Контактна інформація

Шукач вказав телефон та ел. пошту.

Отримати контакти цього кандидата можна на сторінці https://www.work.ua/resumes/2584132

Додаткова інформація

PERSONAL APPLICATION FORM
Filling does not guarantee employment

Position applied for _____O.S.-A.B.__________

Min Wage________1500__________
Personal data

Name : Sergiy Badzhakov

Date of birth:
11.07.1989
Place of birth:
ODESSA
Nationality:
UKRAINE
Address, postal code 65490 Telephone [відкрити контакти](див. вище в блоці «контактна інформація»)
c.Teplodar,Odessa reg.
Energetikov str.,app53
Visas:
U.S.A. till 19.06.2018
Marital status married
Number of children (under 18 years) :
Next of kin: Badzhakova Viktoria
Address: c.Belyaevka Kolhozniy per.1app5
Relationship: Wife

Telephone : [відкрити контакти](див. вище в блоці «контактна інформація»)
Pre-sea education and year of graduation :

E-mail address:
[відкрити контакти](див. вище в блоці «контактна інформація»)
Document No Date of issue Expiry date
Seaman’s Identification Card
AB367733
30.05.2012
30.05.2017
Civil Travel Passport
EE371657
06.08.2008
06.08.2018
Medical certificates Date of issue Expiry date
Health list

Color of eyes: Brown
Yellow fever
26.11.2008
26.11.2018
Color of hair: Brown
Drug & alcohol test

Height: 180

Weight: 95
STCW Certificates

Grade
Certif. No
Date and place of issue
Expiry date
Certificate of competency

00161/2013/08
21.02.2013

Endorsement

00161/2013/08
21.02.2013
30.12.2016
Refresher&Updating

GMDSS (endorsement)

Radar simul. and observ.

A.R.P.A.

Basic safety training

07822
28.02.2012
28.02.2017
Advanced fire fighting

11164
06.08.2014
06.08.2019
Medical first aid

Medical care

Prof. in survival craft

06118
28.02.2012
28.02.2017
Hazardous cargoes

02968
28.02.2012
28.02.2017
Electrical & electronic

Ship security officer

Safety officer

Additional courses attended (STCW Certificates)
Fast Rescue Craft (FRC)

Helo-Land.Officer (HLO)

Helo-Deck Ass. (HDA)

Helo-U/Wat. Ev. (HUET)

English Lang. Courses

BOSIET

“CONCORD MARINE”
Another Seamen’s Books and Licenses
Issued by

Kind of Document
Document
No
Date of
issue
Expiry
date

Antigua and Barbuda

2015

Liberia

2017

Marshall Islands

2018

Sea Service
Period
on board
Ship’s
name
Vessel type
DWT
Type of
engine
Flag
Company
Rank
From
To

5.01.2009
10.07.2009
DOLLART
Multipurp
3560

GIBR
Briese swallow
D/CAD
8.09.2009
25.02.2010
BBC LEER
Gan Cargo
20000

Liber
Briese swallow
D/CAD-O.S.
11.06.2010
8.11.2010
KARINA G.
COSTER
2545

GIB
Briese swallo
O.S.
1.03.2012
23.09.2012
BBC SWEDEN
Heavy lift
3198

GIB
Briese swallo
O.S.
12.06.2012
23.12.2012
LENE SELMER
Bulk
175400

Marshal
Staff Centre
O.S.
14.07.2013
8.02.2014
KLARA SELMER
Bulk
175400

Marshal
Staff Centre
O.S.

Next of Kin List
Full Name (name, surname, first name)
Kinship
Date of birth
Place of birth
Address/tel if different from above
Badzhakova Viktoria
Wife
12.02.1993
Belyaevka
c.Belyaevka,Per.Kolhozniy 1str.,app5
Mother's maiden surname:

Father

Wife/Husband

Daughter

Son

Please complete addresses of your previous employers for references

Company

Phone:
Address

Company

Phone:
Address

Company

Phone:
Address

Home airport:

Marlins English test result:Normal

Date of readiness:

I hereby affirm all the information provided by me is true and correct.
I understand, that my working contract will be canceled without notifying if any of submitted information and documents are voted as false.

“_24___”______July__________20_14____ ________Badzhakov______
Seafarer’s signature