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REMARKS |
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Requested Rank |
MASTER |
Availability Date |
16.08.2018 |
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Prefer. Vessel Type |
container, multi-purpose/gen. cargo, heavy lift,bulker, RO-RO |
Minimum Salary |
8000 USD |
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English Language Skills |
Spoken: fluent Written: good |
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Other Foreign Languages |
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Professional School / Academy - Name & Period (From - To) |
1988-1992: Nizhny Novgorod inland navigational college
ood |
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1992-1996: St. Petersburg State Waterways Communications University |
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Foreign Crew Experience (specify nationalities) |
Dutch, German, Polish, Bulgarian, Romanian, Hungarian, Сroatian, Montenegrin, Ukrainian ,Indian ,Filipino ,Indonesian, Tanzanian, Ethiopian. |
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Other Skills |
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Further Remarks |
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I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge. |
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Date:15.08.2018
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Signature:T.S.
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SEAFARER'S APPLICATION FORM - Page 2 of 3 - LIST OF DOCUMENTS
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Family Name |
TIMUSHEV |
First Name(s) |
SERGEY |
Rank |
MASTER |
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A. TRAVEL DOCUMENTS AND MEDICAL CERTIFICATES |
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Document Name (Desciption) |
Document Number |
Country |
Issue Place |
Issue Date |
Exp. Date |
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Travel Passport # 1 |
72 0697254 |
Russia |
St. Petersburg |
14.08.2012 |
14.08.2022 |
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Travel Passport # 2 |
75 5939638 |
Russia |
St. Petersburg |
08.09.2017 |
08.09.2027 |
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Seaman's Book (national) |
MK 0107781 |
Russia |
St. Petersburg |
25.11.2011 |
UNLIMITED |
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Seafarer’s ID Card (ULM) |
RUS 0305563 |
Russia |
St. Petersburg |
13.01.2016 |
12.01.2021 |
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Panama CoC SBK |
P0167008 |
Pireos |
Greece |
20.03.2017 |
15.01.2021 |
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Panama GMDSS SBK |
P0167007 |
Pireos |
Greece |
20.03.2017 |
05.02.2021 |
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Panama CoC recognition certificate |
CT-026475/17-PGR |
Pireos |
Greece |
21.03.2017 |
15.01.2021 |
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Panama GMDSS recogn. certificate |
CT-026487/17-PGR |
Pireos |
Greece |
21.03.2017 |
05.02.2021 |
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USA C1/D Visa |
L9440630 |
USA |
Moscow |
21.02.2017 |
15.02.2019 |
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SCHENGEN Visa |
017480330 |
Finland |
St. Petersburg |
25.05.2018 |
23.05.2019 |
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Medical Examination Report |
967/18 |
Russia |
St. Petersburg |
14.06.2018 |
14.06.2019 |
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Drug & Alcohol Test |
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Russia |
St. Petersburg |
19.10.2017 |
19.10.2018 |
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Vaccination against Yellow Fever |
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Russia |
St. Petersburg |
10.02.2017 |
10.02.2027 |
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Vaccination against Cholera |
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B. CERTIFICATES OF COMPETENCY & ENDORSEMENTS, COURSE CERTIFICATES |
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- 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 |
- nav., deck, technical & management courses (radar/ARPA, ISM, Marpol, simulators, computer, welding etc.) - any flag state certificates |
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Document Name (Desciption) |
Document Number |
Country |
Issue Place |
Issue Date |
Exp. Date |
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CERT. OF COMPETENCY (MASTER) |
1010109023 |
Russia |
St. Petersburg |
10.06.2016 |
15.01.2021 |
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RADAR OBSERVER and PLOTING |
0316375 |
Russia |
St. Petersburg |
02.02.2016 |
02.02.2021 |
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ARPA |
0316471 |
Russia |
St. Petersburg |
04.02.2016 |
04.02.2021 |
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G.O. Cert. GMDSS |
1012305839 |
Russia |
St. Petersburg |
10.11.2007 |
UNDEFINED |
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G.O. Cert. GMDSS ENDORSEMENT |
1012315839 |
Russia |
St. Petersburg |
10.06.2016 |
05.02.2021 |
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BASIS SAFETY TRAINING |
0314665 |
Russia |
St. Petersburg |
17.02.2016 |
17.02.2021 |
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PROFICIENCY IN SURVIVAL CRAFT |
0380607 |
Russia |
St. Petersburg |
15.02.2016 |
15.02.2021 |
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ADVANCED FIRE FIGHTING |
0314973 |
Russia |
St. Petersburg |
05.02.2016 |
05.02.2021 |
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MEDICAL CARE |
1613 |
Russia |
St. Petersburg |
27.05.2016 |
27.05.2021 |
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MEDICAL FIRST AID |
0381212 |
Russia |
St. Petersburg |
25.05.2016 |
25.05.2021 |
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CARRIAGE OF DANGEROUS AND HAZARDOUS SUBSTANCES |
MSG-HAZMAT-CFR-0088 |
Germany |
Hamburg |
25.09.2014 |
25.09.2019 |
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SHIP SECURITY OFFICER TRAINING |
0315920 |
Russia |
St. Petersburg |
05.02.2016 |
05.02.2021 |
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ECDIS (FURUNO FMD 3X00 series) |
2017- 05567 |
Japan |
Nishinomiya |
07.07.2017 |
UNDEFINED |
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ECDIS (Transas Navi-Sailor 4000) |
0422872 |
Russia |
St. Petersburg |
29.01.2016 |
UNDEFINED |
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ECDIS (ChartWorld eGlobe) |
27508 / 82167 |
Germany |
Hamburg |
14.07.2015 |
UNDEFINED |
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Ship Simulator & Bridge Team- work (IMO 1.22 model course) |
04/2007 |
Russia |
St. Petersburg |
08.06.2007 |
UNDEFINED |
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Bridge Recource Management, Leadership, Managerial Training |
034 |
Russia |
St. Petersburg |
02.09.2016 |
02.09.2021 |
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SAFETY OFFICER TRAINING |
0161 |
Russia |
St. Petersburg |
29.05.2007 |
UNDEFINED |
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ECDIS generic training |
0422872 |
Russia |
St. Petersburg |
29.01.2016 |
29.01.2021 |
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Date:15.08.2018 |
Signature: T.S. |
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SEAFARER'S APPLICATION FORM - Page 3 of 3 - SEA SERVICE (LAST 10 YEARS)
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Family Name: |
TIMUSHEV |
First Name(s): |
SERGEY |
Date of Birth: |
19th May, 1973 |
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Vessel's Name |
Flag |
GT |
kW |
Ship Type |
TEU’s |
Rank |
S/On Date |
S/Off Date |
Employer / Crewing Agency |
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FUTURE |
Panama |
21611 |
19668 |
container |
2174 |
Master |
31.10.2017 |
09.02.2018 |
DANAOS Shipping Co. Ltd. / DANAOS RUSSIA Tel/: + 7 812 386 38 01 |
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ADVANCE |
Panama |
21611 |
19668 |
container |
2174 |
Master |
21.06.2017 |
09.08.2017 |
DANAOS Shipping Co. Ltd. / DANAOS RUSSIA |
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HYUNDAI ADVANCE |
Panama |
21611 |
19668 |
container |
2174 |
Master |
19.03.2017 |
20.06.2017 |
DANAOS Shipping Co. Ltd. / DANAOS RUSSIA |
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HAMMONIA THRACIUM |
Liberia |
29383 |
22480 |
container |
2959 |
Master |
22.02.2016 |
08.05.2016 |
Hammonia Reederei / Aurora Maritime Ltd. SPb. Tel/: + 7 812 232 68 11 |
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HAMMONIA INTERNUM |
Liberia |
29383 |
22480 |
container |
2959 |
Master |
03.08.2016 |
13.12.2016 |
Hammonia Reederei / Aurora Maritime Ltd. Spb. |
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HAMMONIA PALATIUM |
Liberia |
26435 |
21660 |
container |
2546 |
Master |
07.03.2015 |
19.04.2015 |
Hammonia Reederei / Aurora Maritime Ltd. Spb. |
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EMIRATES ZAMBEZI |
Liberia |
26435 |
21660 |
container |
2546 |
Master |
12.12.2014 |
06.03.2015 |
Hammonia Reederei / Aurora Maritime Ltd. Spb. |
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EMIRATES ZAMBEZI |
Liberia |
26435 |
21660 |
container |
2546 |
Master |
22.06.2014 |
21.08.2014 |
Hammonia Reederei / Aurora Maritime Ltd. Spb. |
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EMIRATES ZAMBEZI |
Liberia |
26435 |
21660 |
container |
2546 |
Chief Mate |
09.03.2014 |
21.06.2014 |
Hammonia Reederei / Aurora Maritime Ltd. Spb. |
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BELGICA |
Liberia |
25608 |
19810 |
container |
2468 |
Chief Mate |
28.06.2013 |
13.11.2013 |
Hammonia Reederei / Aurora Maritime Ltd. Spb. |
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ISLANDIA |
Germany |
9957 |
9730 |
container |
1118 |
Chief Mate |
21.10.2012 |
23.02.2013 |
Hammonia Reederei / Aurora Maritime Ltd. Spb. |
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BELGICA |
Liberia |
25608 |
19810 |
container |
2468 |
Chief Mate |
31.01.2012 |
24.07.2012 |
Hammonia Reederei / Aurora Maritime Ltd. Spb. |
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HAMMONIA POMERENIA |
Liberia |
26435 |
21660 |
container |
2546 |
Chief Mate |
03.07.2011 |
10.11.2011 |
Hammonia Reederei / Aurora Maritime Ltd. Spb. |
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X-PRESS ANNAPURNA |
Singapore |
18123 |
15806 |
container |
1713 |
Chief Mate |
03.07.2011 |
10.11.2011 |
X-Press Container Line / Aurora Maritime Ltd. Spb |
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HYUNDAI PROGRESS |
Panama |
21611 |
19668 |
container |
2174 |
Chief Mate |
22.03.2010 |
05.08.2010 |
DANAOS Shipping Co. Ltd. / DANAOS RUSSIA |
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MSC ATLANTIC |
Panama |
37071 |
21700 |
container |
3105 |
Chief Mate |
30.06.2009 |
10.10.2009 |
MSC Ship Managemdent/ Skov Shipping Kaliningrad |
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MSC ATLANTIC |
Panama |
37071 |
21700 |
container |
3105 |
Chief Mate |
15.09.2008 |
03.03.2009 |
MSC Ship Managemdent/ Skov Shipping Kaliningrad |
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LT GENOVA |
Panama |
38395 |
24445 |
container |
2987 |
Chief Mate |
02.02.2008 |
27.06.2008 |
Technomar Shipping Inc. / Triton Crewing Agency |
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CAPE DELGADO |
Marshal Is |
23132 |
15785 |
MPP / HVL |
1889 |
Chief Mate |
22.06.2007 |
19.10.2007 |
Austral Asia Line / Columbia Ship Management SPb. |
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RICMERS MUMBAI |
Panama |
17128 |
13500 |
MPP / HVL |
892 |
Chief Mate |
07.07.2006 |
02.12.2006 |
Technomar Shipping Inc. / Triton Crewing Agency |
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MAXIMAHAVEN |
Panama |
8548 |
6100 |
RO-RO |
N/A |
Chief Mate |
29.11.2005 |
19.04.2006 |
VAN UDEN RO-RO / ESMAN |
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SENECA |
Malta |
17822 |
9500 |
bulk carrier |
N/A |
Chief Mate |
21.08.2004 |
05.02.2005 |
Amalthia Marine Inc./ Galeon SPb. |
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Date:15.08.2018
|
Signature: T.S.
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