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Seaman'S Employment Application Form: Personal Particulars

Oleksandr Serbul is applying for the position of Deck Cadet. He is a Ukrainian national born in 1999. He has completed his education at the Academy of Maritime Infrastructure and Water Transport in 2021. He holds various STCW certificates including Officer in Charge of a Navigational Watch. His recent sea service includes positions as Junior Officer on the chemical tanker Verdi and as an Ordinary Seaman on the bulk carrier Anna-Elisabeth.

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78 views

Seaman'S Employment Application Form: Personal Particulars

Oleksandr Serbul is applying for the position of Deck Cadet. He is a Ukrainian national born in 1999. He has completed his education at the Academy of Maritime Infrastructure and Water Transport in 2021. He holds various STCW certificates including Officer in Charge of a Navigational Watch. His recent sea service includes positions as Junior Officer on the chemical tanker Verdi and as an Ordinary Seaman on the bulk carrier Anna-Elisabeth.

Uploaded by

Fuckboy /
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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SEAMAN’S EMPLOYMENT APPLICATION FORM

Position applied for: Deck Cadet Second choice (if any): Available from: 27.08.2021
Family name: Serbul First name: Oleksandr
Personal particulars
Date of birth: 30.05.1999 Place of birth: Ukraine Nationality: Ukrainian
Marital status: Single Color of hair: Blonde Color of eyes: Gray
Height (cm): 175 Weight (kg): 68 Size: 46 Shoes: 42
Name of father: Mikhail Name of mother: Marianna
Home address: Ukraine, Odessa. Lunina str. 27 aprt, 9
Telephones: +380 93 209 98 80, +380 63 104 16 88 (mother, in case if not available)
Next of Kin: Surname Serbul Name Marianna____________ Relationship Mother
Address/Telephones
The same
E-mail: [email protected]

Documents and certificates


Documents No Date of issue Valid until
Seaman’s passport AB 667838 15.12.2020 15.12.2025
Civil travel passport FV 439574 14.06.2019 14.06.2029

Certificates of Grade No Date of issue Endorsement


Competency valid until
Liberia OS 05914/2017/08 15.11.2019 15.11.2024
Cyprus Junior Officer CY 322134 25.09.2020 24.09.2030
Name of Marine School (Academy): Academy of Maritime Infrastructure and Water Transport Graduated on 2021

STCW Certificates No Date of issue Valid until


OFFICER in charge of Navigation Watch 00876/2019/08 11.04.2019
on ships of 500 tons and more
Endorsement 00876/2019/08 11.04.2019 04.04.2024
GMDSS 00170/2019/03 27.02.2019
GMDSS Endorsement 00170/2019/03 27.02.2019 25.02.2024
Advanced Training For Oil Tanker Cargo 268073 23.02.2021 23.02.2026
Operations
Advanced Training For Chemical Tanker 268074 23.02.2021 23.02.2026
Cargo Operations
Basic Training For Oil And Chemical 268075 23.02.2021 23.02.2026
Tanker Cargo Operations
Radar Navigation, Radar Plotting and use of 04266 30.11.2018 Unlimited
ARPA(Operational level)
Operational use of ECDIS 02333 03.12.2018 Unlimited
Medical first aid on board ship 994 11.02.2019 11.02.2024
Advanced Fire Fighting 01563 14.02.2019 14.02.2024
Basic Safety Training And Instruction 09522 17.07.2018 17.07.2023
Proficiency in survival craft and rescue 01576 14.02.2019 14.02.2024
boats(other than fast rescue boats)
Security-Related training and instruction for 1451 14.02.2019 14.02.2024
all seafarers
Yellow Fever N/A 28.08.2018 Unlimited
US Visa 20192032780001 23.07.2019 21.07.2029
Sea Service during last five years (count backwards)
Rank Vessel’s Ship-owner/Manager From To
Name Flag Type DWT (mm.yy) (mm.yy)
Junior 3rd Verdi 9157002 Cyprus Ch/Oil 5000 GEFO / Bernhard Schulte Ship 15.09.20 14.11.20
officer Tanker management(BSM)

OS Anna-Elisabeth 9407471 Liberia Bulker 55000 Johann M.K. Blumenthal / Di Star Marine 02.11.19 19.07.20
Deck Cadet Oxana-V 9077317 Panama Bulker 45000 Ocean Sky Limited / Amber Maritime 29.08.18 10.11.18
Deck Cadet Granit Ukraine Tug 700 Odessa Port 02.04.18 22.06.18
Deck Cadet Bulat Ukraine Tug 700 Odessa Port 16.05.16 31.08.16
*Long term period pause due to government exams in Academy and renewal of diplomas

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