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APPLICANT’S PERSONAL DATA
POSITION APPLIED FOR: _________

FIRST/LAST NAME : SANAL TSEBEKOV MARITAL STATUS : NOT MARRIED PHOTO
FATHER’S NAME : NIKOLAY NUMBER OF CHILDREN : NO
DATE/PLACE OF BIRTH : 17.02.1983 NEXT KIN : NIKOLAY TSEBEKOV
RUSSIA, ASTRAKHAN RELATION : NO
CITIZENSHIP : RUSSIAN NEXT KIN ADDRESS :
RUSSIA , ASTRAKHAN
ADDRESS : RUSSIA , ASTRAKHAN
NEXT KIN NAME NIKOLAY TSEBEKOV
PHONE : +79375047145 PHONE : +79371253791

MARITIME EDUCATION RECEIVED

NAME OF SCHOOL/ACADEMY FROM TILL TYPE OF DEGREE RECEIVED
INSTITUTE of Sea and River Transport KIMRT 1998 2002 Master

DOCUMENTS

PASSPORT/SBK NO. PLACE OF ISSUE Date of issue/validity
SEAMAN’S PASSPORT RUS 0137672 FSBI 06.12.2017/ready is Administration of
“ADMINISTRATION OF THE MPCS” the MPCS
TRAVEL PASSPORT 750678226 RUSSIA ФМС 30001 05.02.2015/05.02.2025
OTHER S/B
SCENGEN VISA NO NO NO

STCW
CERTIFICATE GRADE NO. PLACE OF ISSUE Date of issue/validity
Cert. of Competency:
Endorsement:
Cert. of Competency:
Endorsement:
BASIC SAFETY TRAINING 1748147 KIMRT ASTRAKHAN 10.12.2021 10.12.2026
MEDICAL FIRST AID ON BOARD SHIP/ MEDICAL CARE 1758531 KIMRT ASTRAKHAN 17.12.2021 17.12.2026
PROFICIENCY IN SURVIVAL CRAFT 1752010 KIMRT ASTRAKHAN 13.12.2021 13.12.2026
ADVANCED FIRE FIGHTING 1756048 KIMRT ASTRAKHAN 14.12.2021 14.12.2026
DANGEROUS AND HAZARDOUS CARGOES
RADAR OBSERVER & PLOTTING/A.R.P.A. 1771902 KIMRT ASTRAKHAN 30.11.2021 30.11.2026
MAINTENANCE OF ELECTRICAL AND ELECTRONIC ENGINEERING
BRIDGE TEAM MANAGEMENT
SHIP HANDLING ARRANGEMENTS
SHIP SECURITY OFFICER (ISPS)
SHIPS SAFETY OFFICER (ISM) 1765284 KIMRT ASTRAKHAN 27.12.2021 27.12.2026
TRAINIG OF SEAFARES WITH DESIGNATED SECURITY DUES
TANKER FAMILIARIZATION
OIL TANKERS SPECIALIZED TRAINING
GAS TANKERS SPECIALIZED TRAINING
CHEM. TANKERS SPECIALIZED TRAINING
CRUDE OIL WASHING OF OIL TANK
INERT GAS SYSTEM
ECDIS 1778040 08.12.2021 08.12.2026
PHYSICAL FITNESS
MEDICAL EXAMINATION CERTIFICATE 06.04.2022 06.04.2023
YELLOW FEVER VACCINATION
DRUG & ALCOHOL TEST 06.04.2022 06.04.2023


PREVIOUS SEA SERVICE (Last 5 years):

VESSEL NAME COMPANY FLAG VESSEL TYPE


NOTES


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