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    Application Form For Seafarers - General Template

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    Ваня Вязментинов
    Ivan Viazmentinov has applied for the position of cadet. He is 18 years old and from Ukraine. He has provided his personal details, documents including his passport and seafarer's book, license and certificate information, details of his pre-sea training and one prior position as a cadet aboard the tugboat Sfinks from June-August 2020. He also listed his next of kin and personal details.

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    Download as DOC, PDF, TXT or read online from Scribd

    Application Form For Seafarers - General Template

    Uploaded by

    Ваня Вязментинов
    128 views2 pages
    Ivan Viazmentinov has applied for the position of cadet. He is 18 years old and from Ukraine. He has provided his personal details, documents including his passport and seafarer's book, license and certificate information, details of his pre-sea training and one prior position as a cadet aboard the tugboat Sfinks from June-August 2020. He also listed his next of kin and personal details.

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    Application_Form_General_Template (1)

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    Ivan Viazmentinov has applied for the position of cadet. He is 18 years old and from Ukraine. He has provided his personal details, documents including his passport and seafarer's book, license and certificate information, details of his pre-sea training and one prior position as a cadet aboard the tugboat Sfinks from June-August 2020. He also listed his next of kin and personal details.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    128 views2 pages

    Application Form For Seafarers - General Template

    Uploaded by

    Ваня Вязментинов
    Ivan Viazmentinov has applied for the position of cadet. He is 18 years old and from Ukraine. He has provided his personal details, documents including his passport and seafarer's book, license and certificate information, details of his pre-sea training and one prior position as a cadet aboard the tugboat Sfinks from June-August 2020. He also listed his next of kin and personal details.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Application Form for Seafarers_General Template

    EMPLOYMENT APPLICATION FORM


    Rank: Cadet Date Available for Joining:
    Vessel:

    Personal details
    Surname: Viazmentinov First name:       Ivan Photo:      
    Date of birth: 23.02.2003 Place of birth: Ukraine, Odessa Nationality: Ukranian
    Home address: Ukraine, Odessa region, Teplodar, Pionerna str. 3|96
    Phones: +38066182787

    Nearest airport: Odessa Nearest international airport: Odessa

    Documents

    Passport No. 005820846 Issued on: 05.03.2021 Expiry date: 05.03.2031


    S/book No. 0217173 Issued on: 19.10.2020 Expiry date: 19.10.2025
    US visa C1/D Issued on: Expiry date:

    LICENCE PARTICULARS
    MOT Grade Cert No Place of Issue Date of Issue Expiry date
    National License
    Endorsement
    Tanker endorsement Crude Oil
    Liquid chemical
    Liquefied gas
    Shuttle Tanker Log Book
    DP Log Book NI
    DP Log Book DNV

    CERTIFICATES Cert No Date of Issue Expiry date


    G.M.D.S.S.
    G.M.D.S.S. Endorsement
    Proficiency In Survival Craft
    Basic Safety Training 186581 20.08.2020 20.08.2025
    Advanced Fire Fighting
    Dangerous And Hazardous Substances
    ROP/ARPA
    Ship Security Officer
    Medical First Aid
    DP Induction Course
    DP Advanced Course
    DP Unlimited Certificate
    Bridge Team Management
    Bridge Resourse Management
    ECDIS
    ECDIS Type Specific
    Security-related training & instruction for all
    seafarers
    Designated Security Duties
    Ship Security Officer
    H2S
    Yellow fever

    Pre-SEA Training / Nautical School / Maritime School Qualifications Passed:

    1
    SEA SERVICE
    Year Type of Vessel
    Name of Vessel Flag DWT and HP Rank Period of Service Name of Owners
    Built and Engine (Type)
    Sfinks 1989 Ukraine Pusher Tug 27t, 1072 Cadet 22.06.2020 31.08.2020 Port Odessa

    References Exp. with Multinational Crew:


    Name of company: Nationalities:
     No.
    Name of company: Level of English
     No. Marlins Test %

    Next of kin Personal data:


    Name/Relationship Mother, Viazmentinova Tatyana Weight, kg: 60 kg Height, cm: 180 cm
    Ukraine, Odessa region, Teplodar, Pionerna
    Home address: Eyes: green Hair: fair-haired
    str. 3|96
    Phones: +380994021713 Overall size: M Safety shoes: 41

    About you:

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