3rd Officer

APPLICATION FOR EMPLOYMENT

Surname: Name:

Position applied for:

2nd/ 3rd OFFICER Starovoytov Nikolay

Date of Birth: Place of Birth: Nationality:

www.smcrewing.com / +7-401*-***-***/ **@*********.***

15.08.1989 Russia, Kaliningrad Russia

Family Status: Graduated from: Nearest airport:

married Baltic Fishing Fleet State Academy (BFFSA) Kaliningrad

None Mobile: +796******** Next of Kin: Starovoytova Valeria

Home tel:

Home addr: Russia, Kaliningrad, Ulica Zhilenkova, 10-29 NOK tel.: +790********

Alternative Contacts (e-mails, etc.)

Documents Grade Number Issued Valid Place Issued

National Travel Passport 71 1663880 13.08.2010 13.08.2020 Kaliningrad

National Seaman's Book MK 0138092 26.10.2012 Kaliningrad

Other Seaman's Book

Other Seaman's Book

Certificate of Competency Officer of watch 104******* 12.11.2012 21.10.2016 Kaliningrad

Endorsement of License Bahamas OOW COE229211-00 28.05.2013 21.10.2016

Other Endorsement

LPG

Tankerman

OIL

Course

CHEM

National Tanker Endorsement

Other Tanker Endorsement

COW (Crude Oil Washing) &

Inert Gas System

Basic Safety Course 382504 19.10.2012 19.10.2017 Kaliningrad

Prof in Survival Craft 302246 19.10.2012 19.10.2017 Kaliningrad

Advanced Fire Fighting 179604 19.10.2012 19.10.2017 Kaliningrad

Medical First aid 192012 19.10.2012 19.10.2017 Kaliningrad

Medical Care

Safety Officer Training

GMDSS General 1007350 20.12.2013 20.12.2018 Kaliningrad

Radar Observation Course 26.10.2012 26.10.2017 Kaliningrad

0147236

Automatic Radar Plotting Aids 0139782 27.10.2012 27.10.2017 Kaliningrad

Bridge Team Management

Bridge Resource Management

Manoeuvring & Ship Handling

ECDIS / Electronic charts 0143514 26.10.2012 26.10.2017 Kaliningrad

AIS

Ship Security Officer

Ship Security Staff 18.09.2012 18.09.2017 Kaliningrad

0348057

Hazardous Cargoes (HazMat) 29.01.2015 29.01.2020 Kaliningrad

0057253

Medical Examination 02.06.2014 02.06.2015 Kaliningrad

010352

Other Medical Examination

Yellow Fever Vaccination 31.03.2011 31.03.2021 Kaliningrad

USA Visa C1 / D H6891145 04.02.2014 02.02.2016 St-Petesburg

Shengen Visa

Other Visa (Country - )

Name of vessel Name of Co. Rank Period of Serv

Vsl's type DWT Eng HP Flag

Able seaman 16.05.2011 05.10.2011

Darja ARG Shipping

General Cargo 4210 Belize

Bahama

Trainee officer 28.02.2012 21.08.2012

Clipper Target Clipper Group

Bulk carrier 30422

s

Bahama

Trainee officer 10.03.2013 08.05.2013

CEC Faith Clipper Group

Multipurpose 7215

s

Bahama

31.05.2013 23.06.2013

Clipper Mayflower Clipper Group 3rd Mate

Multipurpose 8920

s

Bahama

29.06.2013 13.11.2013

Clipper Mistral Clipper Group 3rd Mate

Multipurpose 8935

s

Bahama

09.06.2014 31.10.2014

Clipper Trader Clipper Group 3rd Mate

Bulk carrier 30335

s

Additional Information : W orking Shoes size - __43 ; Boiler Suit size - __50 ;

Height - __185 m. ; Weight - 75 kg. ; Color of Hair - blond ; Color of Eyes - blue ;

Additional Special skills (welding, etc.) : . Last Employment : Salary - __3100 USD ;

Duration - _5 months ; Vessel's Condition - good . Crew (nationality) - russian

speaking

OFFICE USE ONLY : Date of Registration - Ready to Board - English Level - ; Appearance -

STAFF Management Ltd.

**@*********.***

ISO 9001:200*-*******

Contact this candidate