APPLICATION FORM
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APPLICATION FORM |
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| Name: Oleksiy | Surname: Babkin | ||||||
| Date of birth: 30.05.1982 | Place of birth: Evpatoria, Ukraine | ||||||
| Permanent address: Evpatoria, Crimea, Ukraine | |||||||
| Passport (OVIR): AT 286054 | Place of issue: Odessa | Date of issue: 28.02.2002 | Valid until: 28.02.2012 | ||||
| Seaman’s book: AB 425992 | Place of issue: Sevastopol | Date of issue: 12.06.2009 | Valid until: 01.06.2014 | ||||
| Citizenship: Ukraine | Expiry date of U.S. visa: NO | ||||||
| Marital Status | Single | ||||||
| Next of kin: (name, pas. No) | mother - Babkina Ludmila | ||||||
| Supported children under age of 18 | |||||||
| (name, surname, date of birth) | |||||||
| Knowledge of English language | Good | ||||||
| Education: | Qualification: | Date of Issue: | |||||
| Odessa National Maritime Academy | Navigator | 28.02.2006 | |||||
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Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency | 00649/2005/08 | Odessa |
14.07.2005 |
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| Endorsement STCW | 00649/2005/08 | Sevastopol |
06.07.2009 |
21.05.2014 |
| Personal Sea Survival (ÁÆÑ)(A-VI/1) | 08819/2009/25/01 | Sevastopol |
21.05.2009 |
21.05.2014 |
| G.M.D.S.S. General Operator (A-IV/2) Certificate | 00425/2005/08 | Odessa |
18.07.2005 |
--- |
| G.M.D.S.S. General Operator (A-IV/2) Endorsement | 00425/2005/08 | Sevastopol |
25.06.2009 |
21.05.2014 |
| Radar Observation and Plotting (A-II/1,2) | 10545 SV | Sevastopol |
22.05.2009 |
22.05.2014 |
| Automatic Radar Plotting Aids (ARPA) (A-II/1,2) | 10545 SV | Sevastopol |
22.05.2009 |
22.05.2014 |
| Carrying dangerous & hazardous cargo (B-V/4, B-V/5) | 22014 SV | Sevastopol |
21.05.2009 |
21.05.2014 |
| Advanced Fire Fighting (A-VI/3) | 08832/2009/25/04 | Sevastopol |
21.05.2009 |
21.05.2014 |
| Proficiency in Survival Craft, Rescue Boats & Fast Rescue Boats (A-VI/2) | 08827/2009/25/02 | Sevastopol |
21.05.2009 |
21.05.2014 |
| Medical First Aid (A-VI/4-1) | 08841/2009/25/05 | Sevastopol |
21.05.2009 |
21.05.2014 |
| Ro-Ro passenger ships (A-V/2) | 50331 SV | Sevastopol |
02.07.2009 |
02.07.2014 |
| Passenger ships other than Ro-Ro (A-V/3) | 30979 SV | Sevastopol |
02.07.2009 |
02.07.2014 |
| Refresher and updating courses (II/1) | 12ÑÏÊ470545 | Sevastopol |
26.05.2009 |
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| Bridge Teamwork and search and rescue | 10545 SV | Sevastopol |
22.05.2009 |
22.05.2014 |
| Cyprus Seaman's book | CY 072849 | Lemesos |
04.10.2004 |
04.10.2014 |
| Bahamas G.M.D.S.S. Endorsement | LN 118376/00 | Bahamas |
16.11.2007 |
13.06.2010 |
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Tanker Certificates: |
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| LPG carrier (Advanced and Familiarization, A-V/1, p.2-7) | 08842/2009/25/14 | Sevastopol |
21.05.2009 |
21.05.2014 |
| Oil Tanker (Advanced, A-V/1, p.2-7) | 08989/2009/25/10 | Sevastopol |
21.05.2009 |
21.05.2014 |
| Oil Tanker (Familiarization, A-V/1, p.2-7) | 08840/2009/25/11 | Sevastopol |
21.05.2009 |
21.05.2014 |
Sea Service (during five last years):
|
Name of vessel |
Company |
DWT |
Flag |
Type |
Position |
From |
To |
| CSCL Europe | Danaos Shipping Co Ltd |
101789(8500TEU) |
Cyprus |
Container |
OS |
23.08.2004 |
07.04.2005 |
| Glorious Harvest | Wallem Shipmanagement |
8530 |
Panama |
Reefer |
4-th Off |
18.06.2006 |
18.10.2006 |
| Dollart | Briese Schiffahrts GmbH |
3500 |
Gibraltar |
Multipurp |
2-nd Off |
23.12.2006 |
24.06.2007 |
| Heron | SMT Shipmanagement |
38633 |
Bahamas |
Gen cargo |
3-rd Off |
31.10.2007 |
09.04.2008 |
| Spar Lupus | FML Fleet Management Ltd |
48624 |
NIS |
Bulker |
2-nd Off |
13.12.2008 |
06.01.2009 |
| Experience at sea: Since 2000 | Knowledge Personal Computer: Yes | |||
| Medical Certificate: | ¹ | Issued: | Place: | Exp. date: |
| Vaccinationfor cholera valid until: | Vaccination for yellow fever valid until: 12.06.2012 | |||