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APPLICATION FORM |
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| Name: Oleksiy | Surname: Krechun | ||||||
| Date of birth: 13.08.1983 | Place of birth: Izmail | ||||||
| Permanent address: Izmail, Odessa reg., Ukraine | |||||||
| Passport (OVIR): EC 673699 | Place of issue: Odessa | Date of issue: 04.08.2006 | Valid until: 04.08.2016 | ||||
| Seaman’s book: AB 307751 | Place of issue: Izmail | Date of issue: 27.07.2006 | Valid until: 27.07.2011 | ||||
| Citizenship: Ukraine | Expiry date of U.S. visa: NO | ||||||
| Marital Status | Married | ||||||
| Next of kin: (name, pas. No) | wife - Svetlana Krechun | ||||||
| Supported children under age of 18 | |||||||
| (name, surname, date of birth) | |||||||
| Knowledge of English language | Good | ||||||
| Education: | Qualification: | Date of Issue: | |||||
| Professional College | Cook | 01.09.2003 | |||||
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Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency |
00320/2006/01 |
Izmail |
15.08.2006 |
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| Endorsement STCW |
00320/2006/01 |
Izmail |
15.08.2006 |
18.04.2011 |
| Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1) |
06592 U |
Izmail |
18.04.2006 |
18.04.2011 |
| Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2) |
02181 U |
Izmail |
20.04.2006 |
20.04.2011 |
| Cyprus Seaman's book |
CY 104170 |
Cyprus |
08.01.2007 |
07.01.2017 |
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Tanker Certificates |
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| Tanker Familiarization |
23041 IZ |
Izmail |
19.12.2009 |
18.12.2014 |
Sea service (during five last years):
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Name of vessel |
COMPANY |
DWT |
Flag |
Type |
Position |
From |
To |
| Tolmi | Panigo |
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Cyprus |
Bulk carrier |
Messman |
01.11.2006 |
28.04.2007 |
| Torrens | V.Ships |
|
Tonga |
Livestock |
Messman |
11.06.2007 |
15.12.2007 |
| Marfret Douce | V.Ships |
|
France |
Cont |
Steward |
26.02.2008 |
11.04.2008 |
| Torrens | V.Ships |
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Tonga |
Livestock |
2-nd Cook |
22.07.2008 |
13.01.2009 |
| Torrens | V.Ships |
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Tonga |
Livestock |
Cook |
19.03.2009 |
31.08.2009 |
| Experience at sea: Since 2006 | Knowledge Personal Computer (Yes / No): | |||
| Medical Certificate | ¹ | Issued: | Place: | Exp.date: |
| Vaccination for cholera valid until: | Vaccination for cholera valid until: 02.09.2016 | |||