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SEAFARER'S APPLICATION Form

NAME Morozan
SURNAME Aleksandr
DATE OF BIRTH 24.06.1988
PLACE OF BIRTH Ukraine
NATIONALITY Ukraine CONTACT PHONE
CIVIL STATUS Married MOBILE PHONE 968327655
NEXT OF KIN EMAIL BUFFFON@ukr.net
HOME ADDRESS Marshala Jukova str Odessa.Ukraine

POSITION APPLIED FOR Cook AVAILABLE FROM 15.09.2012
LEVEL OF ENGLISH Good USA VISA VALID 20.12.2014
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SEA SERVICE RECORD FOR THE LAST 5 YEARS
RANK TYPE OF VESSEL NAME OF VESSEL FLAG GRT MAIN ENGINE TYPE AND POWER SHIPOWNER / CREWING SIGNED ON/ SIGNED OFF
Cook Tanker Kassiopia Majuro 4526 Tritea Maritime LTD/Olvia maritime 04.02.2008/08.03.08
Cook Bulker Lazos Limassol 30000 Tritea Maritime LTD/Olvia maritime 12.04.08/12.06.08
Cook Bulker Greveno Valetta 25000 Tritea Maritime LTD/Olvia maritime 04.07.08/30.12.08
Cook Bulker Roupakia Valetta 30000 Tritea Maritime LTD/Olvia maritime 15.03.09/14.05.09
Cook Bulker Fraga Valetta 20000 Tritea Maritime LTD/Olvia maritime 24.03.10/03.10.10
Cook Bulker Leo Star I Monrovia 20000 Tritea Maritime LTD/Olvia maritime 09.01.11/09.01.11
Cook Container MSC Corinna Panama 33000 MSC Crewing Cervices 24.10.11/17.05112







DocumentS NUMBER ISSUED VALID COUNTRY
NATIONAL PASSPORT EC778665 23.10.2006 23.10.2016 Odessa
NATIONAL SEAMAN’ S BOOK AB470888 07.06.2011 07.06.2016 Odessa
LICENSE 00128/2008/08 16.08.2011 07.06.2016 Illichivsk
NAVIGATOR
ENDORSEMENT NAVIGATOR
BASIC SAFETY TRAINING 3/440/11 07.06.2011 07.06.2016 Illichivsk
PROFICIENCY IN SURVIVAL CRAFT 4636/11 03.11.2011 03.11.2016 Illichivsk
ADVANCED FIRE FIGHTING
MEDICAL FIRST AID
MEDICAL CARE
GMDSS – GENERAL OPERATOR
ADVANCED OIL TANKER CERTIFICATE
ADVANCED CHEMICAL TANKER CERTIFICATE
ADVANCED GAS TANKER CERTIFICATE
OIL, CHEM., GAS TANKER FAMILIRIZATION 0007/2008 10.01.2008 10.01.2013 Odessa
ARPA, RADAR OBS
BRIDGE TEAM MANAGEMENT
SHIP’S HANDLING
SHIP’S SECURITY OFFICER
ECDIS
YELLOW FEVER VACCINATION 09.01.2007 09.01.2017 Odessa