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APPLICATION FORM

 Name: Oleksandr  Surname: Kravchenko
 Date of birth: 09.08.1973  Place of birth: Kherson
 Permanent address: Kherson, Ukraine
 Passport (OVIR): EC 996759  Place of issue: Kherson  Date of issue: 14.03.2007  Valid until: 14.03.2017
 Seaman’s book: AB 358173  Place of issue: Nikolaev  Date of issue: 28.05.2008  Valid until: 27.05.2013
 Citizenship: Ukraine  Expiry date of U.S. visa: NO
 Marital Status  Single
 Next of kin: (name, pas. No)  Danelyuk Ondriy
 Supported children under age of 18  .
 (name, surname, date of birth)  .
 Knowledge of English language  Good
 Education:  Qualification:  No Diploma:  Date of Issue:
 Nikolaev Seafarers' Training Centre   Ship's cook  .  07.04.2008

Certificates of STCW 78/95

No.

Place

Date of issue

Expiry date

 Certificate of competency

00112/2008/07

Nikolaev

15.05.2008

---

 Endorsement STCW

00112/2008/07

Nikolaev

15.05.2008

14.05.2013

 Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1)

06273/2008/42/01

Nikolaev

14.05.2008

14.05.2013

Sea service (during five last years):

Name of vessel

COMPANY

DWT

Flag

Type

Position

From

To

 Sagitta  Intresco Ltd 

.

Malta

Dry cargo

cook

22.08.2008

15.12.2008

 Experience at sea: Since 2008  Knowledge Personal Computer (Yes / No): No
 Medical Certificate  ¹ MT 001367  Issued: 18.12.2008  Place: Kherson  Exp.date: 18.12.2009
 Vaccination for cholera valid until:  Vaccination for yellow fever valid until: 13.08.2018 

Ready to work from:  any time

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