Игорь

EMPLOYMENT APPLICATION FORM
Rank: Motorman
Education: Kherson Maritime College 2023-2026
of Fishing Industry (Expluatation of
Ship’s Energy Systems)

Personal details
Surname: Nahornyi First name: Ihor Photo:
Date of birth: 22.04.85 Place of birth: Dnipropetrovsk Nationality: Ukraine
Home address: Ukraine, Dnipro city, Panikahi 75/10
Phones: [відкрити контакти](див. вище в блоці «контактна інформація»)

Documents

S/passport No. AC 015225 Issued on: 03.06.2024 Expiry date: 03.06.2029
S/book No. 00320/2023/18 Issued on: 21.04.2023 Expiry date: permanent
US visa C1/D Issued on: Expiry date:

CERTIFICATES Cert No Date of Issue Expiry date
G.M.D.S.S.
G.M.D.S.S. Endorsement
Proficiency In Survival Craft 32334224/02/0211/025 22.01.2025 22.01.2030
Basic Safety Training 00378/2023 12.04,2023 12.04.2028
Advanced Fire Fighting 32334224/04/0196/025 22.01.2025 22.01.2030
Dangerous And Hazardous Substances
ROP/ARPA
Ship Security Officer
Medical First Aid
DP Induction Course
DP Advanced Course
DP Unlimited Certificate
Bridge Team Management
Bridge Resourse Management
ECDIS
ECDIS Type Specific
Security-related training & instruction for 01625/2023 21.12.2023 permanent
all seafarers
Designated Security Duties 03201/2024 25.10.2024 permanent
Ship Security Officer
H2S
Yellow fever

Pre-SEA Training / Nautical School / Maritime School Qualifications Passed:
Education-training complex “Admiral” LLC Motorman 2nd class 23.04.2024

Next of kin Personal data:
Name/Relationship Iryna/mother Weight, kg: 74 Height, cm: 170
Home address: Ukraine, Dnipro, Panikahi 75/10 Eyes: brown Hair: brown
Phones: [відкрити контакти](див. вище в блоці «контактна інформація») Overall size: 36-38 Safety shoes: 40

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