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APPLICATION FORM

 Name: Oleksii  Surname: Reznik
 Date of birth: 17.08.1981  Place of birth: Dnepropetrovsk
 Permanent address: Kherson, Ukraine
 Passport (OVIR): PO 117746  Place of issue: Kherson  Date of issue: 04.08.2005  Valid until: 04.08.2015
 Seaman’s book: AB 277738  Place of issue: Nikolaev  Date of issue: 08.09.2005  Valid until: 18.07.2010
 Citizenship: Ukraine  Expiry date of U.S. visa: NO
 Marital Status  Single
 Next of kin: (name, pas. No)  mother - Reznik Margarita
 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 Center   Steward  .  02.06.2006

Certificates of STCW 78/95

No.

Place

Date of issue

Expiry date

 Certificate of competency

00079/2006/11

Kherson

27.06.2006

---

 Endorsement STCW

00079/2006/11

Kherson

27.06.2006

04.08.2010

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

7618/05 KH

Kherson

04.08.2005

04.08.2010

 Proficiency in Survival craft, Rescue Boats & Fast Rescue Boats (A-VI/2)

0823/2007

Odessa

25.05.2007

25.05.2012

 Cyprus Seaman's book 

CY 112176

Limassol

27.07.2007

27.07.2012

Sea service (during five last years):

Name of vessel

Company

DWT

Flag

Type

Position

From

To

 Astra  Eldorado

11900

Russia

Cargo

Steward

23.04.2004

16.05.2005

 Delmas Tourville   Tom worden 

22500

Antigua

Container

Messman

11.10.2006

10.12.2006

 MSC London   Tsakos

42800

Cyprus

Container

Steward

27.05.2007

14.01.2008

 Experience at sea: Since 2004  Knowledge Personal Computer (Yes / No): Yes 
 Medical Certificate  ¹  Issued:  Place:  Exp.date:
 Vaccination for cholera valid until:  Vaccination for yellow fever valid until: 28.08.2016 

Ready to work from:  any time

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