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+7 (905) 363-95-88
Seafarer's Application Form
Carpenter / Motorman / Motorman / Fitter / Oiler
Ковальчук Антон Андреевич17 march 2023
Location
YAlta
Date of birth
**.**.****
Minimum salary
1 600 USD
Level of English
*****
Visa
*****
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 |
|---|---|---|---|---|---|
| Seaman Book | ***** | ***** | ***** | ***** | ***** |
| Seaman ID | ***** | ***** | ***** | ***** | ***** |
| Travel passport | ***** | ***** | ***** | ***** | ***** |
| Passport | ***** | ***** | ***** | ***** | ***** |
| Travel passport | ***** | ***** | ***** | ***** | ***** |
| Medical certificate | ***** | ***** | ***** | ***** | ***** |
| Seaman Book | ***** | ***** | ***** | ***** | ***** |
| Seaman Book | ***** | ***** | ***** | ***** | ***** |
Certificates
Name of document | Number of document | Country | Issue date | Expiry date |
|---|---|---|---|---|
| Basic safety (VI/1) | ***** | ***** | ***** | ***** |
| Survival craft and rescue boats (VI/2) | ***** | ***** | ***** | ***** |
| Passenger ship training in crisis management and human behaviour (V/2.6,A V/2.3) | ***** | ***** | ***** | ***** |
| Rating forming part of an engineering watch (I/2, III/4) | ***** | ***** | ***** | ***** |
| Security-related training for all seafarers (Section A-VI/6, table A-VI/6-2) | ***** | ***** | ***** | ***** |
Work experience
Position | Name of vessel | Type of vessel | IMO | Flag of vessel | Type of engine | Power of engine | DWT | GRT | Company | Date |
|---|---|---|---|---|---|---|---|---|---|---|
| Motorman / Fitter [Моторист-слесарь] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Oiler [Квалифицированный моторист] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
| Oiler [Квалифицированный моторист] | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** | ***** |
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