Контактна інформація

Шукач вказав телефон та ел. пошту.

Отримати контакти цього кандидата можна на сторінці https://www.work.ua/resumes/3856529

Додаткова інформація

SEAFARER’S APPLICATION FORM
Name in full (First, Middle, Last) :
Voronkov Ihor Ihorovich
Rank :
AB
PHOTO
Date & place of birth:
01.10.1994 Odessa
Nationality:
Ukraine

Marital Status:
Single

Nearest Airport:
Odessa

Permanent Address: Lenina 74 str. Town Belgorod – Dnestrovsk
Tel: [відкрити контакти](див. вище в блоці «контактна інформація»)
Mob:
e-mail: [відкрити контакти](див. вище в блоці «контактна інформація») skype: syperork
Next of kin (surname, name, date of birth):
Voronkova Oksana
30.12.1974
Relationship: mather
Address: Provadiyskaiy 10a/50 str. Belgorod-Dnestrobsk town
Mob: [відкрити контакти](див. вище в блоці «контактна інформація»)
Children (surname, name, date of birth):
1.

2.

3.
Colour of hair/eyes: brunet / brown
Height:
180
Weight:
70
Shoes size:
43
Clothes size:
M
Educational History (name of educational institution, dates of entry / graduation and degree):
Ilyichevsk Maritime College Odessa National Maritime University / 31.08.2009 – 10.08.2012

YELLOW FEVER VACCINATION:
Country of issue
Number:
Date issued:
Place issued:
Expiry Date:
Remarks

361
17.02.2014
Odessa
27.02.2024

LICENCE INFORMATION (Certificate of Competency/Proficiency):
Country:
Grade of Licence:
Number:
Date issued:
Place issued:
Expiry Date:
National

Marshall Islands

OTHER CERTIFICATES AND ENDORSEMENT INFORMATION:
Certificate/Endorsement
STCW Regulation No
Number
Date issued:
Place issued:
Expiry Date:
GMDSS (for Deck Officers)
A-IV/2
GOC or ROC

Certificate/Endorsement

00410/2017/07
03.02.2017
Mukolaiv
---
ECDIS

Ship Security Officer
A-VI/6-5
4059/2013-A
24.12.2013
Odessa
24.12.2018
ISPS
A-VI/6-2
15196/2013-A
24.12.2013
Odessa
24.12.2018
Basic Safety Training
A-VI
№28270
26.10.2016
Odessa
26.10.2021
First Aid / Medical care onboard
A-VI/4

Survival craft & rescue boats
A-VI/2-1
№24290
16.11.2016
Odessa
16.11.2021
Advanced Fire Fighting
A-VI/3
№19893
10.11.2016
Odessa
10.11.2021
SEAMAN’S & PASSPORT BOOK INFORMATION:
National Seaman’s Book (“ULM”) No:
Place & Date Issued:
Expiry Date:
Travel Passport No:
Place & Date Issued:
Expiry Date:
AB524246
Izmail 19.02.2013
19.02.2018
EP477283
Odessa 31.10.2012
31.10.2022
Marshall Islands Seaman’s Book No:
Place & Date Issued:
Expiry Date:
Other Seaman’s Book
Place & Date Issued:
Expiry Date:

VISA INFORMATION:

Visa:
Type:
Valid Until:
Remarks:
USA visa

Schengen

LANGUAGE INFORMATION:

Good
Satisfactory
Poor
Remarks
English
Average

Other language

Availability for Service:

RECORDS OF PREVIOUS SEA SERVICE
Vessel’s name
Flag
IMO Number
DWT /
Type/Model of M.E., kW
Vessel’s
Type
Rank
From
(date-month-year)
To
(date-month-year)
Months
Company
(Shipowner / Crewing Agency)
m/v Magnum
Cambodia
1-307 162
2827
General Cargo
OS
24.03.2014
10.12.2014
7-8
M D shipping / Magnum Shipping Ltd/ Azimut
m/v Clio
Cambodia
1190805
4966
General Cargo
OS
14.01.2015
23.07.2015
6
M D shipping / Clio Shipping Limited / Azimut
m/v Rainbow
Palau
8230297
2457
General Cargo
OS
29.12.2015
30.09.2016
9
Tesoro Marine /Rainbow Shipping Limited

I hereby provide that all the information provided by me in this form is true and correct to the best of my knowledge.

Signed by Seaman:

Date:

References:
Company (Crewing or Shipowner) / Contact person (Superintendent, Manager, Captain, Chief Engineer or other person/ Telephone number ):
__________

Signature of Seafarer (подпись Mоряка): __________ Date (дата): __________