ࡱ> [bjbj0zΐΐyd d 8$6.... t#Z*.hyyyyyyy@{8 dy0.y#m#y#yD."Pyh|...s....#.........d ( : SEAMANS APPLICATION FORM MARINE CENTRE POSITION APPLIED FOR SURNAMEBielyiMARITAL STATUSMarriedFIRST NAMEIevgenNAME OF WIFEViktoriyaMIDDLE NAMEIgorovichNEXT OF KINViktoriya BielayaDATE OF BIRTH05/08/1989RELATIONWifePLACE OF BIIRTHOdessa, UkrainePHONE067877 35 91ADDRESSOdessa, Jolio-Kury str. 22 apt.85aADDRESSSameHOME PHONE711-49-75 CHILDREN MOB PHONE096402 70 72NAMENoneCITIZENSHIPUkraineNAME OF SCHOOLOdessa National Maritime academy TCCSENGLISH LEVELpoorlyFROM / TILL17/11/2008 17/12/2008CLOSIEST AIRPORTOdessaTYPE OF DEGREE NATIONAL DOCUMENTSNO. ISSUED VALID SEAMANS PASSPORTAB 48072128/03/201228/03/2017TRAVELLING PASSPORTET 75666902/03/201202/03/2022OTHER PASSPORTCOUNTRYCT 07284810/11/2008 USA VISANO.ISSUEDVALIDPLACE OF ISSUE NATIONAL LICENSEGRADENOISSUEDVALIDCERTIFICATE OF COMPETENCYSecond class seaman00684/2011/0308/12/201122/11/2016ENDORSEMENTSecond class seaman00684/2011/0308/12/201122/11/2016GMDSSENDORSEMENT CERTIFICATESNOISSUEDVALIDBASIC SAFETY STCW 953/991/1122/11/201122/11/2016ADVANCED FIRE FIGHTINGHAZARDOUS CARGOMEDICAL FIRST AID  CARE SURV CRAFT&RESCUE BOATSSPECIALIZED TANKER TRAININGTANKER FAMILIRIZATIONPETROLEUM TANKER SAFETYCOW+IGSCHEM.TANKER SAFETYSPECIALIZED GAS TA TRANINGBRIDGE TEAM MANAGEMENTSHIPS HANDLINGRADAR OBSERVERARPASHIP SECURITY OFFICERINTRODUCTION TO ISM HEALTH CERTIFICATEYELLOW FEVERCOLOR OF HAIRDarkHEIGHT175WEIGHT82COLOR OF EYESGrey PREVIOUS SEA SERVICE Vessels Name TYPEDWTENGINEFLAGRANKS.ONS.OFFCOMPANYChina spiritTanker16420LiberiaOS01.04.1223.06.12Sea Cloud     4JU[\kr  % 2 = _ h l z  ) / > I J U g m о{hXvOJQJ^JmH sH "hlCJOJQJ^JaJmH sH (hlhXvCJOJQJ^JaJmH sH hlCJOJQJ^JaJ"hXvCJOJQJ^JaJmH sH %hXv5CJOJQJ^JaJmH sH hXv5PJmH sH !hXv>*CJOJPJQJ^JaJ04JKL$Ifr]^r`gdl$@ dh^@ `a$ $@ dh^@ a$LMU\kstlfffff$Ifkd$$Ifl4F#*<`! t0(6    44 laf4tuF@@@@@$Ifkd$$Ifl4r[ #*N ! t0(644 laf4F@@@@@$IfkdL$$Ifl4r[ #*N ! t0(644 laf4F@@@@@$Ifkdz$$Ifl4r[ #*N ! t0(644 laf4  % 3 4 F@7@@@ $Ifgdl$Ifkd$$Ifl4r[ #*N ! t0(644 laf44 5 = ` h m F:::: $$Ifa$gdlkd$$Ifl4r[ #*N ! t0(644 laf4m n o z =kd$$Ifl4r[ #*N ! t0(644 laf4ytl$If YSSSSS$Ifkd>$$Ifl4\[ #*< ! t0(644 laf4 F@@@@@$IfkdV $$Ifl4r[ #*N ! t0(644 laf4  ) 0 1 F@@@@@$Ifkd $$Ifl4r[ #*N ! t0(644 laf41 2 > J U V g n F@@@@@@$Ifkd $$Ifl4r[ #*N ! t0(644 laf4n o p  -kd $$Ifl4ֈ[ #*N ! t0(644 laf4$If ljd[[[ $Ifgdl$Ifkd$$$Ifl4F[ #* ! t0(6    44 laf4      + 4 5 ? 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