Контактна інформація

Шукач вказав телефон та ел. пошту.

Отримати контакти цього кандидата можна на сторінці https://www.work.ua/resumes/4267567

Додаткова інформація

Application Form for Seafarers
(Filling in the form does not guarantee employment)
POSITION APPLIED FOR:
Surname:Firmaniuk
Name:Pavlpo
Middle Name: Tarasovch
Date of Birth: 17.06.1996

Place of Birth / City & Country: Nikolaivska oblas s Petropavlivka Capaeva45
Citizenship: Ukraine

Permanent address: S Petropavlivka Chapaeva 45
Phone(home):
Phone(mobile): [відкрити контакти](див. вище в блоці «контактна інформація»)
E-mail:[відкрити контакти](див. вище в блоці «контактна інформація»)
LEVEL OF ENGLISH (Fluent, Good, Satisfactory, Poor): Satisfactactory
DESIRED SALARY: $900-1300

DOCUMENTS

NUMBER

ISSUED

VALID TILL

COUNTRY
TRAVEL PASSPORT
FE385657
15.04.2016
15.04.2026
Ukraine
SEAMAN’ S BOOK
AB550773
20.01. 2015
06.01.2020
Ukraine
LICENSE _____Second class seaman_______ (GRADE)
11246/2016/11
15.04.2016

Ukraine
ENDORSEMENT __________(GRADE)

BASIC SAFETY TRAINING
5215/MPS
14.11.2014
14.11.2019
Ukraine
PROFICIENCY IN SURVIVAL CRAFT
4484/MPS
14.11.2014
14.11.2019
Ukraine
ADVANCED FIRE FIGHTING
23150
22.04.2016
22.04.2021
Ukraine
MEDICAL FIRST AID

MEDICAL CARE

SECURITY AWARENESS TRAINING FOR ALL SEAFARERS
18961/MPS
14.11.2014
14.11.2019
Ukraine
SECURITY TRAINING FOR SEAFARERS WITH DESIGNATED SECURITY DUTIES
5210/MPS
14.11.2014
14.11.2019
Ukraine
HAZARDOUS MATERIAL SAFETY

SHIP’S SECURITY OFFICER

OTHER SEAMAN’ S BOOK
CY256746
26.07.2016
25.07.2026
Ukraine
OTHER LICENSE

USA VISA
20161606950029
09.07.2016
08.07.2026
USA
YELLOW FEVER VACCINATION

MEDICAL EXAMINATQION

DRUG AND ALCOHOL TEST

HUET

BOSIET

FOOD HANDLING

SEA SERVICE (please start with the most recent vessel):
TYPE OF VESSEL
NAME OF
VESSEL

GRT
ENGINE
TYPE
HORSE
POWER

FLAG
NAME OF
COMPANY

RANK
PERIOD OF SERVICE
FROM / TO
Bulk carrie
Blacky
1981
7200kw
7200kw
Cyprus

Klaros Shipping Company Limited
O/S
28.08.2016-09.03.2017

EDUCATION:

TYPE (college, high school etc)
NAME OF THE EDUCATIONAL ESTABLISHMENT
YEARS OF STUDY:
PROFESSION:

1
State Higher Educational Institutio
Kherson meritime college
2013-2017
3-rd navigator
2
Marine agenci
Marine pro service
2015-2016
O/S

REFERENCES (COMPANIES; PHONES):

COMPANY
PERSON AUTHORISED TO GIVE REFERENCES
TELEPHONE
1
Daphne shipping egeney
---
---
2

PERSONAL DETAILS:
HEIGHT
1.75cm
WEIGHT
77kg
EYES COLOR
Brown
HAIR COLOR
Brown
OVERALL SIZE
56
SHOES SIZE
43

NEXT OF KIN:

NEXT OF KIN NAME:

ADDRESS:
TELEPHONE:

Anna
Kherson Kulika 116b kv9
[відкрити контакти](див. вище в блоці «контактна інформація»)

PERSONAL QUALITIES AND SKILLS:

DATE OF AVAILABILITY:

PLEASE ANSWER FOLLOWING QUESTIONS
YES
NO
Did you suffer, or presently suffer from any disease likely to render you unfit for services at sea or likely to endanger the health of other persons on board?

No
If yes, please provide details no

Did you ever undergo psychiatric treatment

No
Are you addicted to alcohol or drugs of any kind?

No
Did you suffer any accident, which rendered you temporary and/or partially disabled?

No

I hereby declare that the above facts and information are true and accurate. I further consent to the holding and processing by the Employers and the Agents and any direct or indirect subsidiary or associated or affiliated company of the Agents (together referred to as "the Companies") for the purposes of my employment, of personal data about me contained herein, or provided to any of the Companies at a later date. I understand that this data will be stored in the Agents’ database for the purposes of my current or future employment arranged by the Agents. Further, I confirm that the above may involve the transfer of my personal data within the Agents’ organization.

DATESIGNATURE OF THE APPLICANT