Капитан судна

Описание

SEAFARER'S APPLICATION FORM [pic]
http://crewdata.com


Position:
MASTER

Readiness:
15.10.2019



Citizenship:
Russia

Last name:
Veidelis
Marital status
married

First name:
Gennadii
Children:
1

Middle name:
Gunarsovich
Nationality:
Russian

Birth date:
20.08.1956
Birth place:
Russia

Home address:
St. Petersburg, Russia, 192281
Phone mobile:
7(921)8766164



Phone home:




Email:
d33181@yandex.ru

English level:
Good





Salary Minimum: Expected: 11000 Last: $/month


Education
Educational institution Speciality Faculty Place Number From Till


Passports, Licenses & Certificates
Title
Civil passport 40 05 659190 St. Petersburg, RUS 02.08.2005 01.01.2100
Seaman's book MK 0223619 St. Petersburg, RUS 29.10.2014 01.01.2100
Travel passport 71 1894623 St. Petersburg, RUS 10.09.2010 10.09.2020
Diplomas & Endorsements
Diploma II/2 1010108563 St. Petersburg, RUS 16.12.2015 01.01.2100
Diploma Endorsement V/1_1p.3 1010123554 St. Petersburg, RUS 16.12.2015 26.08.2020
Certificates & Licenses
Electronic Chart Display and Information System (ECDIS) AB 0270315 St. Petersburg, RUS 19.09.2015 19.09.2020
Advanced Fire Fighting (VI/3) AB 0269204 St. Petersburg, RUS 03.09.2015 03.09.2020
Automatic Radar Plotting Aids (ARPA) AB 0173424 St. Petersburg, RUS 25.09.2015 25.09.2020
Basic Safety Training (VI/1.1-4) AB 0269000 St. Petersburg, RUS 01.09.2015 01.09.2020
GMDSS General Operator Certificate 00630431012308479 St. Petersburg, RUS 12.01.2012 16.12.2020
GMDSS General Operator Certificate 00630431012308479 St. Petersburg, RUS 16.12.2015 16.12.2020
Medical Care (VI/4.2) AA 0025692 St. Petersburg, RUS 11.09.2015 11.09.2020
Proficiency in Survival Craft (VI/2) AB 0269363 St. Petersburg, RUS 02.09.2015 02.09.2020
Radar Observation and Plotting Simulator (A-II) AB 0173341 St. Petersburg, RUS 25.09.2015 25.09.2020
Advanced training for oil tanker cargo operations (Section AB 0173035 St.Petersburg, RUS 26.08.2015 26.08.2020
A-V/1-1,table A-V/1-1-2)
Medical Certificates
Medical Fitness Certificate St. Petersburg, RUS 25.09.2019 25.09.2020


Sea-going experience

Crew Agency City Country Contact Person Phone


General Physical State
Height (cm) Weight (kg) Shoes Clothes Hair color Eye color




Date applied: 09.10.2019 Signature: