APPLICATION FORM
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APPLICATION FORM |
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| Name: Oleg | Surname: Astafyev | ||||||
| Date of birth: 31.05.1967 | Place of birth: Mariupol | ||||||
| Permanent address: Mariupol, Ukraine | |||||||
| Passport (OVIR): EE 240318 | Place of issue: Mariupol | Date of issue: 04.07.2008 | Valid until: 04.07.2018 | ||||
| Seaman’s book: AB 282614 | Place of issue: Mariupol | Date of issue: 10.11.2005 | Valid until: 10.11.2010 | ||||
| Citizenship: Ukraine | Expiry date of U.S. visa: NO | ||||||
| Marital Status | Married | ||||||
| Next of kin: (name, pas. No) | wife - Kulish Tetyana | ||||||
| Supported children under age of 18 | . | ||||||
| (name, surname, date of birth) | . | ||||||
| Knowledge of English language | Good | ||||||
| Education: | Qualification: | No Diploma: | Date of Issue: | ||||
| Kherson Marine School | Technician-Navigator | . | 27.06.1991 | ||||
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Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency | 00087/2005/07 | Nikolaev |
17.02.2005 |
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| Endorsement STCW | 00087/2005/07 | Mariupol |
14.07.2008 |
03.02.2010 |
| Personal Sea Survival (ÁÆÑ)(A-VI/1) | 81510 MA | Mariupol |
14.10.2005 |
14.10.2010 |
| G.M.D.S.S. General Operator (A-IV/2) Certificate | 00022/2005/06 | Mariupol |
04.02.2005 |
--- |
| G.M.D.S.S. General Operator (A-IV/2) Endorsement | 00022/2005/06 | Mariupol |
17.10.2005 |
14.10.2010 |
| Radar Observation and Plotting (A-II/1,2) | 10412 KC | Mariupol |
13.06.2008 |
13.06.2013 |
| Automatic Radar Plotting Aids (ARPA) (A-II/1,2) | 10412 KC | Mariupol |
13.06.2008 |
13.06.2013 |
| Carrying dangerous & hazardous cargo (B-V/4, B-V/5) | 19610 KC | Mariupol |
13.10.2005 |
13.10.2010 |
| Advanced Fire Fighting (A-VI/3) | 29804 | Mariupol |
14.10.2005 |
14.10.2010 |
| Proficiency in Survival Craft, Rescue Boats & Fast Rescue Boats (A-VI/2) | 59216 MA | Mariupol |
14.10.2005 |
14.10.2010 |
| Ship's Medical Care (A-VI/4-2) | 00373/2005/25/06 | Sevastopol |
03.02.2005 |
03.02.2010 |
Sea Service (during five last years):
|
Name of vessel |
Company |
DWT |
Flag |
Type |
Position |
From |
To |
| Anastasiya | Azimuth-West |
5215 |
Ukraine |
Reefer |
Ch. Off |
21.07.2004 |
22.01.2005 |
| Moorea | Sea Traffic Ltd |
5215 |
Belize |
Reefer |
Ch. Off |
28.02.2005 |
08.08.2005 |
| Moorea | Sea Traffic Ltd |
5215 |
Belize |
Reefer |
Master |
09.08.2005 |
05.10.2005 |
| Artbukhta | Sea Traffic Ltd |
4338 |
Phnom Penh |
Reefer |
Master |
06.01.2006 |
16.10.2006 |
| Moorea | Sea Trafffic Ltd |
5215 |
Belize |
Reefer |
Master |
26.01.2007 |
29.08.2007 |
| Balaklava II | Sea Traffic Ltd |
5081 |
Malta |
Reefer |
Master |
03.12.2007 |
01.06.2008 |
| Livadia | Sea Traffic Ltd |
6324 |
Phnom Penh |
Reefer |
Master |
20.09.2008 |
17.12.2008 |
| Experience at sea: Since 1991 | Knowledge Personal Computer: Yes | |||
| Medical Certificate: | ¹ 2743 | Issued: 19.08.2008 | Place: Mariupol | Exp. date: 19.08.2009 |
| Vaccination for cholera valid until: | Vaccination for yellow fever valid until: 26.12.2016 | |||