APPLICATION FORM Rank: Engine Cadet

Surname:

Gerasimjonoks

Name:Kristers

Photo

Date of Birth:

02.06.2000

Place of Birth / City & Country:

Nationality:

Riga/Latvia

latvian

Permanent address:

Latvia Dobele Zaļā iela 36-6

Phone(home):

Height:

169

Colour of eyes:

brown

Mob. Phone:

+371-********

Weight:

60

Colour of hair:

brown

e-mail:

adafen@r.postjobfree.com

Civil Status

Married

Single

Divorced

Next of kin

Address next of kin:

Relation: mother

Latvia Dobele Zaļā iela 36-6

Name: Inita Gerasimjonoka

Number of Children:

Don’t have

Phone: +371********

Nearest airport:

Riga

POSITION: Engine cadet

WELDER: Yes No

DOCUMENTS

NUMBER

ISSUED

VALID

COUNTRY, CITY

NATIONAL PASSPORT

LV5436530

08.06.2016

07.06.2021

Latvia

NATIONAL SEAMAN’ S BOOK

0271874

12.06.2019

01.06.2021

Latvia

SECURITY TRAINING FOR SEAFARES WITH DESIGNATED SECURITY DUTIES

030/19-AV

08.03.2019

Unlimited

Latvia

PROF. IN SURVIVAL CRAFT

ADVANCED FIRE FIGHTING

MEDICAL FIRST AID

MEDICAL CARE

HEALTH CERTIFICATE

YELLOW FEVER VACCINATION

USA VISA

GMDSS

ARPA & RADAR OBS

BASIC TRAINING FOR OIL AND CHEMICAL TANKER

83-129/19

06.09.2019

Unlimited

Latvia

BASIC SAFETY TRAINING

065/19-DP

17.05.2019

17.05.2024

Latvia

SEA SERVICE:

TYPE OF

VESSEL

NAME OF

VESSEL

GRT

ENG.

TYPE

HP

FLAG

NAME OF

COMPANY

RANK

PERIOD OF SERVICE

FROM / TO

dd/mm/yy / dd/mm/yy

ENGLISH:

GOOD

SATISFACTORY

MODERATE

POOR

REFERENCES (COMPANY, TEL.):

Contact this candidate