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Seafarer's Application Form
Chief mate on ships of 3,000 gross tonnage or more / Chief Officer
Кузьменко Олег Викторович05 april 2025
Location
Kerch
Date of birth
**.**.****
Minimum salary
11 000 USD
Level of English
*****
River diploma
*****
About
*****
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 |
|---|---|---|---|---|---|
| Passport | ***** | ***** | ***** | ***** | ***** |
| Seaman Book | ***** | ***** | ***** | ***** | ***** |
| Travel passport | ***** | ***** | ***** | ***** | ***** |
| Seaman ID | ***** | ***** | ***** | ***** | ***** |
Certificates
Name of document | Number of document | Country | Issue date | Expiry date |
|---|---|---|---|---|
| Advanced fire fighting in accordance with the paragraphs 1-4 Section А-VI/3 of STCW Code (paragraph 1 Regulation VI/3, STCW Convention) | ***** | ***** | ***** | ***** |
| Basic safety training (paragraph 4 of Section А-VI/1 of the STCW Code, STCW Regulation VI/1) | ***** | ***** | ***** | ***** |
| Advanced fire fighting (VI/3) | ***** | ***** | ***** | ***** |
| Medical first Aid (STCW Convention, Section A-VI/2; table A-VI/4-1) | ***** | ***** | ***** | ***** |
| Proficiency in survival craft and rescue boats other than fast rescue boats in accordance with the paragraphs 1-4 Section А-VI/2 of STCW Code (paragraph 1.3 Regulation VI/2, STCW Convention) | ***** | ***** | ***** | ***** |
| Security training for seafarers with designated security duties in accordance with the paragraphs 6-8 of Section А-VI/6, STCW Code (paragraph 4 Regulation VI/6, STCW Convention)) | ***** | ***** | ***** | ***** |
| Survival craft and rescue boats (VI/2) | ***** | ***** | ***** | ***** |
| Basic safety (VI/1) | ***** | ***** | ***** | ***** |
| Master (Unlimited) (I/2, II/2) | ***** | ***** | ***** | ***** |
Work experience
Position | Name of vessel | Type of vessel | IMO | Flag of vessel | Type of engine | Power of engine | DWT | GRT | Company | Date |
|---|---|---|---|---|---|---|---|---|---|---|
| Chief Officer [Старший помощник] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Chief Officer [Старший помощник] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Chief Officer [Старший помощник] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Chief Officer [Старший помощник] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Chief Officer [Старший помощник] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
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