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!