Form #:

APPLICATION FOR EMPLOYMENT

Maritime Union Application Date: 19.04.2014

Personal Data

Application ID:38885

Current status: Available

Department: Deck Nationality: Ukraine

Rank: Deck Cadet Sea service (years): 0

Surname: Perkatyi Nearest airport: Odessa International Airport

First name: Mykola Place of birth: Tsiurupinsk, KHERSON

REGION, UCRAINE

Date of birth: 28.06.1997 Marital status: N/A

Country of residence: Ukraine Tel. No.: N/A

City: Tsiurupinsk Mobile: +380*********

Address: 12 Krylova str. Skype: perkaty2897

Tsiurupinsk, KHERSON

REGION, UCRAINE

Post code: 75100 FaceBook ID: N/A

Ready for positions

Position Vessel Type Salary per month Duration of contract(Months)

Deck / Deck Cadet Any / Any 400 USD from 3 month till 8

Deck / Deck Cadet Passenger vessels / Passenger vessel 400 USD from 3 month till 8

Deck / Deck Cadet Dry cargo Fleet / Multi-Purpose Vessel 400 USD from 3 month till 8

Deck / Deck Cadet Dry cargo Fleet / Container Ship 400 USD from 3 month till 8

Documents

Document Number Valid until Issued By Issued at Note

Seaman's book AB 515752 20.12.2018 PORT KHERSON Ukraine N/A

Travel Passport ER 779150 12.06.2024 6512 Ukraine N/A

National passport MR 452410 N/A N/A Ukraine N/A

Marine training courses / Certificates

Name Number Valid until Issued by Issue at

UCRAINE ODESSA MARITIME TRAININD

BASIC SAFETY TRAINING 22474/13KH 22.11.2018 Ukraine

CENTRE KHERSON BRANCH

PROFICIENCY IN SURVIVAL CRAFT AND UCRAINE ODESSA MARITIME TRAININD

17628/14KH 21.02.2019 Ukraine

RESCUE BOATS CENTRE KHERSON BRANCH

UCRAINE ODESSA MARITIME TRAININD

SECURITY AWARENESS TRAINING 3492/14KH 21.02.2019 Ukraine

CENTRE KHERSON BRANCH

UCRAINE ODESSA MARITIME TRAININD

GMDSS 3619/15KH 03.01.2020 Ukraine

CENTRE KHERSON BRANCH

UCRAINE ODESSA MARITIME TRAININD

Fire Prevention And Firefighting 11369/14KH 21.11.2019 Ukraine

CENTRE KHERSON BRANCH

Print Date: 2015-06-26

Page 1

http://maritime-union.com/seafarer/38885

Form #:

APPLICATION FOR EMPLOYMENT

Maritime Union Application Date: 19.04.2014

UCRAINE ODESSA MARITIME TRAININD

MEDICAL FIRST AID 9103/14KH 21.11.2019 Ukraine

CENTRE KHERSON BRANCH

UCRAINE ODESSA MARITIME TRAININD

BRIDGE Team And Resources Management 0747/15kh 27.03.2020 Ukraine

CENTRE KHERSON BRANCH

UCRAINE ODESSA MARITIME TRAININD

ECDIS 2408/15kh 13.02.2020 Ukraine

CENTRE KHERSON BRANCH

RADAR NAVIGATION - OPERATIONL UCRAINE ODESSA MARITIME TRAININD

2798/15kh 06.02.2020 Ukraine

LEVEL CENTRE KHERSON BRANCH

Education

Education type Name Qualification Graduated (Completed) Country

School TSIURUPINSK GUMNASIUM MATH AND PHYSICS 2012 Ukraine

Languages

Language Level

English Fluent

Russian Fluent

Ukrainian Fluent

Health certificates

Flage state Number Issued date Issued by Issue at

INTERNATIONAL 006640 19.05.2015 N/A Ukraine

Vaccinations

Name Issued date Issued by Issue at

Yellow Fever 18.05.2015 N/A Ukraine

N/A N/A N/A N/A

Sea Service records

Type of

#: From - Till: Vessel Name: Flag: DWT: Enginie: BHP: KW: GRT: Position: Company Name:

vsl:

12.06.2014 - DNIPROVSKYI-1

1 Ukraine 931 Turbine N/A 720 696 Dredger Deck Cadet UCRVODSHLYAH

15.09.2014 (1964)

Next of kin

Tel.

Full name Relationship Country City Address Mobile Skype Email

No.

12 kreelova str.

Perkatyi

Parent Ukraine Tsiurupinsk Tsiurupinsk, KHERSON N/A +380********* perkaty2213 acqg70@r.postjobfree.com

Roman

REGION, UCRAINE

Print Date: 2015-06-26

Page 2

http://maritime-union.com/seafarer/38885

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