Контактна інформація

Шукач вказав телефон та ел. пошту.

Отримати контакти цього кандидата можна на сторінці https://www.work.ua/resumes/4247804

Додаткова інформація

SEAMAN’S PRE-EMPLOYMENT CHECK LIST

A. PERSONAL DETAILS

Name
Gornostal
Sergey
Afanasievich
Surname First name Father’s name
Date and place of birth
09.04.1982

Nationality
Ukrainian
Family State
married

Home Address
Reg. Odessa cit. Chernomorsk st. 1May 2a
(Permanent residence)
E-mail, tel. /mob
[відкрити контакти](див. вище в блоці «контактна інформація») [відкрити контакти](див. вище в блоці «контактна інформація»)

Trade Education
SEAFARERS TRANING CENTRE , 2006

( College / university / academy, date of graduation )
Marital status (married/single/divorced)
married

Wife Full Name
Sliusar Oleksandra Nikolaevna

Beneficiary Full Name
Gornostal Valentina Semenovna

Beneficiary Full Name relation
mother

Beneficiary Address and tel.
Same / [відкрити контакти](див. вище в блоці «контактна інформація»)

Children names/age
Kirill / 12

Position applied for
Able Seaman
B. NATIONAL AND FLAG CERTIFICATES
Title of the seafarer’s National documents
Number
Date of issue
Place of issue
Valid till
Seaman’s book
AB 582332
22.06.16
UKR
22.06.21
Travel passport
ES 375421
16.10.14
UKR
16.10.24
Ukrainian domestic passport
KM 994757
11.03.16
UKR
11.03.27
Certificate of competency (Capacity__________)
11681/2016/08
21.04.16
UKR
–.--.--
Endorsement of Certificate (Limitations ,if any_________)

Flag Endorsement of Certificate (Flag __________ ) __________

GMDSS certificate (Capacity __________)

Endorsement of GMDSS (Limitation, if any__________)

Flag endorsement of GMDSS (Flag__________)

Basic safety training Certificate
20 775
05.07.17
UKR
05.07.22
Proficiency in Survival craft
687
05.01.15
UKR
05.01.20
Proficiency in Survival craft and rescue Boat Certificate
14 664
05.07.17
UKR
05.07.22
Advanced fire fighting Certificate
4114
30.03.16
UKR
30.03.21
Carriage of dangerous cargo Certificate
6 013
05.07.17
UKR
05.07.22
Medical first aid / Medical care Certificate

Radar navigation Certificate

ARPA Certificate

ECDIS Certificate

Ships Safety Officer Certificate

Ship Security Officer Certificate(A –VI/6-2 STCW)

Designated Security Duties
22506
02.06.14
UKR
02.06.19
Security Related Training

2880
30.03.16
UKR
30.03.21
Security Awareness Training

Engine Room

Bridge team management Certificate

Oil tanker Familiarization

Crude Oil Washing

Inert Gas System

Oil Tanker Special

Chem.tanker Special

Liquified gas tanker

Medical certificate
9238
15.09.16
UKR
15.09.17
Yellow fever vaccination Certificate
832

UKR
22.10.26
Drug and alcohol test Certificate
9238
15.09.16
UKR
15.09.17

English language knowledge:
(very good/good/poor)
Below an average
Marlin’s test (%)

Working clothes size _54_
Shoes size __43.5__
Height _180_
Weight _80_
Eyes color: brown
Hair Color: dark

C. SEA SERVICE ( last ten contracts)
Vessel’s name
Type
Flag
DWT
M/E
maker power
Rank
Signed
on off
Company
LOTOS-1
General cargo
BLZ
1580
B&W
2600
AB
27.09.06
30.03.07
Trans-union Co.LTD
ARTEMIS
Container ship
MHL
27103
MAN
13440
AB
06.05.07
14.02.08
Salina Shipholding. Co RP
PROTON-1
Bulk Carrier
PAN
60000
SULZER
17400
AB
15.04.08
13.10.08
Merchant Marine Manegment S.A
MERCURY
Container Ship
SKN
16800
MAN
13320
AB
13.06.14
07.10.14
Mesopotamia Shipping
ARIADNE
Bulk Carrier
LBR
59000
SULZER
17600
OS
25.03.15
24.07.15
Ariadne LTD
ARIADNE
Bulk Carrier
LBR
59000
SULZER
17600
AB
25.07.15
18.01.16
Ariadne LTD
RUBELLA
Bulk Carrier
BLZ
42025
MAN
6230
AB
17.09.16
23.05.17
Star Bright Shipping Co Ltd

D. OTHER INFORMATION

Other countries visits (USA 13.10.2017- 08.10.2027

(Specify the country and year of each visit for last 5 tears)

USA, Australia, Schengen VISA (Specify Country and validity date )
Be not present

Are any Liabilities in progress? (Alimony, judicial claims and etc.)
No

All above-stated is true. The present I allow to store and use the information received from me with a view of my employment.

Date and applicant signature 09.02.2019

E. INTERVIEWER CONCLUSION

When available for Employment

Reference (from Whom, details)
Internet
Ability
production of steering and parking watch;
beather steering and forward looking;
a management to manage boats, use life;
saving means;
the goods vision orientation;
skill to work in team
Character
concentration, attentiveness, responsibility, endurance
Qualification
ordinary seaman
Motivation
career

Remarks

Found
Suitable__________
Hold for possible reconsideration __________
Not suitable __________

Interviewer’s Name and signature

Date and place of Interview