|
|
APPLICATION FORM |
|
| Name: Pylyp | Surname: Frolov | ||||||
| Date of birth: 11.07.1979 | Place of birth: Leningrad | ||||||
| Permanent address: Kherson, Ukraine | |||||||
| Passport (OVIR): AX 669095 | Place of issue: Kherson | Date of issue: 26.06.2003 | Valid until: 26.06.2013 | ||||
| Seaman’s book: AB 274991 | Place of issue: Nikolaev | Date of issue: 11.06.2004 | Valid until: 28.05.2009 | ||||
| Citizenship: Ukraine | Expiry date of U.S. visa: 2013 | ||||||
| Marital Status | Single | ||||||
| Next of kin: (name, pas. No) | . | ||||||
| Supported children under age of 18 | . | ||||||
| (name, surname, date of birth) | . | ||||||
| Knowledge of English language | Very good | ||||||
| Education: | Qualification: | No Diploma: | Date of Issue: | ||||
| University | English language teacher | XE 2102342 | 26.06.2002 | ||||
|
Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency |
0076/04 KH |
Kherson |
06.05.2004 |
--- |
| Personal Sea Survival techniques, fire prevention and fire fighting (A-VI/1) |
5098/04 KH |
Kherson |
17.05.2004 |
17.05.2009 |
| Passenger ships other than Ro-Ro (A-V/3) |
LZ 07490B |
Lesozavodsk |
06.04.2005 |
06.04.2010 |
Sea service (during five last years):
|
Name of vessel |
Company |
Passenger Capacity |
Flag |
Type |
Position |
From |
To |
| Mirage 1 | Israel |
850 |
Nassau |
M/V |
Bar utility |
06.04.2005 |
27.10.2005 |
| Sea Diamond | Louis Cruise Lines |
1200 |
Pireus |
M/V |
Bar piccolo |
10.04.2006 |
19.11.2006 |
| Commodore Clipper | Condor Ferries |
500 |
Nassau |
M/F |
Cabin steward |
09.12.2006 |
24.01.2007 |
| Commodore Clipper | Condor Ferries |
500 |
Nassau |
M/F |
Cabin steward |
02.03.2007 |
30.05.2007 |
| Infinity | Celebrity Cruise Lines |
2400 |
Malta |
GTS |
Asst. waiter |
01.03.2008 |
22.08.2008 |
| Experience at sea: Since 2005 | Knowledge Personal Computer (Yes / No): Yes | |||
| Medical Certificate | ¹ | Issued: 21.01.2008 | Place: | Exp.date: |
| Vaccination for cholera valid until: | Vaccination for yellow fever valid until: | |||
Ready to work from: 10.2008