Андрей

PHOTO

APPLICATION FORM
1 Position
Position applied for: ,
Are you willing to accept any other positions? YES NO
If YES, which positions would you consider?
Are you responding to a media advertisement? YES NO
If YES, please state which publication
From what date will you be available? a.s.a.p

2 Personal details
Name: (Last Name. Krugov (First Names) .Andriy
Date/place of birth: 13/02/69 /Odessa Nationality Ukrainian
Permanent address: Appt94, krymskaya str.66, Odessa, Ukraine
Email address: [відкрити контакти](див. вище в блоці «контактна інформація»)
Post code: 65069  No.: [відкрити контакти](див. вище в блоці «контактна інформація»)
Mailing address: same

Post code:  No.: .

3 Education Background
School / College From To Highest Qualification Attained
Odessa marine college 1984 1988 Marine technician
Odessa marine secondary 1999 2001 Marine engineer
school

A WILHELMSEN MARITIME SERVICES COMPANY
10 Record of previous service
(Please give a full record starting with the last vessel on which you served)
VESSEL COMPANY# TYPE OF RANK SIGN SIGN
VESSEL ON OFF
### DATE DATE

stainless v-ships Crude oil 3rd eng
starway Tanker pacific Crude oil 2nd ass 19/02/07 28/07/07
constellation Celebrity cruses cruse eng
2nd eng 21/10/07 25/02/08
Saga ruby Saga sh. Co. cruse 2nd eng 05/06/08 15/09/08
Iran gas n.i.t.c. lpg 2nd eng 19/12/08 19/04/09
Iran gas n.i.t.c. lpg 2nd eng 13/08/09 26/10/09
Ocean prism Anglo-eastern lpg 2nd eng 30/01/10 28/04/10
ullswater wallem lpg 2nd eng 14/08/10 15/01/11
Maricam swan Fleet managament lpg 2nd eng 15/06/11 1910/11
goviken wallem lpg 2nd eng 04/05/12 19/10/12
Navigator venus BSM lpg 2nd eng 14/02/13 01/04/13
Navigator venus BSM lpg 2nd eng 17/06/13 10/08/13
kodaijisan WSM lpg 2nd eng 08/12/14 27/03/14
Gas fountain WSM lpg 2nd eng 16/04/14 04/05/14
kodaijisan WSM lpg 2nd eng 30/10/14 21/02/15
Corvette Dorian lpg 2nd eng 02/04/15 01/08/15
Cratis Dorian lpg 2nd eng 12/10/15 03/06/16
NoRGAS SONOMA NORGAS LPG 2nd eng 10/12/16 22/04/17
Maranta DTS Gen. Cargo Super 13/12/21 17/06/22
Intendant

# Please ensure that the full name and address of your immediate past employer is entered in section 14 **Required for engineer applicants only
## Please enter details
### In case of LPG- please specify if Pressurized or Refrigerated( or semi- if applicable)

A WILHELMSEN MARITIME SERVICES COMPANY
A WILHELMSEN MARITIME SERVICES COMPANY