Security Officer Safety
Resume:
MSC CREWING SERVICES
MSC House, **-v Lustdorfskaya road, Odessa 65088, Ukraine
Tel.: +38 (0482) 333 891
Fax.: +38-048-****-*** / E-mail: ****@*****.***
APPLICATION FORM
(Personal Data)
Position applied for License hold Date Available
Family Name: Hermanovych
Name: Roman
Father's name: Yurievych
Date of birth: 21.04.1989
Place of birth: Kherson Ukraine
Nationality: Ukraine
Marital status: Unmarried
Address: Kherson, Stroiteley str. h.11 fl.66
Nearest Airport:
Home phone:
E-mail: ***************@*****.***
Mobile phone: +380*********
Next of kin and relationship:
Children (name & DOB): Sofia
Next of kin’s address:
Next of kin tel: +380*********
Inter. P’port No : FZ686373
Date of issue: 15.12.2020
Valid: 15.12.2030
Place of issue: 6512
Seaman's book No : AB 563832
Date of issue: 25.09.2015
Valid: 29.05.2025
Place of issue: Port Kherson
Civil P’port No : MP 137913
Date of issue: 25.05.2005
Place of issue: Ukraine
USA visa No :
Date of issue:
Valid:
Place of issue:
TOSE :
Date of issue:
MARLINS, %:
Date of issue:
SEA GOING EXPERIENCE FOR THE LAST 7 YEARS
(MOST RECENT VESSEL LAST)
Name of vessel
Year of built
Company Owner /
Ship Manager
Flag
Type of vessel
DWT / TEU
ME type / Model
BHP
Rank
From
DD/MM/YYYY
To
DD/MM/YYYY
“DELTA”
1982
Concorse corporation
Saint Kitts & Nevis
General cargo
3330
OS
03.06.2016
02.04.2017
“BELLATRIX”
1978
ISBIR Shipping ltd
Russia
General cargo
2893
OS
29.11.2017
03.06.2018
“SILVER LION”
2005
Lion Marine ltd
Antigua Barbuda
General cargo
6315
OS
16.12.2018
30.07.2019
“TRANSPACIFIC”
2009
Sand One Holdings Limit
Liberia
Bulk Carr
22941
OS
29.12.2020
19.07.2021
“MSC AINO”
2019
FPG Ship holding Liberia 17 S.A.
Liberia
Container
112695
OS
10.11.2021
10.07.2022
Name of Maritime Institution attended
Address of institution
From
To
Degree of Diploma
STCW Certificates
Number
Issued
Valid
Place of issue
STCW Certificates
Number
Issued
Valid
Place of issue
Certificate of competency
002449
25.08.2015
-
AVANT
BRM or ERRM Course
Endorsement
13916/2015/11
15.10.2015
-
PORT OF KHERSON
Personal safety
015662
20.10.2020
20.10.2025
NIKOLAEV CENTRE OF TRAINING
GMDSS Endorsement
Advanced fire fighting
27/2020/312
22.12.2020
22.12.2025
ALFA-TRAINING
Radar observer
Prof. in survival craft
285922
20.10.2020
20.10.2025
NIKOLAEV CENTRE OF TRAINING
ARPA
Survival / fast rescue boat
AIS course
Medical first aid
ECDIS course
Medical care
Security officer (ISPS)
Hazardous cargoes
7/2020/247
18.12.2020
18.12.2025
ALFA-TRAINING
Security Designated Duties
242528
20.10.2020
20.10.2025
NIKOLAEV CENTRE OF TRAINING
Training pers on pass.ships
Safety officer (ISM)
Security-Related for all seafarers
239526
20.10.2020
20.10.2025
NIKOLAEV CENTRE OF TRAINING
Medical examination
Issued:
Valid:
Weight, kg:90
Height, cm:187
Drug & alcohol test
Issued:
Valid:
Eyes:Gray
Hair:Light brown
Yellow fever
Issued:20.11.2015
Valid:20.11.2025
Overall size:54
Safety shoes:44
Another States Seamen’s Books
Rank
Document No
Issued
Valid
Another States Certificates of competency
Rank
Document No
Issued
Valid
Liberia
OS
1574373
20.01.2021
20.01.2026
Liberia
Panama
Panama
Please complete addresses of your previous employers for references
Company
Tel
Company
Tel
Address
Address
Мій підпис підтверджує мою остаточну та безсуперечну згоду на обробку (збір, накопичення, зберігання, прийняття, систематизацію, використання, розподіл, поновлювання, змінення, знищення, кодування та будь-які інші дії, необхідні для надавання посередницьких послуг з найму за кордоном і/або інших супровідних послуг) моїх особистих даних, що вказано в цій заявці з найму, а також будь-яких інших моїх особистих даних, що надаються до ТОВ «ЕМ ЕС СІ КРЮЇНГ СЕРВІСЕС»
Signature Date I understand, that my working contract will be canceled without notifying if any of submitted information and documents are voted as false.
Nationalities of crew sailed with:
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