APPLICATION FORM
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APPLICATION FORM |
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| Name: Yuriy | Surname: Didenko | ||||||
| Date of birth: 10.07.1970 | Place of birth: Ukraine | ||||||
| Permanent address: Izmail, Ukraine | |||||||
| Passport (OVIR): AT 460944 | Place of issue: Odessa | Date of issue: 09.01.2002 | Valid until: 09.01.2012 | ||||
| Seaman’s book: AB 380198 | Place of issue: Odessa | Date of issue: 29.05.2008 | Valid until: 29.05.2013 | ||||
| Citizenship: Ukraine | Expiry date of U.S. visa: NO | ||||||
| Marital Status | Married | ||||||
| Next of kin: (name, pas. No) | wife - Tatyana Didenko | ||||||
| Supported children under age of 18 | 1. Vadim Didenko, 15.06.1998 | ||||||
| (name, surname, date of birth) | . | ||||||
| Knowledge of English language | Good | ||||||
| Education: | Qualification: | No Diploma: | Date of Issue: | ||||
| Kherson Marine College | Navigator | . | 2001 | ||||
| Kiev Maritime Academy | Navigator | . | 2008 | ||||
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Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency | 02161/2003/01 | Izmail |
29.07.2003 |
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| Endorsement STCW | 02161/2003/01 | Izmail |
16.07.2008 |
16.05.2011 |
| Personal Sea Survival (ÁÆÑ)(A-VI/1) | 08701 U | Izmail |
16.05.2006 |
16.05.2011 |
| G.M.D.S.S. General Operator (A-IV/2) Certificate | 00588/2003/01 | Izmail |
12.08.2003 |
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| G.M.D.S.S. General Operator (A-IV/2) Endorsement | 00588/2003/01 | Izmail |
25.06.2008 |
05.06.2013 |
| Radar Observation and Plotting (A-II/1,2) | 3369U | Izmail |
19.05.2006 |
19.05.2011 |
| Automatic Radar Plotting Aids (ARPA) (A-II/1,2) | 3369U | Izmail |
19.05.2006 |
19.05.2011 |
| Carrying dangerous & hazardous cargo (B-V/4, B-V/5) | 11744/MPS | Kherson |
25.04.2008 |
25.04.2013 |
| Advanced Fire Fighting (A-VI/3) | 10680/MPS | Kherson |
25.04.2008 |
25.04.2013 |
| Proficiency in Survival Craft, Rescue Boats & Fast Rescue Boats (A-VI/2) | 12908/MPS | Kherson |
25.04.2008 |
25.04.2013 |
| Ship's Medical Care (A-VI/4-2) | 1907/MPS | Kherson |
25.04.2008 |
25.04.2013 |
| Ship Security Officer (ISPS) A/2.1.6,A/12.1,A/12.2,B/8,B/9,B/13 | 00108/2008/01 | Izmail |
15.05.2008 |
15.05.2013 |
| Ships handling arrangements | 10321 KS | Kiev |
02.07.2008 |
02.07.2013 |
| Norway Seaman's book | 97148 | Hauges |
28.08.2008 |
16.05.2011 |
| Norway Endorsement | 97148 | Hauges |
28.08.2008 |
16.05.2011 |
Sea Service (during five last years):
|
Name of vessel |
Company |
DWT |
Flag |
Type |
Position |
From |
To |
| Fedra | Mediterranean Manag SA |
38500 |
Korea |
Dry cargo |
Ch. Off |
14.01.2004 |
12.06.2004 |
| Antares | Tradewood Shipping Co |
7100 |
Panama |
Dry cargo |
2-nd Off |
08.08.2004 |
09.03.2005 |
| Kevin | Tradewood Shipping Co |
7150 |
Panama |
Dry cargo |
Ch. Off |
27.07.2005 |
03.03.2006 |
| Eos | Emma Boda Shipping |
6150 |
Norway |
Dry cargo/selfdisch |
Ch. Off |
31.07.2006 |
09.09.2006 |
| Eos | Emma Boda Shipping |
6150 |
Norway |
Dry cargo/selfdisch |
Ch. Off |
24.10.2006 |
16.01.2007 |
| Eos | Emma Boda Shipping |
6150 |
Norway |
Dry cargo/selfdisch |
Ch. Off |
07.03.2007 |
14.06.2007 |
| Eos | Emma Boda Shipping |
6150 |
Norway |
Dry cargo/selfdisch |
Ch. Off |
23.08.2007 |
04.12.2007 |
| Eos | Emma Boda Shipping |
6150 |
Norway |
Dry cargo/selfdisch |
Ch. Off |
25.01.2008 |
14.04.2008 |
| Eos | Emma Boda Shipping |
6150 |
Norway |
Dry cargo/selfdisch |
Ch. Off |
29.07.2008 |
05.11.2008 |
| Experience at sea: Since 2001 | Knowledge Personal Computer: Yes | |||
| Medical Certificate: | ¹ | Issued: 14.07.2008 | Place: Odessa | Exp. date: 14.07.2009 |
| Vaccination for cholera valid until: | Vaccination for yellow fever valid until: 2011 | |||