SEAFARERS ( application forms, resumes, CV’s )

APPLICATION FORM Mob: +380968651240E-mail: zarazagad@mail.ru Surname: Kapustynsky Rank: ABFirst name: Dmitro Position required: Date of birth Place of birth Citizenship Marital status: Divorced 13.08.1982 Odessa Ukraine Next of kin: Kapustynska  Liliya Odessa Bocharova str57/a app9Address:   Odessa Bocharova str.57/a app 9 Address: Tel:   716-05-61 Mob: +380968651240 Last medical certificate: Height (sm.): 182 smPlace:   Date: Weight (kg.): 90 kg                                                           PERSONAL DOCUMENTS                  Description         Number    Issued Expired Place of issueNational KK081593 04.09.1998 OdessaInternational AX598311 15.06.2003 15.06.2013 OdessaSeaman’s book AB470875 01.08.2011 01.08.2016 Odessa                                                                          CERTIFICATES                  Description         Number    Issued Expired Place of issueWorking Diploma 01344/2006/03 07.11.2006 IllichivskEndorsement 01344/2006/03 28.07.2011 23.05.2016 OdessaSTCW 1757/2011 24.05.2011 24.05.2016 OdessaProficiency in survival craft 1380/2011 26.05.2011 26.05.2016 OdessaDangerous cargo 0188/2011 24.05.2011 24.05.2016 OdessaYellow fever 13.08.2007 13.08.2017 OdessaPassenger  FAMILIARIZATION 0340/2011 25.05.2011 25.05.2016 OdessaTANKER FAMILIARIZATION 0239/2011 23.05.2011 23.05.2016 Odessa                                                   SEA SERVICES (last five years)Company name                   Country Vessel’s     name Flag   Type Engine type, HP GRT/ DWT Rank From ToENTERPRISES SHIPPING & TRADING S.A. GREECE BAY RANGER NASSAU CARGO 43108 AB 08.11.2010 17.05.2011ENTERPRISES SHIPPING & TRADING S.A. GREECE DELPHIN VOYAGER NASSAU PASSENGER OS 06.07.2010 06.09.2010ENTERPRISES SHIPPING & TRADING S.A. GREECE CHENAL RANGER NASSAU CARGO 43108 OS 22.05.2009 08.01.2010LASKARIDIS SHIPPING Co LTD GREECE KAPTEINIS KULINICS PANAMA REFRIGERATOR 12367 AB 15.07.2008 31.01.2009LASKARIDIS SHIPPING Co LTD GREECE FRIO CARIBIC PANAMA REFRIGERATOR 5322.0 AB 27.09.2007 24.04.2008I hereby certify that the above information is true and crewing agency is free from any liability for details above mentioned.