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FOR TOP OFFICERS LAST 10 YEARS, junior officers and ratings last 5 years

APPLICATION FORM / PERSONAL DATA

Surname: Balaban   Name: Taras  
Date of Birth: 12.05.1985 Place of Birth / City & Country: Nationality:
Ukraine, Turiysk Ykrainian
Permanent address: Ukraine, Kherson, Kol’tsova 41, fl.131   Phone(home): +380552319858
+380553730720
Height:185   Colour of eyes: green Mob. Phone: +380507817125 +380632604840
Weight:90   Colour of hair: brown hair e-mail: taras_balaban@mail.ru
Civil Status Married Single divorced Next of kin Address next of kin:
Relation-mother Ukraine, Kherson reg. Lazurnoe, str.Sadova 70
Name: Balaban Elizabeth
Nbr of Children:None   Phone: +38956800060   Nearest airport: Odessa IA
POSITION: Able seafarer deck (ÀÂ) WELDER: Yes No
DOCUMENTS NUMBER ISSUED VALID COUNTRY, CITY
NATIONAL PASSPORT ÌÎ ¹933506 04.10.2001 ------------- Ukraine, Skadovsk
INTERNATION PASSPORT EK ¹ 780304 15.02.2010 15.02.2020 Ukraine, Kherson
NATIONAL SEAMAN’ S BOOK AB ¹494084 02.07.2012 02.07.2017 Ukraine, Izmail
CERTIFICATE OF PROFICIENCY ¹ 10028/2014/11 07.03.2014 ------------- Ukraine, Kherson
SAFETY FAMILIARIZATION, BASIC TRAINING AND INSTRUCTION FOR ALL SEAFARES ¹ 14018 15.01.2014 15.01.2019 Ukraine, Nikolaev
DESIGNATED SECURITY DUTIES OF SHIPBOARD PERSONNEL ¹ 0047/MPS 14.02.2014 14.02.2019 Ukraine, Kherson
         
PROF. IN SURVIVAL CRAFT ¹9840 15.01.2014 15.01.2019 Ukraine, Nikolaev
ADVANCED FIRE FIGHTING ¹ 272/MPS 14.02.2014 14.02.2019 Ukraine, Kherson
HEALTH CERTIFICATE ¹ 020889 27.01.2014 27.01.2015 Ukraine, Kherson
YELLOW FEVER VACCINATION ¹ 012094 31.05.2012 31.05.2022 Ukraine, Kherson
SECURITY-RELATED TRAINING AND INSTRUCTION FOR ALL SEAFARES ¹ 9011 15.01.2014 15.01.2019 Ukraine, Nikolaev
TRAINING IN CARRYING OF DANGERROUS AND HAZARDOUS SUBSTANCES ¹ 7202 15.01.2014 15.01.2019 Ukraine, Nikolaev
SHIP’S WELDER ¹ 001051/12KH 25.09.2012 25.09.2014 Ukraine, Kherson
                                     

SEA SERVICE:

FOR TOP OFFICERS LAST 10 YEARS, junior officers and ratings last 5 years

TYPE OF VESSEL NAME OF VESSEL GRT/DWT ENG. TYPE HP FLAG NAME OF COMPANY RANK PERIOD OF SERVICE FROM / TO dd/mm/yy / dd/mm/yy
GENERAL CARGO TAVR 2342/ 48 NVD UKRAINE PE “LARTIS” OS 10.07.2012
18.12.2012
RESEARCHING VESSEL TAVR 2342/ 48 NVD UKRAINE MARIN-SERVIS LTD OS 25.04.2013
24.12.2013
REMARKS At the time mentioned the m/v Tavr was in the Sevmorgeo JSC scientific party at sea seismic explorations in the Pacific Ocean, searching for oil and natural gas fields on the shelf of the Republic of Ecuador, taking part in the projects of Sevmorgeo JSC and «SIPEC», and Sevmorgeo JSC and «PETROAMAZONAS Åл companies.
 
 
ENGLISH: GOOD SATISFACTORY MODERATE POOR
                         

 




Date: 2015-12-24; view: 536


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