A*
Position : Deck cadet
A*
Second choice : Seamen OS
B1
Full Name (Surname, First Name, Middle Name): Dorofeev Kirill
B2
Date and country of birth: 07.10.1997 Russia. Town Arkhangelsk
B3
Home address: Street Lenengradskiy 320,flot 214
E-mail:***************@******.**
B4
Phones: 8-921-***-**-**
B5
English language knowledge:
excellent
good
satisfactory
poor
US visa: Exp.
Records of Service for last 7 years
Ship’s name
Year of built
Type
DWT
Main Engine Type
Modification
Power
BHP
KWT
Country
(Flag)
Owner/Manager
Crew Agent
Position
Period
from (d/m/y)
till (d/m/y)
Sail trainin ship Sedov
Sail ship
3432
wL20.1600
3427
R.F
Kaliningrad state technical university
Deck Cadet
11.04.2017-07.17.2017
MSC MANDY
Container
47120
BW7L80MC
20703
Panama
BGI
Seamen OS
24.05.2018-30.08.2018
Yamal irbis
Dry cargo
6418
BW7245GBE
4690
R.F
Sevnor Managment
Deck Cadet
21.09.2018-18.01.2019
Contact details of previous Employers
Name of Ship
Crewing Agency / Shipowner
Tel. numbers / Address
Person in charge
Sail ship Sedov
Kaliningrad state technical university
007(4012)217204 Kaliningrad street Youth, d. 6
Semakov V/L
MSC Mandy
BGI
781******** St. Vyucheyskogo, 14, Arkhangelsk
Yamal irbis
Sevnord Manegment
7-818*-**-**-** Arkhangelsk St.Nothen dvina rive 55
Wage (min)
C1
Marital status : single
C2
Children under the age of
C3
Next of kin :Farther Nikolai
D1
Color of hair: black Color of eyes: blue
D2
Height:1m78
Weight:82
Boiler suite size:
Safety shoes size:43
E1
National Passport # 111*-****** Issued 08.11.2042
By
E2
Identification Code # 290 005
E3
Tourist Passport # 75 2521586 Issd07.11.2015 exp07.11.2025
E4
Seaman’s Book # 0276581 Issd 28.03.2017 exp
E5
Seafarer’s Identity Document # 0333461 Issd 26/02/2017 exp26.02.2022
E6
Other Countries Seaman’s Book :
Country :Republic of Panama #0358966 Issd29.05.2018 exp23.05.23
E7
Education (educational institution name): in this year i am finish study at the Arkhangelsk maritaim fish college01.09 2015-20.06.2019
Period
from (d/m/y) till (d/m/y):
Certificates
F1
Competency : Grade # Issd exp
Endorsement # Issd exp
F2
STCW’78/95 – A-VI/1 # Issd
(personal survival, fire prevention, elementary first aid & social responsibilities)
F3
Proficiency in survival craft #1042750 Issd18.05.2018 exp 18.05.2023
& Rescue Boats
F4
Advanced fire fighting # Issd exp
F5
Ship’s medical care # Issd exp
F6
Others:Security awareness training of seafarers lssd 31.01.2017 exp31.01.20.22
Basic safety training lssd14.02.2017 exp14.02.2022
G1
Medical examination and vaccination
Yellow Fever: 752521586 issue date17.05.2018
Last medical examination:17.01.2018 issue date25.09.2015
Remarks:
Seafarer’s Signature
Date
photo