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 *******@**.**
Roman
REGION, UCRAINE
Print Date: 2015-06-26
Page 2
http://maritime-union.com/seafarer/38885