Seafarer’s Application Form

Engine Cadet

Rank First name Last name Nationality

Wiper Rodion Skobieleiv Ukrainian

Position Applied Engine Cadet or

Wiper

Date of Availability 01.03.2108

Date & Place of Birth 16.12.1996 Marital status single Present permanent

address

9/911a Starzyńskiego Str.,

70-506, Szczecin,

Poland

Next of kin Mother

Cell Phone +487******** Name/ Relationship Marina

Viber +380********* Address Berdiansk, 50

Pobedy, 71112

Ukraine

Email Rodion.skobieliev.96@

gmail.com

Next of Kin Cell phone +380*********

Skype radion.skobelev

Father’s name Segei Skobieliev

Nearest Airport Berlin Tegel (Km) from Airport 170 km Weight

(kg)

93 Heigh

t (cm)

172 Coverall

Size

M Shoes

Size

43 Hair

colour

Eyes

colour

bro

wn

Medical certificate

issued

27.10.2017 Expired 27.10.2018

Any visa issued 11.10.17 Expired 10.10.2018

EDUCATIONAL BACKGROUND

Education: high/secondary school (4 years), college (2-3 years), university (4-5 years): Last School Attended Akademia Morska Szczecin

Last Grade Completed Liceum, Berdiansk

Languages Polish Ukrainian, Russian, English

List any special training you have had, machines you can operate, or any special aptitude. Welding, Turning, Computer, Auto Cade, Diagnostics. DOCUMENTS HELD

Passport – If several passports write them all.

Number Places Issued Date issued Date

Expired

ER261493 Ukraine, Berdiansk 07.03.2014 07.03.2024

U.S. Visa Date issued Date Expired Yellow fever

Vaccination

Date

--- --- ---

Seaman’s book – If several seaman’s books write them all (even if expired) Number Places Issued Date issued Date

Expired

Country

0273667 Szczecin 26.06.2015 31.12.2020 Poland

CERTIFICATE OF COMPETENCY HELD

Item Number Place & Date Date Grade of Licence

Issued Expired

National Licence

Liberian Endorsement

Other Endorsements

CERTIFICATES HELD

Certificates STCW Number Date issued Date Expired Issued By

Basic safety Training Certificate (or)

items from 1 to 4 below mandatory)

UMS-542*-******-

23481/2014

2014.09.30 2019.09.18 Szczecin

1. Personal Survival Technique

2. Personal Sec. and social

Responsibilities

3. First Aid at Sea

4. Fire Fighting

Certificate of Training in Oil and

Chemical Tanker Familiarization

UMS-133*-******-

12011/2017

2017-11-02 Life of person Szczecin

Certificate of Proficiency for

seafarers with designed security

duties

UMS-135*-******-

18561/2015

2015-12-07 Life of person Szczecin

Certificate of Training in Liquified

Gas Tanker Familiarization

UMS-130*-******-

12054/2017

2017-11-06 Life of person Szczecin

Certificate of Proficiency in Security-

awareness

UMS-135*-******-

18612/2015

2015-12-07 Life of person Szczecin

Wiper Certificate

UMS-131**-******-

1801/2017

2017-11-15 Life of person Szczecin

Bridge Resources Management

Advanced Fire Fighting

Engine Room Simulator

Engine Room Resources

Management

Maritime English

ISPS Familiarisation

RECORD OF PREVIOUS SEA SERVICE (Verified Against Seaman’s Book Entries) Compan

y name

Vessel’s

name

Type/

Built

DWT Engine

Type &

KW

Rank From To Month

PŻM M/F Gryf Ro-Ro 6934 t 2xSulzer-

WartsilaZ

A40S

Engine

Cadet

Świnoujś

cie

Kronenb

urg

1

AM

Szczecin

M/F

Nawigato

r

Research

/survey

310 t 1120 KW Engine

Cadet

Baltic sea Baltic sea 3

weekend

My name is Rodion Skobieliev and I am looking for a job as wiper or a machine cadet in your company.

I can speak fluently in English, Polish, Ukrainian and Russian. All documents which are required for my job are done and on hand. I have experienced working as a machine cadet, I have got very good welding skills and other skills .If there is no open position corresponding to my qualifications, please add my CV to the candidates database to consider the candidate in the future.

Contact this candidate