1. APPLICATION FOR STAFF EMPLOYMENT
Positions applied for Cook/MessMan Salary
Surname Bulas Forename Andrii
Father’s name Mother’s name Ella
Date of birth 10/07/1987 Place of birth Ukraine/Odessa
Nationality Ukraine Marital status not married Number of children under 18 years no
Home Address Ukraine/Odessa/Ilfa & petrova str 14/108
Contact Phones 0636295784
Next of kin Mother / Dotsenko Ella Dmitrievna Relation
Next of kin’s address, tel. Ukraine/Odessa/Ilfa & petrova str 14/108
Height (cm) 188 Weight (kg) 85 Size of: Overall (EUR) Shoes (EUR) 43
Languages ENGLISH: Others: Computer Skills
PASSPORTS and CERTIFICATES
DOCUMENT NUMBER Issued Valid Place
Travel Passport EE047934 23MAY/08 23MAY/18 UKR
Seaman’s Book AB400210 26FEB/09 26FEB/2019 UKR
Civil Passport CM748903 19MAY UKR
U.S. VISA
Certificate of competency # 1 15 16OCT/2013 16OCT/2018 UKR
RANK / CAPACITY COOK
Endorsement of certificate # 1 0054/2009/08 10JUL/2014 16OCT/2018 UKR
Certificate of competency # 2
RANK / CAPACITY
Endorsement of certificate # 2
EDUCATIONAL ESTABLISHMENT GRADUATED FROM / CURRENTLY STUDYING DEPARTMENT DATE / COURSE
The Odessa highvocational schoolof the maritime tourism service / 2007
CERTIFICATE VALID UNTIL CERTIFICATE VALID UNTIL
Basic Safety Training 16OCT/2018 GMDSS Certificate / Endorsement
Proficiency in Survival Craft ARPA
Advanced Fire Fighting Radar Observation and Plotting
Medical First Aid Medical Care Ship Handling Arrangements
Ships Safety Officer Dangerous & Hazardous Cargoes
Ships Security Officer Maintenance of El./Electronic Eng.
SPECIFIC CERTIFICATES
CERTIFICATE VALID UNTIL CERTIFICATE VALID UNTIL
Tanker Familiarization Course RO-RO Passenger Ships
Oil Tanker Specialized Training Passenger Ships (Other than RO-RO) 16OCT/2018
Gas Tanker Specialized Training Proficiency in Fast Rescue Boats
Chemical Tanker Special. Training Crude Oil Washing
FOREIGN SEAMAN’S ID / RECORD BOOKS
DOMINICA ID SINGAPORE ID
BAHAMAS ID MOLDOVA ID
CYPRUS ID 29MAR/2020 TOGO ID
PREVIOUS SEA SERVICE
FROM POSITION NAME OF VESSEL TYPE OF VESSEL DWT FLAG
TO SALARY SHIPOWNER TYPE OF ENGINE BHP CREWING AGENT
15/04/2009 Catering boy Nena A Bulk Carrier Panama
22/11/2009 Sea Aquarius S.A V-Ships
08/04/2010 Catering boy Mihalis F Bulk Carrier Limasol,Cyprus
17/10/2010 Ferelpis Shipping LTD V-Ships
21/03/2011 Assistant
cook
Joalmi Bulk Carrier Limasol,Cyprus
25/07/2011 Makron Shipping LTD V-Ships
22/11/2011 Catering boy Joalmi Bulk Carrier Limasol,Cyprus
03/04/2012 Makron Shipping LTD V-Ships
29/07/2012 Catering boy Joalmi Bulk Carrier Limasol,Cyprus
04/12/2012 Makron Shipping LTD V-Ships
Date 27/01/2015