PART I. PERSONAL DESCRIPTION AND INFORMATION: |
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3. Position applied for: | 2nd OFF | 4. Date of availability: | Middle of April, 2016 |
5. Date & place of birth: | 08.10.1963, Simferopol | | |
7. Nationality: | Ukrainian | 8. Citizenship: | Russia | |
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13. Height: | 180 | 14. Weight: | 96 |
15. Colour of eyes: | Brown | 16. Colour of hair: | Bald |
17. Shoes | 43 | 18. Clothes | 56 |
19. Marital status: | Married | 20. Children: | One |
21. Next of kin: | Abramova Ella – wife, 18.09.1969 |
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PART II. PASSPORTS: |
DOCUMENT: | No. | PLACE ISSUED: | Date issued: | Expiry date: |
Seaman’s Book (Russia) | MK 0158909 | Harbour Master, St-Petersburg | 12.04.2013 | permanent |
Seafarer’s Identity Document (Russia) | RUS 0027910 | Harbour Master, St-Petersburg | 12.04.2013 | 11.04.2018 |
Seaman’s Book (Cyprus) | CY 190357 | Department of Merchant Shipping, Limassol, Cyprus | 18.04.2012 | 17.04.2022 |
Seaman’s Book (Norway) | 82 / 2015 | Elzbieta Osinska, Consular Assistant, Royal Norwegian Consulate, Gdynia, Poland | 07.10.2015 | permanent |
Travel Passport (Russia) | 72 5372568 | ФМС 78039 | 12.07.2013 | 12.07.2023 |
Civil Passport (Russia) | 4108 118793 | ТП №93 УФМС, Vsevolozhsk | 27.11.2008 | permanent |
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PART III. VISAS: |
Document: | Type: | No. | Place issued | Date issued: | Expiry date: |
Schengen Visa | C | 015915814 | Consulate of Finland in St-Petersburg, Russia | 14.03.2016 | 13.03.2018 |
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PART IV. NATIONAL LICENSES: |
DOCUMENT: | GRADE: | No. | Place issued: | Date issued: | Expiry date: |
Certificate of Competency | OOW Nav. | 1010305480 | Harbour Master, St-Petersburg, Russia | 14.08.2013 | 18.06.2018 |
Certificate GMDSS | GOC | 1007127*1012309455 | Harbour Master, St-Petersburg, Russia | 14.08.2013 | 18.06.2018 |
Endorsement GMDSS | GOC | 1012319455 | Harbour Master, St-Petersburg, Russia | 14.08.2013 | 18.06.2018 |
BAHAMAS Officer in Charge of a Navigational Watch ENDORSEMENT | | COE246788-00 | The Bahamas Maritime Authority, Nassau, Bahamas | 05.11.2013 | 18.06.2018 |
BAHAMAS GMDSS General Operator Certificate ENDORSEMENT | | COE246789-00 | The Bahamas Maritime Authority, Nassau, Bahamas | 05.11.2013 | 18.06.2018 |
NORWAY Deck Officer Endorcement | Class 4 | 216964 | Lise Goa Fagerheim, Norwegian Maritime Authority | 30.11.2015 | 18.06.2018 |
NORWAY GMDSS Endorcement | GOC | E 111443 | Camilla Lingaas, Telenor Maritim Radio, Bergen, Norway | 22.10.2015 | 18.06.2018 |
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PART V. CERTIFICATES: |
Certificate: | IMO / STCW Code: | Document No. | Place issued: | Date issued: | Expiry date: |
Radar Observer | IMO RES. A483 (XII) | 0163988 | Makarov Training Center, St-Petersburg | 19.07.2013 | 19.07.2018 |
ARPA | IMO RES. A482 (XII) | 0163988 | Makarov Training Center, St-Petersburg | 19.07.2013 | 19.07.2018 |
Basic Safety Training | Section A-VI/I, tables A-VI/1-1, A-VI/1-2, A-VI/1-3, A-VI/1-4 | 0111656 | Makarov Training Center, St-Petersburg | 18.06.2013 | 18.06.2018 |
Advanced Fire-fighting | Section A-VI/3, table A-VI/3 | 0112094 | Makarov Training Center, St-Petersburg | 21.06.2013 | 21.06.2018 |
Survival Craft & Rescue Boats | Section A-VI/2, table A-VI/2-1 | 0073529 | Makarov Training Center, St-Petersburg | 20.06.2013 | 20.06.2018 |
Medical First Aid | Section A-VI/4, table A-VI/4-1 | 0112570 | Makarov Training Center, St-Petersburg | 26.06.2013 | 26.06.2018 |
Ship Security Officer | Section A-VI/5, table A-VI/5 | 0203703 | Makarov Training Center, St-Petersburg | 11.07.2014 | 11.07.2019 |
Training of Seafarers with Designated Security Duties | Section A-VI/6, table A-VI/6-2 | 0113627 | Makarov Training Center, St-Petersburg | 09.07.2013 | 09.07.2018 |
Ship’s Carrying Dangerous & Hazardous Substances | B-V/b, B-V/c | 61921 | Makarov Training Center, St-Petersburg | 02.03.2012 | 02.03.2017 |
ECDIS Certificate | | 0145838 | Makarov Training Center, St-Petersburg | 24.07.2013 | 24.07.2018 |
Addendum to ECDIS Certificate | Sec. A-II/1, A-II/2, A-II/3 | 0145838 | Makarov Training Center, St-Petersburg | 24.07.2013 | 24.07.2018 |
ECDIS TRANSAS Navi-Sailor 4000 | | 2011-GR-NS40-0061 | Transas Marine INTL, Gdansk, Poland | 08.09.2011 | Permanent |
Passenger Safety, Crisis Management & Human Behaviour Certificate | Sec. A-V/2, A-V/3 | 011681 | MARSTAR Training Center, St-Petersburg | 23.03.2012 | 23.03.2017 |
Crowd Management Certificate | Reg. V/2 & V/3 par.4 & Section A-V/2 par.1 & section A-V/3 par.1 | 12139 | ROOD BOVEN GROEN, Harlingen, Netherlands | 11.06.2012 | 11.06.2017 |
Safety Training for Personnel Providing Direct Service to Passengers in Passenger Spaces | Reg. V/2 & V/3, par.7 & section A-V/2 & A-V/3 par.3 | 12139 | ROOD BOVEN GROEN, Harlingen, Netherlands | 11.06.2012 | 11.06.2017 |
Passenger Safety Training for Passengers Vessels | Reg.V/3,par.7 & section A-V/3, par.4 | 12139 | ROOD BOVEN GROEN, Harlingen, Netherlands | 11.06.2012 | 11.06.2017 |
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PART VI. MEDICINE & HEALTH: |
Document: | No. | Place issued: | Date issued: | Expiry date: |
Medical Certificate of Fitness (Russia) | No number | Federal State Budget Organization “St-Petersburg Multi-Disciplinary Center” of Russian Ministry of Healthcare | 02.09.2015 | 02.09.2016 |
Health Certificate (Norway) | H - 1071392 | Svetlana A.Vlasenko, M.D., Official Norwegian Approved Seamen’s Doctor, St-Petersburg, Russia | 30.09.2015 | 29.09.2017 |
Drug/Alcohol Test | No number | Federal State Budget Organization “St-Petersburg Multi-Disciplinary Center” of Russian Ministry of Healthcare | 01.09.2015 | 01.09.2016 |
Yellow Fever | No number | Vaccination Center, St-Petersburg, Russia | 26.01.2009 | 26.01.2019 |