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APPLICATION FORM

 Name: Tetyana  Surname: Markova
 Date of birth: 24.08.1983  Place of birth: Ilyichevsk, Ukraine
 Permanent address: Ilyichevsk, Ukraine
 Passport (OVIR): AX 961601  Place of issue: Ilyichevsk  Date of issue: 13.10.2003  Valid until: 13.10.2013
 Seaman’s book: AB 286031  Place of issue: Ilyichevsk  Date of issue: 26.11.2003  Valid until: 20.03.2013
 Citizenship: Ukraine  Expiry date of U.S. visa: NO
 Marital Status  Single
 Next of kin: (name, pas. No)  Mother - Markova Nadejhda
 Supported children under age of 18   --
 (name, surname, date of birth)   --
 Knowledge of English language  Good
 Education:  Qualification:  No Diploma:  Date of Issue:
 Odessa Marine Training Ñourses  Waitress-Barman  # 162/211103  21.11.2003

Certificates of STCW 78/95

No.

Place

Date of issue

Expiry date

 Certificate of competency

162/211103

Odessa

21.11.2003

21.11.2008

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

LZ#55886B

Odessa

14.11.2003

14.11.2008

 Ro-Ro Passenger ships (A-V/2)

LZ#04482B

Odessa

06.05.2004

06.05.2009

 Passenger ships other than Ro-Ro (A-V/3)

LZ#07470B

Odessa

04.04.2005

04.04.2010

Sea service (during five last years):

Name of vessel

Company

Passenger Cap.

Flag

Type

Position

From

To

 Jasmine

 Mano Ltd

700 pass.

Kingstown

pass

waitress

08.05.2004

08.09.2004

 Jasmine

 Mano Ltd

700 pass.

 Kingstown

pass

waitress

07.06.2005

18.10.2005

 Emirald

 Volans

1100 pass.

 Greece

pass

bar-waitress

28.08.2006

26.03.2007

 Emirald

 Volans

1100 pass.

 Greece

pass

bar-waitress

18.06.2007

01.11.2007

 Emirald

 Volans

1100 pass.

 Greece

pass

bar-waitress

16.04.2008

03.11.2008

 Experience at sea: since 2004  Knowledge Personal Computer (Yes / No):
 Medical Certificate  ¹ 000626  Issued: 02.12.2004  Place: Odessa  Exp.date: 02.12.2005
 Vaccination for cholera valid until:  Vaccination yellow fever valid until:

Ready to work from:   any time

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