Motorman / Fitter [Моторист-слесарь]

Sietrin Andrey Grigorevich
Дата рождения: 24.04.2014, 5 лет
Херсон, Украина
Английский: Средний
Наличие танкерного подтверждения: Да
Танкерное подтверждение: подтверждение химия/управление, подтверждение нефть/управление, подтверждение нефть-химия/эксплуатация
Минимальная зарплата: 2300 $ per month
Sietrin Andrey Grigorevich
О себе
Employment Application FormPersonal Details First Name ANDRIYMiddle Name GRIGORIYLast Name SIETRINNationality UKRAINIANDate Of Birth 24.04.1975Place of Birth RUSSIAPosition Applied For FITTER Female MaleAvailability date10.03.2014Home Address64, DUBASOVA STR., KHERSON, UKRAINEDocuments / VisasNumberPlace of issueIssuedExpiresPassport EE151088UKRAINE13.06.200813.06.2018Seamans book / SIDAB388972UKRAINE18.06.200818.06.2013USA C1/D visaUSA B1/B2 visa20100746750001USA EMBASSY, UKRAINE15.03.201014.03.2015Home phone+380552323696Schengen VisaMobile / other+380951448445Medical Fitness Certificate5392UKRAINE26711.201227.11.13E-Mail [email protected] Fever-UKRAINE24.06.200824.06.2018National Certificate of Competence (state): OOW. 00317/2008/08 (UKRAINE)National GMDSS No: GradeIssuedExpires GOC / ROCFirst-class motorman12.12.201212.12.2017IssuedExpires---Valid Flag State Endorsements Liberia , Portugal, Denmark (DIS) Other (please list flags) Training for tankers Tanker FamiliarizationAdvanced Oil TankersAdvanced Chemical TankersOther (valid within next 12 months only) certificates and trainings attended (where applicable)Basic Safety TrainingPSC RBoatsAdvanced Fire FightingMedical First AidMedical CareOther (please specify)ARPA/RadarECDIS (generic)Bridge TeamShip HandlingShips Security OfficerSafety OfficerIce NavigationEnergy ConservationRisk Ass. Accident Invest.Please answer the following questions: Did you suffer, or presently suffer from any disease likely to render you unfit for services at sea or likely to endanger the health of other persons on boardIf yes, please provide details ________________________________________________________________________________________________________________________________________ YES NODid you suffer any accident, which rendered you temporary and/or partially disabled YES NODid you ever undergo psychiatric treatment YES NO Are you addicted to alcohol or drugs of any kind YES NO Sea Experience: (Last 10 years start the listing below with the most recent experience)CompanyFlagVessel NameTypeGRTDWTMain EngineBHPRankDate From(dd/mm/yy)Date To(dd/mm/yy)Reason for Sign off (1)TB MARINELIBERIANAMYOIL/CHEM. TANKER2322437759BW7860FITTER15/02/1314/8/13EOCTB MARINELIBERIANALIAOIL/CHEM. TANKER2367637759BW9100FITTER11/12/1126/07/12EOCASPCYPRUSOCEANIC INDIGOOIL/CHEM. TANKER76977759MAK4500FITTER 25/02/1105/10/11EOCSEAARLANDLIBERIANNORDIC RUTHOIL/CHEM. TANKER2384237759SULZER8102FITTER26/03/1024/08/10EOCSEAARLANDLIBERIANELBTANK GERMANYOIL/CHEM. TANKER2284835407BW8561FITTER28/07/0906/01/10EOCSEAARLANDLIBERIANHERMIONEOIL/CHEM. TANKER4201073981BW11300FITTER11/08/0828/03/09EOC (1) Reason for Sing Off - e.g. EOC End of Contract, MED Medical Ground, OWN Own requestPlease provide details of two recent employers who we may contact for referencesName of Company TB MARINE Shipmanagement GmbH Co. KG Contact person Olga Karle Address Paul-Dessau strasse 6 22761 Hamburg Phone/E-Mail +49 151 147 444 27 / [email protected] I hereby declare that the above facts and information are true and accurate. I understand that this data will be stored in the Managers database for the purposes of my current or future employment arranged by the Managers. Further, I confirm that the above may involve the transfer of my personal data within the Managers organization.Place:On Board of M/T AMYDate:14.07.2013Signature:
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