Seafarer's Application Form

2nd Engineer / Chief Engineer

Kozhukhar Dmitrii Yurievich
Location
Sevastopol
Date of birth
02.01.1975
Minimum salary
7 000 USD
Level of English
Upper intermediate
Visa
Other

Contact information

Phone number
*****
E-mail
*****
Next of Kin's name
*****
Next of Kin's phone number
*****

General documents

Type of document Number Issued Country Issue date Expiry date

Certificates

Name of document Number of document Country Issue date Expiry date

Work experience

Position Name of vessel Type of vessel IMO Flag of vessel Type of engine Power of engine DWT GRT Company Date
CrewServices Auth
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