Position Form
Resume:
Date of applicati
Application Form for Seafarers
RANK: Oiler
Surname Merinovskii photo
First name Nikita
Date of birth: 2/15/1991
Place of birth: Primorskii kray, Nakhodka
Marital Status: single
Home Address: Nakhodka, michurina str 10-18
Home Phone/Fax/e-mail Height:
Mobile telephone Weight:
Next Relations And Kin’s/Name/Phone Clothes size
Mother, Merinovskaya Larisa (same adress and phone 56
number)Marlins Test Other test:
Language / Knowledge Shoes size 43
CES
Result: Result:
( English ) Hair color
Other language Speaking: Writing: Eye color gre Academic Qualification Name of Institution: Qualification: Year of graduation:
MSU named after G.I.Nevelskoy Engineer 2016
Details of License and Seafarers GRADE NUMBER ISSUED EXPI
Documents
Identity-/Travel Documents
Seaman’s Passport RUS 0115670 8/28/2012 8/27/2
Travel Passport 71-660****-**/20/2010 10/20/2
Seaman’s Book: (if applicable) MK 0097698 8/29/2012
US visa C1/D 716-***-**** 4/22/2014 4/17/2
Medical Certificates
Physical Examination 4/16/2
Yellow Fever Vaccination 4/16/2013 4/16/2
Certificates - courses
Certificate of Competency RATING FORMING PART OF AN ENGINE ROOM
305-***-**** 11/26/2012
Medical First Aid 362751 8/3/2012 8/3/20
Advanced Fire-fighting 362751 8/3/2012 8/3/20
Marpol/Solas 001417 7/30/2012 7/30/2
Proficiency in survival craft, rescue boats 299392 8/7/2012 8/7/20
Personal survival techniques 362751 8/3/2012 8/3/20
Tanker Certificates
Tanker Endorsement STCW 95 Oil/Chem/Gas
Oil-Tanker Familiarization Course 225153 8/10/2012 8/10/2
Crude oil washing/Inert Gas/Specialized
Chemical Tanker Familiarization Course
Specialized Chemical Tanker Training Prg.
Liquefied gas-tanker familiariz. course
Specialized liquefied gas tanker train.prg
Specialized oil tanker training 225052 17.08.2012 17
Sea-Service
FROM TO RANK NAME OF VESSEL TYPE OWNER DWT M/E T
15/06/06 23/07/06 CADET ANGARSK TANKER PRISCO 3086 PIELSTICK
09/07/10 09/07/11 OILER VARSHAVIANKA SUBMARINE RUSSIAN NAVY 3950 BRYANSK
25/05/12 27/07/12 OILER/CADET OSTAS N
K BULKER AQUAMARINE LTD. 35971 MITSUBISH
26/04/13 24/12/13 OILER ASIAN ATLAS HEAVY LIFT VIATECH ENGINEERING LTD. 38571 MAN B&W
24/05/14 09/07/14 OILER BRAVANTE VII PSV BRAVANTE 3200 CUMMINS
ication
178
85
56
43
grey
:
6
XPIRY
27/2017
/20/2021
17/2016
16/2015
16/2023
/3/2017
/3/2017
30/2017
/7/2017
/3/2017
10/2017
17.08.2017
/E TYPE
TICK
NSK
BISHI
&W
INS
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