SEAFARERS ( application forms, resumes, CV’s )

SAMOSVAT ROMAN – 2nd CLASS EL.ENG. Surname Samosvat Marital Status devors First name Roman Children Samosvat Alisa-2003 y.b Nationality Ukr Weight 67 kg Place of Birth Ukr Height 185 kg Date of Birth 17/04/1975 Overall size 52/6 Shoe Size 42-43 Address B.Khelnyckogo str70/41 City/Country Pereyaslav-Khmelnycky Phone +38 04567 5 3948 Nearest Airport Borispol Mobile phone +38 063 971 40 51 Next of kin Samosvat Ludmila-mother E-mail roman.samosvat@mail.ru Relationship Phone of kin +38 04567 5 3948 Documents Name of Maritime Training Institute No. Date / Place of issue Expiry Date Travel Passport ET 147349 27/07/2011/3222 27/07-2021 Seaman's Book AB 460252 16/08/2010/port Kherson 30/07/2015 Diploma 02225/2003/07 31/12/2003/port Nikolaev Endorsement 02225/2003/07 26/07/2011/port Izmail 22/06/2016 GOC (GMDSS) (IV/2) Basic Safety Training (VI/1) 117076 KS 23/06/2011/Kyiv 23/07/2016 Survival Craft (VI/2) 113019 KS 27/06/2011 Kiyv 27/06/2016 Advanced Fire Fighting (VI/3) 12923 KS 22/06/2011 Kiyv 22/06/2016 Radar & ARPA Tanker Familiarization (V/1) Advanced Oil (V/1) Advanced Chemical (V/1) Advanced Gas (V/1) Ship Security Officer Inert Gas System Operations Crude Oil Washing Bridge Team Management Safety Management System Operation of Electrical and Electronic Control Equipment Carrying Dangerous and Hazardous Cargoes 12781 KS 29/06/2011 Kyiv 29/062016 Medical Care (VIM) 12617 KS 27/06/2011 Kiyv 27/06/2016 Yellow Fever Vaccination Moskov s-06 23/04/2007 Kiyv 23/04/2017 US Visa if available Name of Vessel Vessel Type DWT Eng. Type KW Flag Position From To Crewing Agency/ Ship owner DAPHNE BULC 169159 t B&W-6S70MC 22920 HP GREESE EL.ENG. 03/09/2010 02/03/2011 MIT-Ocean/NEDA Maritime Agen. SEA WIND I BULC 41633 t B&W-6L60MC 6378 kW MALTA EL.ENG 08/09/2009 20/02/2010 Sunrise/Trade fortuna inc SEA WIND BULC 41633 t B&W-6L60MC 6378 kW PANAMA EL.ENG 05/10/2008 26/02/2009 Sunrise/Trade fortuna inc WIN BULC 30500 t SULZER-5RLB66 6378 kW MALTA EL.ENG 30/11/2007 05/06/2008 Sunrise/Trade fortuna inc LION BULC 40000 t B&W 8450 HP MALTA EL.ENG 27/04/2007 29/08/2007 Sunrise/Trade fortuna inc SEA AHMED PCC 13833 t KAWASAKI-MAN-400 rpm 16 000 HP LIBERIYA EL.ENG 20/04/2006 16/09/2007 HANSA-REDERI/AUSTR. LLOYD TRAUN MULT.P./CONT.CARIER 11 000 t B&W-8L35MC 6060 HP AUSTRI. EL.ENG 25/05/2004 07/12/2004 HANSA-REDERI/AUSTR. LLOYD