Officer Cargo

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Blue

Brown

Dwt/Teu kW Sign on Sign of Shipowner Crewing Agency

448*-****-**/21/2017 2/19/2018 ООО "ТСК"

*** *** */*/**** 10/26/2017 ООО "Дилмас"

***** **** */**/**** 10/14/2016 ООО "Интеррыбфлот" 2399 852 8/31/2015 12/9/2015 РА "Иня"

957*-****-**/11/2014 5/16/2015 Судоходная компния "Азиа" 312*-****-**/11/2013 1/21/2014 Shell world trading,Ltd 5000 12/12/2012 4/22/2013 ООО "Ардис"

Children

C обработкой, передачей и хранением данных анкеты в целях трудоустройства согласен. Signature of applicant Date: 3-d officer Palana Russia General cargo 6TM 410

2-d officer Silver Wind Cambodia General cargo Hanshin 1650 3-d officer Arkadiy Chernyshev Russia General cargo Hanshin 4413 2-d officer Byzanskiy Russia Refrigiration 8NVD48A24 2-d officer Kamchatskiy Proliv Russia Refrigiration MTSUI.BT 7855 2-d officer Cristal Russia Oil tanker 736KW

Cheef officer Pacifica Russia Refrigiration B&W MAN 6L35MC Rank Vessel's name Flag Type Engine maker/type

Place of birth v.Mongokhto, Khabarovskiy region

Education Hight/Maritime State University at the adm.Nevelskoy 2012 Marital status Single No Wife (or relatives) name and contact Shoes, size

Eye color

Hair color

Date of birth 4/28/1986

E-mail address ***************@**.** / ****************@*****.*** Height, cm

Weight, kg

Clothes, size

Nearest Airport San Diego, USA

Home phone

Mobile phone +1-619-***-****

Name Denis

Middle Mansur

Home Address 12537 El Camino Real unit A, San Diego, California, 92130 JOB APPLY FORM

Rank Chief Officer

Surname Subkhangulov

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