Application For Employment: ETO Trainee/ Junior ETO/ Electrician

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“STARLINE MARINE”

25/1 PEDAGOGICHESKAYA STR., ODESSA,UKRAINE


TEL : +38 048 7280824/25, FAX : +38 048 7280826
E-mail: starline.marine999@gmail.com

APPLICATION FOR EMPLOYMENT

RANK: ETO trainee/ Junior ETO/ Electrician DATE: 06.11.2019 NATIONALITY: Ukrainian
(Position applied)
Full name: Ruslan Hrushko Place and date of birth: Izmail, Ukraine 23.09.1999

Father’s name: Ruslan Hrushko Mother’s name: Svitlana Hrushko

Home address: Izmail, Ukraine PhoneNo:+380687440635

Civil status: Single E-mail: ruslangrushkoo@gmail.com

Name and address of next of kin: Svitlana Hrushko Izmail, Ukraine


(Person to be notified in case of emergency)
Relationship: Mother Phone No: +380672435804 No. of children: 0
Height 178 Weight 72

Educational background Name of school Year (entered-completed)


College _________________________________________________________________________________
Highest educational State University of infrastructure and technologies 2017-2021
Working Diploma (Electro-technical rating) №: 01988/2018/08 Place issued Ukraine Date issued 07.06.2018
Endorsement №:___________________Place and date issued _________________________Valid to ________________
Seaman’s book №: AB 598762 Place and date issued Ukraine 12.02.2018 Valid to 12.02.2023
Foreign passport №: FJ 902572 Place and date issued Ukraine 08.11.2017 Valid to 08.11.2027
National passport №. ___________________ Place and date issued ___________________________________________
Identification number____________________________English level:___________________________________________

Certificates Number Date issued Place issued Valid to


GMDSS*
GMDSS (endorsement)*
STCW (PSASR) (БЖС)
Medical care*
Security officer*
Advanced Fire Fighting*
Proficiency in survival craft
First Aid*
A.R.P.A.*
Radar Observation and P.C. *
Dangerous Cargoes*
Anti- alcohol / drug test
Health Certificate
American Club PEME Form
Yellow Fever
USA Visa
Australian Electronic Visa
Bahamas License Endorsement
Bahamas GMDSS Endorsement
Panamanian License
Endorsement
Panamanian GMDSS
Endorsement
Isle of Man License
Endorsement
Others Certificates

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