.2006 |
29.09.2011 |
| Liberia Seaman's book | 0765119 | Vienna |
13.12.2006 |
13.12.2011 |
| Liberia Endorsement | 993249 | Vienna |
13.12.2006 |
13.12.2011 |
| Panama Endorsement | 411156 | Londres |
26.09.2008 |
26.09.2011 |
|
Tanker Certificates: |
. |
. |
. |
. |
| Oil Tanker (Advanced and Familiarization, A-V/1, p.2-7) | 054718 | Samara |
10.10.2006 |
10.10.2011 |
| Cargo equipment on Tankers (A-V/1, paragraph 1) | 2033222307 | Astrakhan |
31.10.2006 |
10.10.2011 |
Sea service (during five last years):
|
N |
Name of vessel |
COMPANY |
DWT |
Flag |
Type |
Position |
From |
To |
| 1. | Engineer Shlem | Volgotanker |
6500 |
Russia |
Oil-Ore |
El.Engineer |
12.07.2004 |
21.02.2005 |
| 2. | Yaroslavl | Navigator |
5200 |
Russia |
Tanker |
El.Engineer |
07.04.2005 |
22.08.2005 |
| 3. | Volgoneft247 | Navigator |
4800 |
Russia |
Tanker |
El.Engineer |
09.12.2005 |
30.03.2006 |
| 4. | Marina Star | B.Navi |
7284 |
Bahamas |
Cont |
El.Engineer |
18.04.2006 |
26.08.2006 |
| 5. | Max Oldendoef | VBSK |
48225 |
Liberia |
Bulk carrier |
El.Engineer |
20.12.2006 |
24.06.2007 |
| 6. | Max Oldendoef | BSS(VBSK) |
45874 |
Liberia |
Bulk carrier |
El.Engineer |
11.09.2007 |
24.06.2008 |
| 7. | Este Star | Seagest Srl |
10887 |
Panama |
Dry cargo |
El.Engineer |
27.09.2008 |
30.01.2009 |
|
N |
Main Eng. Maker/Model |
Engine Total HP |
Aux.Engine Maker/Number,s |
Aux. Engine H.P. / KW |
Voltage (220/380/440) |
Automation class (A1/A2) |
Automation System Maker |
Crane/Maker/ Type/SWL |
Derrick/Maker/ Type/SWL |
|
1. |
AL-1 |
2000 |
SKL |
/3x150 |
220/380 |
A1 |
. |
. |
. |
|
2. |
Wartsila |
2000 |
Volvo-Penta |
/3x200 |
127/380 |
A1 |
. |
. |
. |
|
3. |
SKL |
2000 |
SKL |
/3x100 |
127/220 |
A2 |
. |
. |
. |
|
4. |
Man |
3900 |
Caterpillar |
400/2x300 |
220/440 |
A2 |
. |
. |
. |
|
5. |
Mitsubishi |
7282 |
Yanmar |
/3x400 |
127/440 |
A1 |
. |
el.hy/H250200 |
. |
|
6. |
Mitsubishi |
7943 |
Yanmar |
/3x400 |
127/440 |
A2 |
. |
el.hy/KH2524 |
. |
|
7. |
Pielstic |
3897 |
Volvo-Penta |
/3x300 |
220/440 |
A2 |
. |
. |
. |
| Experience at sea: Since 1991 | Knowledge Personal Computer: Yes | |||
| Medical Certificate: | ¹ 222 | Issued: 05.06.2009 | Place: Samara | Exp. date: 05.06.2010 |
| Vaccination for cholera valid until: | Vaccination for yellow fever valid until: 08.09.2015 | |||
Ready to work from: any time