APPLICATION FORM
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APPLICATION FORM |
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| Name: Igor | Surname: Odnovyunenko | ||||||
| Date of birth: 06.01.1971 | Place of birth: Sumy | ||||||
| Permanent address: Sumy, Ukraine | |||||||
| Passport (OVIR): 62 5289725 | Place of issue: Vladivostok | Date of issue: 24.01.2006 | Valid until: 24.01.2011 | ||||
| Seaman’s book: PX 0324411 | Place of issue: Vladivostok | Date of issue: 28.12.2005 | Valid until: 28.12.2010 | ||||
| Citizenship: Russia | Expiry date of U.S. visa: NO | ||||||
| Marital Status | Divorced | ||||||
| Next of kin: (name, pas. No) | mother - Valentina Odnovyunenko, MA 821069 | ||||||
| Supported children under age of 18 | Andrey Odnovyunenko, 24.03.1998 | ||||||
| (name, surname, date of birth) | . | ||||||
| Knowledge of English language | Satisfcatory | ||||||
| Education: | Qualification: | No Diploma: | Date of Issue: | ||||
| Leningrad Marine College | Tech.Navigator | . | 03.07.1990 | ||||
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Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency | 3010205111 | Vladivostok |
03.12.2007 |
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| Endorsement STCW | 3010224760 | Vladivostok |
07.12.2007 |
06.12.2012 |
| Personal Sea Survival (ÁÆÑ)(A-VI/1) | 151186 | Vladivostok |
31.10.2007 |
31.10.2012 |
| G.M.D.S.S. General Operator (A-IV/2) Certificate | 0046544 | Vladivostok |
22.01.2004 |
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| G.M.D.S.S. General Operator (A-IV/2) Endorsement | 70857 | Vladivostok |
03.12.2007 |
07.12.2012 |
| Radar Observation and Plotting (A-II/1,2) | 0105245 | Vladivostok |
21.11.2007 |
21.11.2012 |
| Automatic Radar Plotting Aids (ARPA) (A-II/1,2) | 0105245 | Vladivostok |
21.11.2007 |
21.11.2012 |
| Carrying dangerous & hazardous cargo (B-V/4, B-V/5) | 021535 | Vladivostok |
29.11.2007 |
29.11.2012 |
| Advanced Fire Fighting (A-VI/3) | 070778 | Vladivostok |
08.11.2007 |
08.11.2012 |
| Proficiency in Survival Craft, Rescue Boats & Fast Rescue Boats (A-VI/2) | 128560 | Vladivostok |
06.11.2007 |
06.11.2012 |
| Medical First Aid (A-VI/4-1) | 060266 | Vladivostok |
25.10.2007 |
25.10.2012 |
| Ship's Medical Care (A-VI/4-2) | 060266 | Vladivostok |
25.10.2007 |
25.10.2012 |
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Tanker Certificates: |
. |
. |
. |
. |
| Oil Tanker (Advanced and Familiarization, A-V/1, p.2-7) | 090447 | Vladivostok |
06.12.2007 |
06.12.2012 |
| Oil Tanker Endorsement | 3010224760 | Vladivostok |
07.12.2007 |
06.12.2012 |
Sea Service (during five last years):
|
Name of vessel |
Company |
DWT |
Flag |
Type |
Position |
From |
To |
| Smooth Voyager | MAN |
6100 |
Mongolia |
Dry cargo |
2-nd Off |
02.2004 |
08.2004 |
| Moana | Hornsea Merchant |
2300 |
Mongolia |
Dry cargo |
2-nd Off |
11.2004 |
04.2005 |
| Olga | Kamchatka lines |
3800 |
Russia |
Cont carrier |
3-rd Off |
02.2006 |
04.2006 |
| Victor | SK Shipping |
4700 |
Cambodia |
Gen cargo |
2-nd Off |
04.2006 |
08.2006 |
| Volga-4007 | Neva Shipping |
6300 |
Russia |
Gen cargo |
2-nd Off |
11.2006 |
03.2007 |
| Anassa Loanna | Empros Lines |
53125 |
Malta |
Bulker |
2-nd Off |
05.2008 |
12.2008 |
| Experience at sea: Since 1993 | Knowledge Personal Computer: Yes | |||
| Medical Certificate: | ¹ | Issued: | Place: | Exp. date: |
| Vaccination for cholera valid until: | Vaccination for yellow fever valid until: 05.2018 | |||