Капитан маломерного судна (г.Выборг)

Описание






APPLICANT’S PERSONAL DATA
POSITION APPLIED FOR: MASTER

FIRST/LAST NAME : MAKSIM MARITAL STATUS : MARRIED [pic]
FATHER’S NAME : KUSHNERUK NUMBER OF CHILDREN : 1
DATE/PLACE OF BIRTH : 30.04.1976 NEXT KIN : KUSHNERUK NATALIA
SEVASTOPOL RELATION : WIFE
CITIZENSHIP : RUSSIAN NEXT KIN ADDRESS : SEVASTOPOL
ADDRESS : SEVASTOPOL
NEXT KIN NAME
PHONE : +79787499598 PHONE : +79787439469

MARITIME EDUCATION RECEIVED

NAME OF SCHOOL/ACADEMY FROM TILL TYPE OF DEGREE RECEIVED
SEVASTOPOL STATE UNIVERSITY 2008 2010 NAVIGATION ENGINEER

DOCUMENTS

PASSPORT/SBK NO. PLACE OF ISSUE Date of issue/validity
SEAMAN’S PASSPORT 0602332 NOVOROSSIYSK 05.07.2022/04.07.2027
TRAVEL PASSPORT 75 2650318 KRASNODAR 09.12.2015/09.12.2025
OTHER S/B
SCENGEN VISA

STCW
CERTIFICATE GRADE NO. PLACE OF ISSUE Date of issue/validity
Cert. of Competency: MASTER NVS205197322 NOVOROSSIYSK 19.10.2021 03.09.2026
Endorsement:
Cert. of Competency: GMDSS general operator NVS205197311 NOVOROSSIYSK 19.10.2021 22.09.2026
Endorsement:
BASIC SAFETY TRAINING 0112071462 NOVOROSSIYSK 05.10.2021 05.10.2026
MEDICAL FIRST AID ON BOARD SHIP/ MEDICAL CARE 0112072459 NOVOROSSIYSK 13.10.2021 13.10.2026
PROFICIENCY IN SURVIVAL CRAFT 0112071688 NOVOROSSIYSK 06.10.2021 06.10.2026
ADVANCED FIRE FIGHTING 0112072024 NOVOROSSIYSK 07.10.2021 07.10.2026
DANGEROUS AND HAZARDOUS CARGOES
RADAR OBSERVER & PLOTTING/A.R.P.A. 9012068614 NOVOROSSIYSK 10.09.2021 10.09.2026
MAINTENANCE OF ELECTRICAL AND ELECTRONIC ENGINEERING
BRIDGE TEAM MANAGEMENT
SHIP HANDLING ARRANGEMENTS
SHIP SECURITY OFFICER (ISPS) 9012069937 NOVOROSSIYSK 22.09.2021 22.09.2026
SHIPS SAFETY OFFICER (ISM)
TRAINIG OF SEAFARES WITH DESIGNATED SECURITY DUES 0112071462 NOVOROSSIYSK 05.10.2021 05.10.2026
TANKER FAMILIARIZATION
OIL TANKERS SPECIALIZED TRAINING
GAS TANKERS SPECIALIZED TRAINING
CHEM. TANKERS SPECIALIZED TRAINING
CRUDE OIL WASHING OF OIL TANK
INERT GAS SYSTEM
ECDIS 9012069168 NOVOROSSIYSK 15.09.2021 15.09.2026
PHYSICAL FITNESS
MEDICAL EXAMINATION CERTIFICATE 741 ROSTOV ON DON 06.07.2023 06.07.2024
YELLOW FEVER VACCINATION SEVASTOPOL 14.01.2015 14.01.2025
DRUG & ALCOHOL TEST 483 ROSTOV ON DON 06.07.2023


PREVIOUS SEA SERVICE (Last 5 years):

VESSEL NAME COMPANY FLAG VESSEL TYPE


NOTES