1. GRETĖ Ltd
Tel/Fax. +370 46 432860
E-mail: info@grete.lt
http:www.grete.lt
APPLICATION FORM
PERSONAL DATA
Family Name DANSHYN Birth Date 25.07.1978
First Name (s) OLEKSANDR Birth Place Odessa reg., Ukraine
Nationality Ukrainian
Civil Status married Height (cm) 180
No. of Children one Weight (kg) 85
Nearest Airport Odessa (ODS International)
ADDRESS 33/1D, Yashi Gordienko Str.,
Odessa, 65006, Ukraine
Email Address alexdanshyn@yahoo.com
Mobile Phone +380501648929
Home Phone +380482338154
NEXT OF KIN INFORMATION
Family Name,
First Name(s)
Tsaran
Inna
Address and phone 33/1D, Yashi Gordienko Str.,
Odessa, 65006, Ukraine
Mob: +38095 2005700Relationship spouse
REMARKS
Requested Rank mechanic Availability Date 19.10.2015
Prefer. Vessel Type offshore Minimum Salary 3000 usd
English Language Skills Spoken: excellent Written: excellent
Other Foreign Languages Turkish- fluent, English- fluent, ukrainian - native, russian - native
Education Odessa National Agrarian University 1996-2001 Mechanical Engineer
Odessa Maritime College of Technical Fleet 2010-2012 Marine
Engineering
Foreign Crew Experience
(specify nationalities) EU, Arabs, US, Australians, British, Asians, Baltic's, Canadians, etc.
Other Skills Can drive and operate excavator, bulldozer, truck, lathe and drilling
machine, CNC machine, welding, cutting.
Further Remarks
I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge.
Date: 19.10.2015 Signature:Даньшин.
2. LIST OF DOCUMENTS
Family Name
First Name
Document Name Document
Number
Issue Place Issue Date Exp. Date
Passport EE841853 Odessa, Ukraine 08.01.2009 08.01.2019
Seaman Book AB437490 Odessa Port 14.04.2010 16.01.2020
Certificate of competence 00942/2012/08 Odessa Port 28.12.2012 31.12.2016
Basic safety course 2014/2012 TCCS, Ukraine 01.11.2012 01.11.2017
Survival craft, rescue boats other than
fast rescue boats
1758/2012
31.10.2012 31.10.2017
Proficiency in Fast Rescue Boats
Advanced Fire Fighting 1374/2012 TCCS, Ukraine 22.11.2012 22.11.2017
Medical First Aid 1128/2012 TCCS, Ukraine 22.11.2012 22.11.2017
Medical Care
GMDSS
Radar Navigation, Radar Plotting, and
Use of ARPA
Radar, ARPA, Bridge Teamwork and
Search and Rescue
ECDIS
Ship Security Officer
Security Awareness Training for All
Seafarers
Security Training for Seafarers with
Designated Security Duties
1089/2013
27.12.2013 27.12.2018
Carriage of Dangerous and Hazardous
Substances course
1178/2012
TCCS, Ukraine
31.10.2012 31.10.2017
Bridge Team Management
Tanker familiarization course 2486/2012/AT Alfa Training, Ukraine 06.11.2012 06.11.2017
Chemical Tanker Specialized 1147/2012 OMTC, Ukraine 16.11.2012 16.11.2017
Oil Tanker Specialized 1140/2012 OMTC, Ukraine 16.11.2012 16.11.2017
Gas Tanker Specialized 1151/2012 OMTC, Ukraine 16.11.2012 16.11.2017
Engine Room Simulator
Medical Fitness Certificate 045556 ONMA,Odessa, Ukraine 01.12.2014 01.12.2015
DP-basic course
DP-advanced course
DP certificate
DP maintenance course 17/162/2014 Lerus Training Center 27.08.2014
Helicopter landing officer
HUET
BOSIET 248557003004142
45
KMSTC, Kherson,
Ukraine
30.04.2014 29.04.2018
DP Officers / ETO
DP Certification Cert No Date Of Issue Date Of Expiry Place of Issue
Rank DP Hours DP System Area Of Ops Ops Type
3. SEA SERVICE (LAST 10 YEARS)
Family Name
First Name
Date of Birth:
Vessel's name Flag GT kW Ship type Type of
engine
Rank S/On Date S/Off Date Employer (company to contact for
reference)
DMS FINCH KAZ 24 868
Fast crew
Supplier
CAT 3406E 3rd Eng 05.07.2015 03.09.2015
Atlas Proffesionals, +38 048 777 41 63
www.atlasprofessionals.com
Oceanic 5000 Barbados 54744 11000 DP2 HL/PLV
STX MAN
B&W
Mechanic 16.03.2015 21.05.2015
MSH, UAE Tel: +971 (6) 5252053
Fax: +971 (6) 5377919
P.O.Box: 38313 Sharjah, UAE
Oceanic 5000 Barbados 54744 11000 DP2 HL/PLV
STX MAN
B&W
Motorman 10.12.2014 03.02.2015
MSH, UAE Tel: +971 (6) 5252053
Fax: +971 (6) 5377919
P.O.Box: 38313 Sharjah, UAE
Oceanic 5000 Barbados 54744 11000 DP2 HL/PLV
STX MAN
B&W
Motorman 01.09.2014 10.11.2014
Oceanic Marine Contractor P.O. Box:121631 Dubai, UAE
Tel: +971 4 3799911
Fax: +971 4 3799922
Oceanic 5000 Barbados 54744 11000 DP2 HL/PLV
STX MAN
B&W
Motorman 26.05.2014 10.08.2014
OMC, P.O. Box:121631 Dubai, UAE
Tel: +971 4 3799911
Fax: +971 4 3799922
Union Onyx CYP 493 3678 TUG ASD ABC Motorman 14.03.2014 28.03.2014
Transport Offshore Service, Odessa, Ukraine, T: +380 48
785 40 98 F: +380 48 785 40 97 24
Union Topaz CYP 493 3678 ASD TUG ABC Motorman 08.02.2014 24.02.2014
Transport Offshore Service, Odessa, Ukraine, T: +380 48
785 40 98 F: +380 48 785 40 97 24
Aviona Liberia 33044 9484 Bulk Carrier
MAN B&W
6S50MC-CS
Motorman 23.04.2013 14.11.2013 Staff Centre Odessa, e-mail: office@staff.od.ua; t: + 380
482 34 75 73 Fax:+ 380 482 34 77 84
Danapris 4 Ukraine 2446 1000 Bulk Carrier SKL Motorman 24.03.2012 28.09.2012 Stolychna sudnova kompania
Aviona Liberia 33044 9484 Bulk Carrier
MAN B&W
6S50MC-CS
Motorman 08.08.2011 19.03.2012 Staff Centre Odessa, e-mail: office@staff.od.ua; t: + 380
482 34 75 73 Fax:+ 380 482 34 77 84
Forth Bay Marshall 7180 4500 Chem. Tank Wartsila Motorman 01.07.2010 20.01.2011
Nicki Manning Services, Odessa, Ukraine
Tel : +380 48 712 6317
Fax: +380 48 712 6318
Email: crew@nikimanning.com
I hereby declare that the above is true. I further consent to the holding and processing by you and any of your direct or indirect parent or subsidiary or associated or affiliated companies
(hereafter the “Company”). Your or Company’s principals of personal data about me for all purposes related to my application for employment on board vessels managed by the Company or
vessels owned or operated by third parties for whom the Company is engaged to provide crew. I understand that this data will be stored in your databases in relation to my actual or potential
employment by or through the Company. Further, I confirm that the above may involve the transfer of my personal data within the Company or to third parties worldwide.