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| Position applied for: Cook / Seaman 1 | Address: 173025 V.Novgorod Zelinskogo st.44/17 apt.46.Russia | 
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| Surname: Mikushov | ||||
| Forenames Eduard | Tel.: | Cont.Tel:+79095656682 | ||
| Date of Birth: 27.06.1975 | Marital status: Married | No of Children: two daughters | ||
| Place of Birth: Tatarstan USSR | ||||
| Nationality: Russia | Date, Place issued: 19.03.2002 V.Novgorod | |||
| Native Language: Russia | ||||
| Languages spoken: English | Passport: 4901273231 | |||
| Education: College | Next of Kin (Lebedeva Natala): Wife | |||
| Education Body: Cooking college | Address: 173025 V.Novgorod Zelinskogo st.44/17 apt.46. Rossia Tel.: +79602053004 | |||
| Licenses | Grade | Number | Date Issued | Education Body | Expiry Date |
| Certificate of Competence | Ch.Cook | 26.08.2003 | Port St.Petersburg | permanent | |
| Certificate of Competence | Seaman | 03.06.2004 | Port St.Petersburg | permanent | |
| Flag St. Recognition Cert | |||||
| Flag St. Recognition Cert. | |||||
| GMDSS | |||||
| Endorsement of GMDSS | |||||
| Radar Observ. Simulator | |||||
| ARPA | |||||
| Survival craft & rescue boat | 28.10.2014 | MTC of St.Petersburg | 28.10.2019 | ||
| Advanced Fire-Fighting | |||||
| Carriage of D-s & Has-s sub-s | 30.10.2014 | MTC of St.Petersburg | 30.10.2019 | ||
| First Aid at Sea | |||||
| Basic safety training | 24.10.2014 | MTC of St.Petersburg | 24.10.2019 | ||
| Watchkeeping | |||||
| Training of seafarers | 01.11.2014 | MTC of St.Petersburg | 01.11.2019 | ||
| Tanker | 11.06.2015 | MTC of St.Petersburg | 10.06.2020 | ||
| Document | Number | Date Issued | Place Issued | Expiry Date |
| Seaman's Passport | RUS 0136082 | 17.11.2014 | FSI Volgo-Balt St.-Petersburg | 16.11.2019 |
| Seaman's Book | MK 0248643 | 24.11.2014 | JS"NWS Company" | permanent |
| Travel Passport | 17.07.2013 | V.Novgorod FMS 416 | 17.07.2018 | |
| US Visa | ||||
| Health Certificate | N/A | 16.06.2015 | St.-Petersburg | 15.06.2016 |
| Yellow Fever | N/A | 09.06.2015 | St.-Petersburg | 09.06.2025 |
| Drug and Alcohol | N/A | St.-Petersburg | ||
| Schengen visa |
| Eyes: Brown |
| Hair: Black |
| Height: 175 |
| Weight: 80 |
| Shoes: 41 |
| Overall: 52 |
Previous Sea Experience (for last 10 Years)
| From | To | Vessel | Flag | DWT | HP | Engine | TypeOfVessel | Position | Company | Com. Tel |
| 02.12.2014 | 05.05.2015 | Malachite | Russia | MAK 8M 25C | Dry cargo | cook | NWSC | +79312050531 | ||
| 06.10.2008 | 30.10.2014 | ООО «КРУСТА» | Russia | Технолог-менеджер | ||||||
| 01.07.2006 | 10.03.2008 | ООО «Наполи» ресторан | Russia | повар | 8(8162)63-63-07 | |||||
| 25.08.2004 | 27.11.2005 | Sv.Georgy Popedonosez | Russia | Dry cargo | cook | NWSC | +79312050531 | |||
gold medal award for best pizzeria «Moscow culinary Cup 2006» С автоматизированной обработкой моих персональных данных указанных в анкете, их передачей (включая трансграничную) и хранением в целях трудоустройства согласен.
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