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Application for Employment.
⇐ ПредыдущаяСтр 4 из 4
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| Position applied for: AB | Address: Ukraine, Odessa, 6-Statiopn Lystdorfskoi str, 17 line, ap.44 | 
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| Surname: Gorelov | ||||
| Forenames: Pavlo Volodymirovich | Tel.: | Cont.Tel: +380957052695 | ||
| Date of Birth: 03.11.1984 | Marital status: Single | No of Children: | ||
| Place of Birth: Ukraine, Odessa/Украина, Одесса | ||||
| Nationality: Ukrainian | Date, Place issued: 02.08.2002 Odessa | |||
| Native Language: Ukrainian | ||||
| Languages spoken: Russian, English | Passport: KK 682692 | |||
| Education: Secondary | Next of Kin (Father): Gorelov Volodymir Serafimovich | |||
| Education Body: School №56 2002year | Address: Ukraine, Odessa, 6-Statiopn Lystdorfskoi str, 17 line, ap.44 Tel.: +380678413555 | |||
| Licenses | Grade | Number | Date Issued | Education Body | Expiry Date |
| Certificate of Competence | AB | 00052/2011/08 | 20.01.2011 | Harbour Master of seaport of Osessa | 31.12.2016 |
| Flag St. Recognition Cert | |||||
| Flag St. Recognition Cert | |||||
| Flag St. Recognition Cert. | |||||
| GMDSS | |||||
| Endorsement of GMDSS | |||||
| Radar Observ. Simulator | |||||
| ARPA | |||||
| Survival craft & rescue boat | 3/AC/0466/0/13 | 28.05.2013 | Illichivsk “Training Centre Of Seafarers AVANT” | 28.05.2018 | |
| Advanced Fire-Fighting | 3/AA/0694/0/13 | 28.05.2013 | Illichivsk “Training Centre Of Seafarers AVANT” | 28.05.2018 | |
| Carriage of D-s & Has-s sub-s | 0935/2013 | 16.08.2013 | Centre Of Survival At Sea Of Odessa National Maritime Academy | 16.08.2018 | |
| First Aid at Sea | 3/AA/0694/0/13 | 28.05.2013 | Illichivsk “Training Centre Of Seafarers AVANT” | 28.05.2018 | |
| Basic safety training | 3/AA/0694/0/13 | 28.05.2013 | Illichivsk “Training Centre Of Seafarers AVANT” | 28.05.2018 | |
| Watchkeeping | AB | 3/CG/0086/0/13 | 28.05.2013 | Illichivsk “Training Centre Of Seafarers AVANT” | |
| Document | Number | Date Issued | Place Issued | Expiry Date |
| Seaman's Passport | AB 520259 | 13.06.2013 | Port of Illichivsk | 13.06.2018 |
| Seaman's Book | ||||
| Travel Passport | EE 267424 | 10.07.2008 | Odessa | 10.07.2018 |
| US Visa | ||||
| Health Certificate | 06.06.2013 | Odessa, Ukrainian scientific-Research institute of Transport Medicine | 06.06.2014 | |
| Yellow Fever | 22.07.2008 | Odessa, Ukrainian scientific-Research institute of Transport Medicine | 22.07.2018 | |
| Drug and Alcohol | 06.06.2013 | Odessa, Ukrainian scientific-Research institute of Transport Medicine | 06.06.2014 | |
| Schengen visa | PL 5660227 | 06.12.2008 | Odessa | 10.12.2008 |
| Eyes: Brown |
| Hair: Black |
| Height: 202 |
| Weight: 93 |
| Shoes: 45 |
| Overall: 6/56 |
Previous Sea Experience (for last 10 Years)
| From | To | Vessel | Flag | DWT | HP | Engine | TypeOfVessel | Position | Company | Com. Tel |
| 28.11.08 | 03.03.09 | Boris Dwerevyanko | Ukraine | 2*1500 | B& W | Fish-hunt | Insulator | RSK “Kapitan” | ||
| 15.07.09 | 11.11.09 | St.Sophia | Moroni | 2*1200 | G-70 | General Cargo | OS | Neoimpex corporation, KA-TRANS | ||
| 26.03.10 | 08.10.10 | Skulptor Tomskiy | Belize | 9600Kw | B& W | Reefer | Deck Cadet | FWSM, Sea Brothers | +78123239133 | |
| 01.05.11 | 24.09.11 | Consul | Phnom-Penh | 2*870 | NVD | General Cargo | Bosun | MD Shipping, Azimut Crewing | +380482334339 | |
| 05.05.12 | 06.08.12 | Rainbow | Phnom-Penh | 2*760 | NVD | General Cargo | Bosun | MD Shipping, Azimut Crewing | +380482334339 | |
| 02.09.13 | 16.03.14 | Ocean Brother | Malta | Makita-Mitsui-Man | Bulk-Carrier | AB | FWSM, Sea Brothers | +78123239133 | ||
| 12.12.14 | 13.09.15 | Verlaine | Phnom-Penh | 2*760 | NVD | General Cargo | AB | Adler Shipping | +79788069429 | |
С автоматизированной обработкой моих персональных данных указанных в анкете, их передачей (включая трансграничную) и хранением в целях трудоустройства согласен.
Подпись Горелов П.В.
Дата 11.10.2015
Готовность в рейс: 100%
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