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    Kirill Bandura is applying for the position of 3rd Officer. He graduated from the Higher Maritime State University named after Admiral G.I. Nevelskoy in 2020 with a specialization in Officer in Charge of a Navigational Watch. He has over 2 years of experience serving as 2nd and 3rd Officer on various vessel types under different flags. Kirill holds numerous certificates required for his position and has completed special training programs.

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    F-01-applicationformDECKOFFICER

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    Kirill Bandura is applying for the position of 3rd Officer. He graduated from the Higher Maritime State University named after Admiral G.I. Nevelskoy in 2020 with a specialization in Officer in Charge of a Navigational Watch. He has over 2 years of experience serving as 2nd and 3rd Officer on various vessel types under different flags. Kirill holds numerous certificates required for his position and has completed special training programs.

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    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
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    5 views1 page

    F 01 applicationformDECKOFFICER

    Uploaded by

    The Simpsons
    Kirill Bandura is applying for the position of 3rd Officer. He graduated from the Higher Maritime State University named after Admiral G.I. Nevelskoy in 2020 with a specialization in Officer in Charge of a Navigational Watch. He has over 2 years of experience serving as 2nd and 3rd Officer on various vessel types under different flags. Kirill holds numerous certificates required for his position and has completed special training programs.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
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    of 1

    APPLICATION FORM

    (for deck officers)


    Rank 3rd Officer Date of birth 31.01.1998
    Surname Bandura Place of birth Primorskiy cray
    First name Kirill Home address Prim.cray, v.Chernigovka, s.Oktybrskay, d45,kv15
    Patronymic Aleksandrovich Home phone 894235127019 Mobil 89146697604
    personal details

    Marital status no married E-mail www.kirill555.ru@mail.ru


    Next of kin/relationship/addres Mother/ Family/Prim.cray, v.Chernigovka, s.Oktybrskay, d45,kv15 / 89143356596
    Test Marlins Test CES 4.1 Height 170 Clothes size 46 Hair color black
    Language knowledge (english)
    Result % Result % Weight 60 Shoes size 41 Eye color green
    Education University (School, College) Year of graduation Speciality
    Higher
    maritime state university named after admiral g.i nevelskoy
    2020 Officer in charge of a navigational watch

    Document Grade Number Place of issue Issued date Expire date


    Seaman's ID RUS0566163 RUSSIA 19.10.2021 18.10.2026
    Seaman's book MK 0247775 RUSSIA 11.03.2016
    Documents

    Passport (national) 05 18 563276 RUSSIA 20.03.2018


    Passport (TRAVEL) 75 2179255 RUSSIA 26.08.2015 26.08.2025
    Visa (USA, others) С1/D
    Schengen visa
    Seaman’s passport (Cyp., others)
    CERTIFICATE OF COMPETENCY of VVO204221756 RUSSIA 14.08.2020 21.10.2024
    GMDSS VVO204221762 RUSSIA 14.08.2020 21.10.2024
    RADAR 1150757 RUSSIA 21.10.2019 21.10.2024
    ARPA 1151057 RUSSIA 23.10.2019 23.10.2024
    BASIC SAFETY TRAINING EVIDENCE 1399207 RUSSIA 28.11.2019 28.11.2024
    SURVIVAL CRAFT & RESCUE BOAT 1276903 RUSSIA 27.11.2019 27.11.2024
    ADVANCED FIRE FIGHTING 1400592 RUSSIA 25.11.2019 25.11.2024
    Certificates

    MARPOL/SOLAS 064392 RUSSIA 18.03.2022 18.03.2027


    MEDICAL FIRST AIDS 1277012 RUSSIA 29.11.2019 29.11.2024
    MEDICAL CARE 38830374 RUSSIA 10.02.2023 10.02.2024
    DESIGNATED SECURITY DUTIES
    BRIDGE TEAM AND RESOURCE MANAGEMENT
    SSO 1401652 RUSSIA 26.11.2019 26.11.2024
    ECDIS 1068479 RUSSIA 15.11.2019 15.11.2024
    PHYSICAL EXAMINATION REPORT RUSSIA 10.02.2023 10.02.2024
    YELLOW FEVER 978 RUSSIA 24.06.2016 24.06.2026
    D & A TEST
    HAZMAT/Carriage of dang.&hazard.subst.
    Special training

    HAZMAT training program "C", title 49 (USA)


    Oil tanker training program
    Chemical tanker training program
    Other courses:

    Type of vessel Owner's name Date Date


    Name of vessel Flag Rank
    DWT Crew management company from to
    RO-RO AZELIA OCEAN LTD
    HANSUNG TOGO 2ND OFFICER 5/5/2022 8/27/2022
    7442 AZELIA OCEAN LTD
    GENERAL SEVMORRECHFLOT
    PALANA RUSSIA 3RD OFFICER 10/22/2021 3/7/2022
    9900 SEVMORRECHFLOT
    REEFER RRIMPORTSERVICE
    ODIN RUSSIA 3RD OFFICER 1/19/2021 3/31/2021
    Previous experience for last 5 years

    5292 RRIMPORTSERVICE
    CONTENER PAO DVMP
    FESCO NAGAEVO RUSSIA SAILOR 4/4/2020 5/24/2020
    3999 PAO DVMP
    CONTENER PAO DVMP
    FESCO NAGAEVO RUSSIA SAILOR 12/19/2019 2/10/2020
    3999 PAO DVMP
    SAILING ROSMORPORT
    NADEZHDA RUSSIA TRAINEE SAILOR 8/12/2018 10/10/2018
    2297 ROSMORPORT
    TANKER DALTRANS
    PALADII RUSSIA SAILOR 7/2/2017 11/27/2017
    5191 DALTRANS
    SAILING ROSMORPORT
    NADEZHDA RUSSIA TRAINEE SAILOR 6/28/2016 10/10/2016
    2297 ROSMORPORT

    Nationality of crewmembers sailed with: RUSSIA Your comments:


    Recommendations I have min wage 2500
    Remarks:

    Phone of last shipowner (Crew company) 89147912483 expected wage 3000


    Others: worked under a foreign flag with documents and agents expect.duration 4-6 month
    readiness to work ready
    С автоматической обработкой моих персональных данных, указанных в анкете, их передачей третьим лицам (включая трансграничную) и хранением в
    целях трудоустройства в соответствии с Федеральным законом РФ №152-ФЗ согласен. Подтверждаю, что мои персональные данные, указанные в
    анкете, являются общедоступными.
    Application form is accepted by Date 2/14/2023 Signature of applicant

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