APPLICATION FORM
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APPLICATION FORM |
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| Name: Anatoliy | Surname: Redkyn | ||||||
| Date of birth: 04.02.1959 | Place of birth: Russia | ||||||
| Permanent address: Kherson, Ukraine | |||||||
| Passport (OVIR): AE 784721 | Place of issue: Kherson | Date of issue: 20.03.2008 | Valid until: 20.03.2018 | ||||
| Seaman’s book: AB 297157 | Place of issue: Ilyichevsk | Date of issue: 20.10.2005 | Valid until: 20.10.2010 | ||||
| Citizenship: Ukraine | Expiry date of U.S. visa: NO | ||||||
| Marital Status | Married | ||||||
| Next of kin: (name, pas. No) | wife - Vera Redkina | ||||||
| Supported children under age of 18 | . | ||||||
| (name, surname, date of birth) | . | ||||||
| Knowledge of English language | Good | ||||||
| Education: | Qualification: | No Diploma: | Date of Issue: | ||||
| Odessa Higher Engineering Marine School | Engineer-Navigator | . | 27.03.1985 | ||||
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Certificates of STCW 78/95 |
No. |
Place |
Date of issue |
Expiry date |
| Certificate of competency | 01501/2002/01 | Izmail |
12.11.2002 |
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| Endorsement STCW | 01501/2002/01 | Nikolaev |
13.07.2007 |
21.09.2010 |
| Personal Sea Survival (ÁÆÑ)(A-VI/1) | . | . |
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| G.M.D.S.S. General Operator (A-IV/2) Certificate | 00750/2002/07 | Nikolaev |
31.10.2002 |
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| G.M.D.S.S. General Operator (A-IV/2) Endorsement | 00750/2002/07 | Nikolaev |
11.07.2007 |
09.07.2012 |
| Radar Observation and Plotting (A-II/1,2) | 00440/2007/42/31 | Nikolaev |
04.07.2007 |
04.07.2012 |
| Automatic Radar Plotting Aids (ARPA) (A-II/1,2) | 00440/2007/42/31 | Nikolaev |
04.07.2007 |
04.07.2012 |
| Carrying dangerous & hazardous cargo (B-V/4, B-V/5) | 01922/2007/42/20 | Nikolaev |
04.07.2007 |
04.07.2012 |
| Advanced Fire Fighting (A-VI/3) | 01557/2007/42/04 | Nikolaev |
04.07.2007 |
04.07.2012 |
| Proficiency in Survival Craft, Rescue Boats & Fast Rescue Boats (A-VI/2) | 02823/2007/42/02 | Nikolaev |
04.07.2007 |
04.07.2012 |
| Ship's Medical Care (A-VI/4-2) | 00437/2007/42/06 | Nikolaev |
04.07.2007 |
04.07.2012 |
| Refresher and updating courses (II/1) | 0787/2005 | Izmail |
27.09.2005 |
27.09.2010 |
Sea Service (during five last years):
|
Name of vessel |
Company |
DWT |
Flag |
Type |
Position |
From |
To |
| Sioux | Misha Ship. Ltd |
5211 |
Malta |
Gen cargo |
Master |
29.10.2002 |
21.12.2003 |
| Sioux | Misha Ship. Ltd |
5211 |
Malta |
Gen cargo |
Master |
12.03.2004 |
06.07.2004 |
| Sioux | Misha Ship. Ltd |
5211 |
Malta |
Gen cargo |
Master |
15.09.2004 |
22.06.2005 |
| Sioux | Misha Ship. Ltd |
5211 |
Malta |
Gen cargo |
Master |
20.10.2005 |
08.04.2006 |
| Lena | Caspi cargo lines |
. |
Slovakia |
Gen cargo |
Master |
11.08.2006 |
11.04.2007 |
| Experience at sea: Since 1985 | Knowledge Personal Computer: Yes | |||
| Medical Certificate: | ¹ | Issued: | Place: | Exp. date: |
| Vaccination for cholera valid until: | Vaccination for yellow fever valid until: 20.10.2016 | |||