SEAFARER'S APPLICATION FORM

Position:

ORDINARY SEAMAN

or DECK CADET

Readiness:

06.10.2015

Citizenship:

Ukraine

Last name:

Kyselov

Marital status

Single

First name:

Denys

Children:

No

Middle name:

Andriyovich

Nationality:

Ukrainian

Birth date:

10.12.1994

Birth place:

Ukraine

Home address:

Kherson, Ukraine, 73486

Phone mobile:

380(95)8496411

Phone home:

Email:

acrzjl@r.postjobfree.com

English level:

Good

Marlins Test:

70

Salary

Minimum: 900

Expected: 1200

Last: 700

$/month

Education

Educational institution

Speciality

Faculty

Place

Number

From

Till

Kherson State Maritime Academy

Navigator

Navigation

Kherson/UKR

01.09.2012

01.07.2016

Passports, Licenses & Certificates

Title

Class

Number

Place of issue

Issued

Valid

Passports & Visas

Civil passport

MP354917

Kherson, UKR

31.08.2011

Permanent

Seaman's book

AB514504

Kherson, UKR

03.06.2013

28.05.2018

Travel passport

FB455318

Kherson, UKR

08.05.2015

08.05.2025

Diplomas & Endorsements

Certificate of Competency

2nd

13650/2015/11

Kherson, UKR

01.10.2015

Permanent

Certificates & Licenses

Security-Related Training (A-VI/6-1)

16706

Kherson, UKR

25.04.2014

Permanent

Basic Safety Training (VI/1.1-4)

10250

Kherson, UKR

13.12.2013

13.12.2018

Proficiency in Survival Craft (VI/2)

9916

Kherson, UKR

06.06.2014

06.06.2019

Designated Security Duties (a-VI/6-2)

20216

Kherson, UKR

25.04.2014

Permanent

Medical Certificates

Medical Fitness Certificate

009506

Kherson, UKR

05.10.2015

05.10.2016

Yellow Fever Vaccination

367

Kherson, UKR

18.03.2014

18.03.2024

Drug and Alcohol Test

009506

Kherson, UKR

05.10.2015

05.10.2016

Sea-going experience

Vessel’s

name

Flag

Type

Engine

Rank

From

Shipowner

Year

DWT

HP

Till

Crew Agency

1

Volgo-Balt 239

KHM

General Cargo

Skoda

Deck Cadet

17.06.2014

VIKARIA SA

1982

3300

1340

17.04.2015

Dolpfin Navigation Ltd

Crewing Agencies or Marine Companies

Crew Agency

City

Country

Contact Person

Phone

Dolpfin Navigation Ltd

Izmail

Ukraine

Reutov VItalij

380(4841)74071

General Physical State

Height (cm)

Weight (kg)

Shoes

Clothes

Hair color

Eye color

172

72

41

M

brown

brown

Additional information

I'm studying in Kherson State Maritime Academy on Navigation Department on 4th course. I'm hard-working, responsible, honest, capable of learning. Also I have good English skills and knowledge for work at sea in my position and even higher position. I have a sea-going experience (10 months) as deck cadet. After last contract I got a Promotion for Watchkeeping officer from Master, Chief Officer and Chief Engineer. I'm looking for practice in good company on any type of vessel with opportunity of future collaboration.

Date applied:

02.10.2015

Signature:

Contact this candidate