Доска объявлений

APPLICATION FOR EMPLOYMENT

1. Personal Data

Surname Name Father's Name Permanent Address

Tkach Igor Evgenievich Kaliningrad str.Nosova 8.flat 2

Citizenship Date of Birth Place of Birth Phone 7 4012 213-608

Russian Federation O1.02.1952 Leningrad Mobile Phone 7 911 450 5220

e-mail itkach@inbox.ru

Height (cm) Weight (kg) Eyes Color Hair Color Size of Shoes Size of Working Clothes

173 82 Dark brown Brunet 41 52

Document Series and No. Date of Issue Place of Issue Valid Until

Passport 70 3189130 28.05.2009 ФМС 39006 Kaliningrad 28.05.2014

Seafarer’s Indentity Document RUS 0080797 31.01.2011 FSI”Kaliningrad MPA’’ 30.01.2016

Seafarer’s Indentification and Sea Service Record Book Cy 155170 27.01.2010 Limassol. Republic of Cyprus. 26.01.2020

Endorcement RE00055510 MRU01025201 27.01.2010 Limassol. Republic of Cyprus. 17.10.2013

2. Next of Kin

Surname Name Father's Name Permanent Address

Tkach Dina Igorevna Kaliningrad.str.Nosova 8/2

Citizenship Date of Birth Place of Birth Phone 7 4012 213-608

Russian Federation 26.02.1989 Kaliningrad Mobile Phone 7 911 465 2686

Relation Degree Daughter

3. Marine Education

Full Name of School From (year) Till (year)

Passed examinations at Kaliningrad Heigher Engineering Marine School in 1982

for class of engineer-navigator. 1978 1982

4. Certificates/Courses

Highest Competency Certificate Held:

Issuing Authority Grade No. Date Issued Place Issued Valid Until

National Certificate of Competency Master 1040102618 24.02.2005 Kaliningrad 25.10.2013

Dangerous cargo certification:

A. Endorsement on National Certificate No. Date Issued Place Issued Valid Until Level

Petroleum (V/1)

Liquid Chemical (V/1)

Liquefied Gas (V/1)

B. Courses Training Center Name No. Date Issued Place Issued Valid Until

Oil Tankers Familiarization V/1

Oil Tankers Specialized V/1-2

Chem Tankers Familiarization V/1

Chem Tankers Specialized V/1-2

Gas Tankers Familiarization V/1

Gas Tankers Specialized V/1-2

Crude Oil Washing

Inert Gas System

Hazardous Cargoes B-V/4; 5

Crowd Mgmt Familiarization V/2-2

Crowd Mgmt Specialized V/2-3



Other Certificates Held and Courses Attended:

Courses / Certificate No. Date Issued Place Issued Valid Until

Basic Safety Training VI/I 185553 31.10.08 Kaliningrad.BMTC 31.10.13

Proficiency in Survival Craft and Rescue Boats VI/2-1 150764 31.10.08 Kaliningrad.BMTC 31.10.13

Proficiency in Fast Rescue Boats VI/2-2 229984 30.09.10 Kaliningrad.BMTC 30.09.15

Advanced Fire Fighting VI/3 080677 31.10.08 Kaliningrad.BMTC 31.10.13

Medical First Aid VI/4-1 086535 31.10.08 Kaliningrad.BMTC 31.10.13

Medical Care VI/4-2 136752 17.08.10 Kaliningrad.BMTC 17.08.15

Radar B/I-12 0087598 25.10.08 Kaliningrad.BMTC 25.10.13

ARPA B/I-12 0088902 25.10.08 Kaliningrad.BMTC 25.10.13

GMDSS Restricted IV/2 Na Na Na Na

GMDSS Generall IV/2 0013284 05.07.2000 Kaliningrad Harbour master Na

GMDSS Endorsement IV/2 0013284 20.10.2008 Kaliningrad Deputiy Harbour master 17.10.13

Ship Security Officer 025600 30.10.2008 Kaliningrad.BMTC 30.10.2013

Bridge Team Management

Ship Handling and Maneuvering

ISM Code 00.131.121 20.01.2000 Kaliningrad.BMTC Sine anno

ECDIS Na

Vaccination Against Yellow Fever Na 09.06.08 Rus.Vaccination Centr 09.06.2018

Ships carring dangerous and hazardous substances in solid form in bulk and I packed form (Sections B-V/b, B-V/c.) B-V/b, B-V/c 048945 04.08.10 Kaliningrad.BMTC 04.08.2015

5. Visas

Country No. Date Issued Place Issued Valid Until Visa Type/Class

USA

Shengen (000473341) and 010981429 22.06.11 Kaliningrad.(POL) 22.12.13 ‘’C’’ MULT. 90days

6. Sea Experience (Last 5 years - Most recent experience on top line)

Company Vessel’s Name / IMO Number Flag Vessel’s Type DWT HP Engine’s Type Rank Date

(dd/mm/yy)

From To

Kaliningrad Lukoil Morneft Neftegaz-31’’ IMO 8422187 Russia Tug Supply Vessel 1400 ton 7200 6ZL 40/48 ZULTZER/DIESEL Captain 1995 2003

Kaliningrad Lukoil Morneft Atlet-4 IMO 8507406 Russia Crane Vessel 460 ton ~3500 Na Captain 2003 2004

SHL Contracting Ltd Neftegaz-66 IMO 8418564 Cyprus AHTS 1400 ton 7200 6ZL 40/48 SULZER/DIESEL Captain 2004 2011

7. General

(A) Have you ever been denied a foreign visa? If Yes, state which country and reason (Yes / No) No

(B) Have you been the subject of a court of inquiry or involved in a marine accident? (Yes / No) No

(C) Nearest Airport Kaliningrad’Xrabrovo’.Poland. Lithuania.Latvia (D) Last Salary ($US) per days 300$

(E) Date Availability for Service Permanent. (F) Waiting Salary($US) per days 300-350

(G) Knowledge of Language

Language Spoken (0-10) Written (0-10) Understanding (0-10)

English 5 8 5

Attestation List:

1. Cargoes handling experience (for Chief Officer)

2. Experience of work with SATCOM

3. Computer users knowledge yes

4. Previous seagoing references availability

5. Any other useful info







4. Project; Recovery Mission Ariane-5.(2002-2003y)