Resume - Application to vacancy Medic (Doctor)

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Resume #74524

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SEAFARER'S APPLICATION FORM -

Appling position: Doctor (Medic)

PERSONAL INFORMATION
Birth Date 16 May, 1975 Birth Place Odessa, Ukraine
Nationality Ukrainian Religion Christian
Marital Status Single No. of Children Nil
Height (cm) 182 Weight (kg) 82
Nearest Airport Odessa, Ukraine
ADDRESS (include telephone country & area codes, advise also secondary or contact addresses if any)
Street & Nr. 90 Filatov str., apt-190 Email Address sergey_bar@mail.ru
Location Mobile Phone 38 063 342-00-80
City Odessa Residence Phone 38 0482 649-206
State, Country Ukraine Fax
Postal (ZIP) Code 65074 P.O. Box (if any)
NEXT OF KIN INFORMATION (person to contact in case of emergency & insurance beneficiary)
Family Name Poltorachenko First Name(s) Julia
Nationality Ukrainian Relationship Aunt
Street & Nr. 23 Levitana str. Email Address
Location Mobile Phone
City Odessa Residence Phone +38 0482 453-793
State, Country Ukraine Fax
Postal (ZIP) Code 65000 P.O. Box (if any)
REMARKS
Requested Rank(s) Availability Date End of October
Prefer Vessel Types Minimum Salary 220 euros per day
Employment Preference Permanent / Contract / Freelance / All
English Language Skills Spoken: fluent / good / average / poor - Written: fluent / good / average / poor
Other Foreign Languages Russian, Ukrainian
Professional School / Academy - Name & Period (From - To) Odessa state medical university
1992-1998
Foreign Crew Experience
(specify nationalities) Multinational (Nigerians and South Africans, Philippines, Eastern and Western Europeans, South and North Americans, Indonesians etc)
Other Skills Windows 9.x-Vista, Linux Red Hat, MS Office, LAN, Internet, E-mail, a "blind" typing, utilities, etc., a wide experience in a work with a scanner, a fax, a copier, knowledge of office management, nonsmoker

Further Remarks
I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge.

A. TRAVEL DOCUMENTS AND MEDICAL CERTIFICATES
Document Name (Description) Document Number Country Issue Place Issue Date Exp. Date
Passport KC 179339 Ukraine 1501 Jun 1999 Jun 2009
Seaman's Book (national) AB 367913 Ukraine Port Odessa Dec 2007 Dec 2012
Seaman's Book (flag state)
Seaman's Book (flag state)
Visa - United States (type C1/D)
Visa - Others (Work/Resid. Permits) R 0609203 Nigeria May 2008 May 2009
Medical Examination Report 412226 Ukraine Medical Psychological center
Ukrainian Co. "ALMED Ltd." Dec 2007 Dec 2008
Drug & Alcohol Test 412169 Ukraine The same Dec 2007
Vaccination against Yellow Fever Ukraine Medical center "Medmarine" March 2008 March 2018
Vaccination against Cholera

B. CERTIFICATES OF COMPETENCY & ENDORSEMENTS, COURSE CERTIFICATES
- deck & engine certificates & endor-
sements (officers / ratings)
- electrical & reefer certificates
- cook & steward certificates - radio certificates & endorsements
- safety training (surv., fire, medical)
- tanker courses (oil, chem., gas)
- passenger vsl, roro, hazmat courses - deck, technical & management courses (radar/ARPA, ISM, Marpol, simulators, computer, welding etc.)
- Dynamic Positioning Experience
Document Name (Description) Document Number Country Issue Place Issue Date Exp. Date
M.D. Diploma ËÁ BC 001137 Ukraine Odessa state medical university Aug 1998
General practitioner certificate (license) 00905/193 Ukraine Odessa state medical university Sept 2006 Oct 2011
[Regulation V\2, V\3 STCW 78/95] Ship's doctor 0001/2008 Ukraine Odessa Maritime Training Centre March 2008
[Section A-VI/1 STCW-CODE'95] Basic safety training 2367/2007 Ukraine The same Dec 2007 Dec 2012
[Section A-VI/4-1 STCW-CODE'95] Medical first aid 0339/2007 Ukraine The same Dec 2007 Dec 2012
[Section A-VI/3 STCW-CODE'95] Advanced fire fighting 0883/2007 Ukraine The same Dec 2007 Dec 2012
[Section A-VI/2 STCW-CODE'95] Proficiency in survival craft 2102/2007 Ukraine The same Dec 2007 Dec 2012
[Section A-VI/3 STCW-CODE'95] Training for personnel serving on passengers ships other than RO-RO 0536/2007 Ukraine The same Dec 2007 Dec 2012
[Chapter IX SOLAS 1974] Ship's safety officer 2466/P Ukraine Institute of post-graduate education of seniors managers July 2008 July 2013
English Communicative Test Result-Good Ukraine Independent
Language School International House March 1999
Date: August 28, 2008
Signature:
Family Name: Baryshnikov First Name(s): Date of Birth:
Vessel's Name Flag GT Crew Ship Type Rank S/On Date S/Off Date Employer (company to contact for reference)
Jascon 30 Gibraltar 15,000 274 DP3 Pipe-layer Medic Aug 2008 now Seatrucks group/Netherlands http://www.seatrucksgroup.com/

Jascon 30 Gibraltar 15,000 265 DP3 Pipe-layer Medic Apr 2008 June 2008 Seatrucks group/Netherlands http://www.seatrucksgroup.com/

Jascon 30 Gibraltar 15,000 194 DP3 Pipe-layer Medic Dec 2007 Feb 2008 Seatrucks group/Netherlands http://www.seatrucksgroup.com/

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