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APPLICATION FORM |
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| Name: Valeriy | Surname: Monastyrskyy | ||||||
| Date of birth: 10.02.1974 | Place of birth: Odessa | ||||||
| Permanent address: Odessa, Ukraine | |||||||
| Passport (OVIR): AT 678235 | Place of issue: Odessa | Date of issue: 29.12.2000 | Valid until: 11.07.2010 | ||||
| Seaman’s book: AB 072872 | Place of issue: Odessa | Date of issue: 01.03.2001 | Valid until: 01.03.2011 | ||||
| Citizenship: Ukraine | Expiry date of U.S. visa: 02.08.2010 | ||||||
| Marital Status | Married | ||||||
| Next of kin: (name, pas. No) | Monastyrskay Lyudmila - mother | ||||||
| Supported children under age of 18 | Son - Oleg - 1997 | ||||||
| (name, surname, date of birth) | . | ||||||
| Knowledge of English language | Very good | ||||||
| Education: | Qualification: | No Diploma: | Date of Issue: | ||||
| Odessa Marine School | Ship's Cook | 45789 | 1997 | ||||
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Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency |
00549/2005 |
Odessa |
05.10.2005 |
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| Endorsement STCW |
00549/2005 |
Odessa |
05.10.2005 |
05.10.2010 |
| Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1) |
LZ 80774B |
Odessa |
16.06.2005 |
16.06.2010 |
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Tanker Certificates |
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| Oil Tanker (Advanced and Familiarization, A-V/1, p.2-7) |
LZ 10212 |
Odessa |
21.12.2005 |
21.12.2010 |
Sea service (during five last years):
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Name of vessel |
COMPANY |
DWT |
Flag |
Type |
Position |
From |
To |
| Navigator of the Seas | Royal Caribbean |
60000 |
USA |
Pass |
cook baker |
01.03.2004 |
16.10.2004 |
| Navigator of the Seas | Royal Caribbean |
60000 |
USA |
Pass |
cook baker |
11.12.2004 |
24.06.2005 |
| CFS Palamedes | Marlow navigation |
20000 |
Liberia |
Cont |
Cook |
09.08.2005 |
24.12.2005 |
| Cape Bear | Marlow navigation |
35000 |
Germany |
tanker |
Cook |
24.12.2005 |
19.06.2006 |
| Springwood | Zodiak U.K. |
35000 |
Liberia |
Bulk |
Ch. cook |
19.06.2006 |
18.05.2007 |
| 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: 01.06.2020 | |||
Ready to work from: any time