Appl_Peshekhonoff
.docxApplication for Employment
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Position applied for: Deck Cadet |
Address: 19 Luzhskaya St, Apt. 4, Veliky Novgorod 173018, Russia |
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Surname: Peshekhonov |
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Forenames: Victor Serveevich |
Tel.: 7 952 212 29 92 |
Cont.Tel:79502238354 |
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Date of Birth: 09/11/1990 |
Marital status: Single |
No of Children: non |
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Place of Birth: USSR, Novgorod / город Новгород |
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Nationality: Russia |
Date, Place issued: 14.06.11 Veliky Novgorod
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Native Language: Russian |
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Languages spoken: English |
Passport: 4911 977550 |
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Education: Secondary |
Next of Kin ( Mother ): Elena Peshekhonova |
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Education Body: Admiral Makarov State University of Maritime and Inland Shipping, Navigating Department, 2016 (4th course)
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Address: 19 Luzhskaya St, Apt. 4, Veliky Novgorod 173018, Russia Tel.: 79517212459 |
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Licenses |
Grade |
Number |
Date Issued |
Education Body |
Expiry Date |
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Certificate of Competence |
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Flag St. Recognition Cert |
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Flag St. Recognition Cert |
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Flag St. Recognition Cert. |
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GMDSS |
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Endorsement of GMDSS |
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Radar Observ. Simulator |
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ARPA |
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Survival craft & rescue boat |
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{ In process } |
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Advanced Fire-Fighting |
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Carriage of D-s & Has-s sub-s |
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First Aid at Sea |
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Basic safety training |
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342584 |
03/11/11 |
Makarov Training Center of Admiral Makarov State Maritime Academy, St.Petersburg |
03/11/16 |
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Watchkeeping |
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Document |
Number |
Date Issued |
Place Issued |
Expiry Date |
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Seaman's Passport |
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Seaman's Book |
MK 0108624 |
14/03/2012 |
BP St.Petersburg SPA |
unlimited |
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Travel Passport |
71 6376862 |
06/10/2011 |
ФМС 53001 |
06/10/2021 |
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US Visa |
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Health Certificate |
{ In process } |
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Yellow Fever |
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Drug and Alcohol |
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Schengen visa |
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Eyes: Green |
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Hair: Blond |
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Height: 162 |
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Weight: 55 |
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Shoes: 41 |
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Overall: 44 |
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From |
To |
Vessel |
Flag |
DWT |
HP |
Engine |
TypeOfVessel |
Position |
Company |
Com. Tel |
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2012.04.24 |
2012.10.09 |
MIR |
Russia |
2257 |
2*419 kW |
6AL |
Trainig Sail Ship |
Apprantice |
Admiral Makarov State Maritime Academy, |
7(812)7489687 |
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С автоматизированной обработкой моих персональных данных указанных в анкете, их передачей (включая трансграничную) и хранением в целях трудоустройства согласен.
Подпись___________________________________________________
Дата___17.01.2014__________________________________________
Готовность в рейс___12.05.2014_______________________________