Ukraine/+487********,acgfgu@r.postjobfree.com

APPLICATION FORM [pic]

Position Deck cadet

Applied for

Family name Zaburannyi

Given name Vladyslav

Fathers name Yuri

Date & place of 07-02-1996, Ukraine

birth

USA visa valid Height 195 Weight 89 Overall Shoes size 45.5

till size XL

Ad Street Zhovtneva 74/120

dr

es

City/Count Uman(20300),Ukraine Airport Kiev Borispol

ry (s)

Tel/ +48-790****** Skype Vladyslav E-mail: acgfgu@r.postjobfree.com

Mobil Zaburannyi m

e

Ne Name / Antonina Zaburanna Date of 10-12-1974

xt Relationship birth

of

Ki

n

Street Zhovtneva 74/120

City/Count Uman(20300),Ukraine

ry

Tel +38-063******* Mobile +38-063******* E-mail: -

Name of School / Academy Address Dates Type of Degree &

attended attended Diploma

From To Received upon

Graduation

Maritime University College in Szczerbcowa 3 2013 2016 Deck Hand

Stettin (Poland)

SEA SERVICE (from latest to previous)

NAME of VESSEL Position Vessel's Engine Flag Company Period of

type type service

DWT HP Year of Crew Agent

built

S/on

S/off

S/on

S/off

S/on

S/off

S/on

S/off

S/on

S/off

S/on

S/off

DOCUMENTS / VISAS

Type of documents Serial Place of Issue Date Expiration

Number issue date

Seaman's book (National) 0272176 Poland 23-09-2014 30-06-2016

Szczecin

Travel. Passport EX451123 Ukraine 19-08-2013 19-08-2023

USA Visa

--

Certificate. of Competency Deck Hand UMS-13140-13 By Maritime 10-06-2014

Certificate 0561-2681/20 Authority in

14 Szczecin

(Poland)

STCW 78/95 CERTIFICATES / OTHER CERTIFICATES

CERTIFICATE Cert. NO Issued on Valid till

Basic Safety Training (VI/1) UMS-5425-130561-2 16-09-2014 2019-09-15

2635/2014

Certificate of Proficiency for seafarers UMS-1351-130561-1 22-05-2014 Valid

with designated security duties 7464/2014 indefinitely

Certificate of Proficiency in UMS-1350-130561-1 22-05-2014 Valid

Security-awareness 7465/2014 indefinitely

Dynamic Position 1, 2, 3

VACCINATION

Yellow Fever Date of vaccination:

Hepatitis A, B Date of vaccination:

Date of readiness / Wage 01/02/2015 400$

expectation and -Last salary

English Level: good

Other Languages: Polish, Russian, Ukrainian

READY FOR JOINING!

Contact this candidate