Application Form

ID: 5417
Position Cook
Alternative position
Expected salary 1500 USD/month
Availability date 25.04.2016

Personal Details

Last Name Bazhenova First Name Angelina

Date of Birth 1964 Place of Birth Perm
Nationality Russian Federation Citizenship Russian Federation
Sex Female Marital Status Single
Shoe size 39 Weight 54 kg
Height 167 cm Overall size XXXL
Hair color Blond Eyes color Blue

National Documents

Maritime Training Institute Sptu-18 naxodka

Number Issue date Expiry date Place of issue

Passport ********* 04.04.2016 15.02.2021 <!> *********
Seaman's Book ********* 24.06.2012 23.06.2017 <!> *********
Seafarer Identity Card

Certificates

Grade Number Issue date Expiry date Place of issue

COC Cook ********* 18.03.2003 18.03.2021 *********
Endorsement

Number Issue date Expiry date Place of issue

Basic Safety Training (VI/1) ********* 28.04.2014 28.04.2019 <!> *********
Medical Fitness Certificate ********* 01.04.2016 01.04.2017 <!> *********
Yellow Fever Vaccination ********* 01.09.2007 01.09.2017 <!> *********

Personal Skills

A: B: C: D: E: Remarks
Upper Intermed. / Lower Elementary / Beginner /
Intermed. / Upper Intermed. / Lower Elementary
Advanced Intermed. Intermed. Intermed.
Command of English language x
Computer literacy

Previous Sea Services

 Name of Vessel type Year Flag GT Engine KW Engine Rank Manager / From To
Vessel built type model Crew Agent
PRIAM (IMO: Product tanker 1992 South Korea 4646 Cook Morskoy 16.01.2015 16.05.2015
9063811) standart ltd.
YRIY Container ship 1994 Russian 6995 Cook Kamchatka 06.06.2014 23.11.2014
TARAPUROV Federation spipping co.
SCF VALDAI Product tanker 2003 Liberia 81085 Cook Sovcomflot ltd 16.05.2012 09.09.2013
(IMO: 9232864)
KAPITAN Container ship 1979 Russian 5333 Cook Fesco wallem 04.08.2011 08.02.2012
KREMS (IMO: Federation shipmanagem.
7941198) ltd / hong k
GRAND ANIVA LNG carrier 2008 Cyprus 122239 Cook Sovcomflot ltd 10.08.2010 10.01.2011
(IMO: 9338955)

Nationalities worked with South Korea, Vietnam

Reason of leaving the previous The end of the contract.
company
References (contacts)
Ability to work in War zones: Yes Pirate zones: Yes

In accordance GDPR (Regulation (EU) 2016/679) herewith I confirm my compliance with automatic processing of my personal data given in this application
form, including transfer of my personal data and documents to the third parties and storage of this data and documents for employment purposes, I confirm
that my personal data and documents inserted into this application are considered to be public information.

Above information is to the best of my knowledge correct. (To be signed by the person who completed the form)

Availability date 25.04.2016 Name in print Angelina Bazhenova

Copyright © 2021 BalticShipping.com. All rights reserved. E-mail: support@balticshipping.com