Seafarer's Application Form

Chief Officer / Second Officer

Нелин Николай Евгеньевич
Location
Akhtubinsk
Date of birth
**.**.****
Minimum salary
3 800 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
Seaman Book*************************
Seaman ID*************************
Travel passport*************************

Certificates

Name of document
Number of document
Country
Issue date
Expiry date
Security-related training for all seafarers (Section A-VI/6, table A-VI/6-2)********************
Advanced fire fighting (VI/3)********************
Chief mate on ships of 3,000 gross tonnage or more********************
Basic safety (VI/1)********************
Survival craft and rescue boats (VI/2)********************
Medical first aid in accordance with the paragraphs 1-3 Section А-VI/4 of STCW Code (paragraph 1 Regulation VI/4, STCW Convention)********************

Work experience

Position
Name of vessel
Type of vessel
IMO
Flag of vessel
Type of engine
Power of engine
DWT
GRT
Company
Date
Second Officer [Второй помощник]**************************************************
Second Officer [Второй помощник]**************************************************
Chief Officer [Старший помощник]**************************************************
Second Officer [Второй помощник]**************************************************
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