Денис

EMPLOYMENT APPLICATION FORM
Rank: Able seaman

Personal details
Surname: Denys
First name:       Nazarenko
Photo:      
Date of birth: 09.01.1997
Place of birth: Ukraine
Nationality: Ukrainian
Home address: Lenina 521, Berislav, Kherson region, 74300, Ukraine
Phones: [відкрити контакти](див. вище в блоці «контактна інформація»)

Nearest airport: Odessa international airport
Nearest international airport: Odessa international airport

Documents

Passport national No.
MP396368
Issued on:
23.02.2013
Expiry date:
—
S/book No.
AB552513
Issued on:
21.05.2015
Expiry date:
25.03.2024
Passport foreign No.
FS807859
Issued on:
08.10.2018
Expiry date:
08.102028
Licence
00060/2019/11
Issued on:
14.01.2019
Expiry date:
—
Seaman's seagoing Service Record Book
000762/2015/26
Issued on:
29.07.2015
Expiry date:
—

CERTIFICATES
Cert No
Date of Issue
Expiry date
Proficiency In Survival Craft
028055
24.12.2019
24.12.2024
Basic Safety Training
012357
24.12.2019
24.12.2024
Advanced Fire Fighting
031228
21.01.2020
21.01.2025
Security-related training & instruction for all seafarers
238197
24.12.2019
24.12.2024
Designated Security Duties
118
26.01.2018
26.01.2023
Yellow fever
—
13.01.2020
—

SEA SERVICE
Name of Vessel
Flag
Type of Vessel

DWT
Rank
Period of Service
Name of Owners
Sandra
Giurgivlesti
Drycargo
2478
Ordinary seaman
29.10.15
12.05.16
Edison Project LP
Sandra
Matadi
Drycargo
2478
Ordinary seaman
02.09.16
03.06.17
Edison Project LP
Fortuna
Moroni
Drycargo
2478
Seaman
30.01.18
21.01.18
Seaview Lighting LTD
Hermes
Moroni
General cargo
3806
Seaman
03.07.19
07.12.19
Atlantic Shipping Co. LTD
Mineral Faith
Antwerpen
Bulk carrier
91971
Able seaman
07.03.20
30.09.20
CMB NV
Mineral Yangfan
Majuro
Bulk carrier
108130
Able seaman
02.04.21
29.09.21
Compagnie Maritime Belge

Nationalities:
Ukrainian

Level of English
Good

Next of kin

Personal data:
Name/Relationship
Andrey Nazarenko/ father

Weight, kg:
96
Height, cm:
180
Home address:
Lenina 521, Berislav, Kherson region, 74300, Ukraine

Eyes:
Blue
Hair:
brown
Phones:

Overall size:
54
Safety shoes:
44