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Seafarer's Application Form
Chief Officer
Дубровский Максим Сергеевич09 june 2025
Location
Rostov-on-Don
Date of birth
**.**.****
Minimum salary
300 000 RUB
Level of English
*****
Visa
*****
River diploma
*****
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 |
|---|---|---|---|---|---|
| Seaman Book | ***** | ***** | ***** | ***** | ***** |
| Travel passport | ***** | ***** | ***** | ***** | ***** |
| Seaman ID | ***** | ***** | ***** | ***** | ***** |
Certificates
Name of document | Number of document | Country | Issue date | Expiry date |
|---|---|---|---|---|
| Специалист командного состава судна, ответственного за охрану судна | ***** | ***** | ***** | ***** |
| Advanced fire fighting (VI/3) | ***** | ***** | ***** | ***** |
| Medical first aid in accordance with the paragraphs 1-3 Section А-VI/4 of STCW Code (paragraph 1 Regulation VI/4, STCW Convention) | ***** | ***** | ***** | ***** |
| General operator’s certificate for the GMDSS | ***** | ***** | ***** | ***** |
| ECDIS | ***** | ***** | ***** | ***** |
| Survival craft and rescue boats (VI/2) | ***** | ***** | ***** | ***** |
| Basic safety (VI/1) | ***** | ***** | ***** | ***** |
| Chief mate on ships of 3,000 gross tonnage or more | ***** | ***** | ***** | ***** |
Work experience
Position | Name of vessel | Type of vessel | IMO | Flag of vessel | Type of engine | Power of engine | DWT | GRT | Company | Date |
|---|---|---|---|---|---|---|---|---|---|---|
| Deck Cadet [Кадет,Палуба] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Ratings as able seafarer deck [Матрос первого класса] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Ratings as able seafarer deck [Матрос первого класса] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Ratings as able seafarer deck [Матрос первого класса] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Ratings as able seafarer deck [Матрос первого класса] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Second Officer [Второй помощник] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Second Officer [Второй помощник] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Second Officer [Второй помощник] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Second Officer [Второй помощник] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Chief Officer [Старший помощник] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
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