APPLICATION FORM
|
Name |
Zhavoronkov
Dmiry Olegovich |
|
Rank |
Second
mate |
|
Date
of birth |
26
October, 1963 |
|
Place
of birth |
Prokop'evsk,
Kemerovo reg, Russia |
|
Phone |
+7 0112
211733 |
|
Fax |
+7 0112
328708 |
|
E-mail |
|
|
Citizenship |
Russian
Federation |
|
Marital
status |
married |
|
Knowledge
of English language |
good |
|
Other
laguage |
polish
(satisfaction) |
Licenses, grades, certificates:
|
License held / grade, certificate |
No. |
Authority |
Country |
Date of issue |
Expiry date |
|
75/99 |
Baltic
Marine Training Center |
Russia |
09 March 1999 |
09 March 2004 |
|
|
173/1987 |
Master
Harbour of Port Kaliningrad |
Russia |
26 May 1987 |
No expiry |
|
|
173/1987 |
Master
Harbour of Port Kaliningrad |
Russia |
29 April 1998 |
29 April 2003 |
|
|
714/99 |
Government
of the Netherlands Antilles |
Netherlands Antilles |
20 August 1999 |
29 April 2003 |
|
|
0000866 |
Master
Harbour of Port Murmansk |
Russia |
23 November 1999 |
No expiry |
|
|
0000866 |
Master
Harbour of Port Murmansk |
Russia |
23 November 1999 |
23 November 2004 |
|
|
|
Health
protection department of Kaliningrad region administration |
Russia |
|
|
|
|
00.106.121
|
Baltic
Marine Training Center |
Russia |
30 August 2000 |
30 August 2005 |
|
|
|
Master
Harbour of Port Kaliningrad |
Russia |
05 March 1999 |
05 March 2004 |
|
|
85 / 2000 |
Master
Harbour of Port Kaliningrad |
Russia |
02 September 2000 |
02 September 2005 |
|
|
Other
documents |
|
|
|
|
|
|
51
0048702 |
Ministry
of Foreigh Affairs, Kaliningrad |
|
13 April 2000 |
13 April 2005 |
|
|
PX
0248034 |
Port
Kaliningrad, Master Harbour |
Russia |
05 March 1999 |
05 March 2004 |
|
|
28281943 |
Moscow,
USA Embassy |
Russia |
22 March 1999 |
22 March 2001 |
|
|
|
Ministry
of Health, Kaliningrad |
Russia |
03 March 1999 |
03 March 2009 |
|
|
|
Health
protection department of Kaliningrad region administration |
Russia |
|
|
|
|
065049 |
Reftransflot-Navigator
Training Center |
Russia |
18 September 2000 |
18 September 2005 |
|
Computer
skills |
Advanced
user |
|
Hobbies |
Guitar,
Internet surfing, tourism, reading |
May 18,
2002
