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Application Form General Template

Ivan Viazmentinov is applying for the position of Deck Cadet. He is currently available for immediate joining. He provides his personal details, including his date of birth in Ukraine and passport information. Ivan lists his qualifications, including his ongoing studies at Odessa Maritime College in navigation and his previous sea service experience as a Deck Cadet aboard the tugboat Sfinks from June to August 2020. Contact details are provided for his mother as his next of kin contact along with some additional personal details.

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Ваня Вязментинов
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2K views2 pages

Application Form General Template

Ivan Viazmentinov is applying for the position of Deck Cadet. He is currently available for immediate joining. He provides his personal details, including his date of birth in Ukraine and passport information. Ivan lists his qualifications, including his ongoing studies at Odessa Maritime College in navigation and his previous sea service experience as a Deck Cadet aboard the tugboat Sfinks from June to August 2020. Contact details are provided for his mother as his next of kin contact along with some additional personal details.

Uploaded by

Ваня Вязментинов
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Application Form for Seafarers_General Template

EMPLOYMENT APPLICATION FORM


Rank:Deck Cadet Date Available for Joining: As soon as possible
Vessel: Any

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:


Odessa Maritime College Navigation 2022

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 Deck 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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