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APPLICATION FORM |
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| Name: Sergiy | Surname: Tymchenko | ||
| Date of birth: 04.02.1972 | Place of birth: Russia | ||
| Permanent address: Odessa, Ukraine | |||
| Passport (OVIR): KE 474424 | Place of issue: Odessa | Date of issue: 16.12.1996 | Valid until: 16.12.2006 |
| Seaman’s book: AB 2639344 | Place of issue: Odessa | Date of issue: 18.07.2003 | Valid until: 18.07.2008 |
| Citizenship: Ukraine | Expiry date of U.S. visa: NO | ||
| Marital Status: | Divorced | ||
| Next of kin: (name, pas. No) | Mother - Nadezhda Tymchenko - | ||
| Supported children under age of 18 | 1. NO | ||
| (name, surname, date of birth) | 2. | ||
| Knowledge of English language: | Good | ||
| Education: | Qualification: | No Diploma: | Date of Issue: |
| High Marine Technical School # 26 | Cook | D 648828 | 24.05.1993 |
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Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency (Ship's cook) |
00138/2003/03 |
Odessa |
31.03.2003 |
31.03.2008 |
| Endorsement STCW |
00138/2003/03 |
Odessa |
31.03.2003 |
31.03.2008 |
| Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2) |
0189/2003 |
Odessa |
05.02.2003 |
05.02.2008 |
Sea service (during five last years):
|
Name of vessel |
COMPANY |
DWT |
Flag |
Type |
Position |
From |
To |
| 1. ASTRA | Karavella |
- |
Bagama |
pass. |
Ass. Cook |
09.1995 |
11.1997 |
| 2. KOKER | Golden Carriers Co. |
- |
Panama |
tanker |
Steward |
02.1999 |
10.1999 |
| 3. EPOS | Good Faith Sh. Cosa |
- |
Panama |
bulker |
Ass. Cook |
03.2000 |
09.2000 |
| 4. IRIS | Silver Cruise Corp. |
- |
Kingstown |
pass. |
Cook |
20.07.2003 |
07.11.2003 |
| 5. JASMIN | Silver Cruise Corp. |
- |
Kingstown |
pass. |
Cook |
21.04.2004 |
01.12.2004 |
| Experience at sea: from 1994 | Knowledge Personal Computer (Yes / No): no | |||
| Medical Certificate | ¹ | Issued: 19.04.2004 | Place: Odessa | Exp.date: 19.04.2005 |
| Vaccination for yellow fever valid until: | 25.09.2008 | |||
Ready to work from: ANY TIME