APPLICATION for EMPLOYMENT

POSITION APPLIED FOR :   AB SEAMAN if you haven’t then Ordinary seaman position         
FAMILY NAME : MURENKOV
FIRST NAME : OLEG
NATIONALITY : LITHUANIAN
DATE of BIRTH 26051982 PLACE of BIRTH :EUROPE
ADDRESS :
Pariziaus komunos str..,10-5 klaipeda lt 58000
Address: latvia

TELEPHONE :
PASSPORT :
a) passport no : 21129922 .

b) place of issue : LTU .

c) date of issue : 16 07
2007 .

d) date of expiration : 16 07
2017 .

SEAMAN’S BOOK :

a) seaman’s book no :JK032201 .

b) place of issue : Lithuania .

c) date of issue : 27 07 2007

.

d) date of expiration : 27
072012 .

OTHER PERSONAL DATA :

a) height : 184 .

b) weight : 99 .

c) safety shoes : 44 .

d) overall size : 44 .

e) color of eyes : grey .

f) color of hair : dark&whyte

.

NEXT of KIN :
a) relationship : Nigel Nikolaj
.

b) family name : Murenkov .

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 c) first name : Nikolaj .

d) adress : Kauno 29 17 klAIPEDA LITHUANIA

.

e) telephone : +370 61702047

.

MARITIME EDUCATION :

Educational Name Speciality Period of studies City/Country

institution (from - to)
courses FORKLIFTS SABELIJS SCHOOL DRIVER 2006-2007 KLAIPEDA/LITHUANIA
school KLAIPEDA MARINE SCHOOL SEAMAN 2003-2004 KLAIPEDA/Lithuania
COOK
BAKER
college TRANSPORT DEPARTMENT DOKER 2002-2003 KLAIPEDA/LITHUANIA
academy

CERTIFICATES of COPMETENCY :

Date of issue Date of expiry

Grade/Class/STCW code Number City/Country
(DD.MM.YYYY) (DD.MM.YYYY)
Certificate of Competence 03579/02 29 june 2006 06 22 2011 Lithuanian
name :

Endorsement
name :

Basic Safety Course 1164/2006 12 06 2006 12 06 2006 Lithuanian

Advanced Fire Fighting
Medical First Aid
Medical Care 2009 2010 Lithuania
Survival Craft and Rescue 3030/2008 22 october 2008 26 september 2013 Klaipeda//lithuania
Boats
Proficiency in Fast Rescue
Boats
Tankerman Oil Familiarization
Tankerman Oil Advanced
Tankerman Chemical
Familiarization
Tankerman Chemical
Advanced
Tankerman Gas Familiarization
Tankerman Gas Advanced
Radar Observation & Plotting
Simulator Course
Automatic Radar Plotting Aids
(ARPA)
GMDSS General Operator
Bridge Team & Resource
Management
Maneuvering & Ship Handling
Welder
ECDIS
SSO

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MEDICAL CERTIFICATE and VACCINATIONS :

Certificate Date of issue (DD.MM.YYYY) Date of expiry (DD.MM.YYYY)

Medical Certificate
Drug & Alco Test Certificate
Yellow Fever Vaccination

PREVIOUS SEA SERVICE :

(last 5 years)

Owner or Type of GRT Sign On Sign Off

Vessel’s Name Flag Rank
Manager Vessel /HP (DD.MM.YY.) (DD.MM.YY.)

DATE OF APPLICATION .

SIGNATURE .

FOR OFFICE USE ONLY :

Interview date :

Interviewed by:

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Level of English : /10

Proffesional Competence Test : /10

Notes :