PERSONAL     APPLICATION    FORM                                                         
                                                 Rank:       ÑH.OFF deep sea navigator II/2                                                                                                     
Personal data 
                                                                                                                                                                     
Name           	BYELOUSOV  VOLODYMYR
Date of birth	21.09.64	Place of birth	SVERDLOVSK	Nationality	Russian
Marital status 	SINGLE	Address 	58/19 STACHANOVSKAYA STR., YALTA, UKRAINE	Tel
Mob	+ 380 654 261801
+ 380 66 9370245
Next of kin	BROTHER  BELOUSOV MICHAEL	Address	App.99/, 8/5 TURISTOV STR., SIMPHEROPOL,CRIMEA, UKRAINE
Pre-sea education	ODESSA HIGH MARINE SCHOOL  in 1987    E-MAIL:        mailto:   hgg.mare@gmail.com
                                                                                                     Skype:                       hgg.mare

                                       Document ¹      Date and place of issue    Expiry date      

Seaman’s book  UA        	AB 016458	14/04/03 SEBASTOPOL	14/04/13
Civil Travel Passport	EE828879	26/12/08      - 0119	26/12/18
DUTCH  seaman’s book	A 202308	 26/01/01  Rotterdam	26/01/11
CYPRUS  seamen’s book	ÑY  044647	21/07/03 Limassol	21/07/13
Bahamas  seamen’s book	LON 67612	23/05/06 London	23/05/16

COC & STCW Certificates

	Grade                      	Certif. ¹	     Date and place of issue	Expiry date
Certificate of competency	Ch Off   II/2	296/2003/10	14/03/03  SEVASTOPOL	
Endorsement 	Ch Off   II/2	296/2003/10	02/02/09  NIKOLAEV	22/10/09
GMDSS CoC & Endor	GENERAL OPER	327/2004/10	02/11/04  SEVASTOPOL	22/10/09
GMDSS  Certificate DNV	GENERAL OPER.	0400/2004	22/10/04  ODESSA	22/10/09
Radar-ARPA	Management .Level	0469/2004	22/10/04  ODESSA	22/10/09
Ship Handling Arrangements	Management .Level	10621C	19/01/09 SEVASTOPOL	20/01/14
Basic Safety Training		13367C	16/01/09 SEVASTOPOL	17/01/14
Dangerous goods		15116C	15/01/09 SEVASTOPOL	16/01/14
Advanced fire fighting		05627C	16/01/09 SEVASTOPOL	17/01/14
Medical care		1161C	16/01/09 SEVASTOPOL	17/01/14
Prof. in sur. craft & rescue boat		08560C	16/01/09 SEVASTOPOL	17/01/14
Prof. in sur. craft & FRB		03480U	18/05/06  IZMAIL	18/05/11
Passenger ship non Ro-RO		3360C	15/01/09 SEVASTOPOL	16/01/14
Passenger ship Ro-Ro 		LZ 089954B	15/05/06 ODESSA	15/05/11
SSO (ISPS Code)		0060/2009/05	23/01/09 SEVASTOPOL	23/01/14
Other certificates of Competency held
Bahamas CoC + GMDSS	Ch.Officer	LN073111	23/08/05	
Foreing Flag 
SEA SERVICE   Last 5 years.

Fm	        To	       Ship’s name	Vsl type/ DWT	Type of engine/BHP	Flag	       Company	                 Rank
							
03-00	10-00	FRET SAVOIA	HLIFT 5500	B&W	GERMANY	HARREN& PARTNERS	2/CH.MATE
02-01	06-01	VARNEBANK	MULTI
9000	B&W	DUTCH	WAGENBURG	2 MATE
09-01	01-02	CARINA	MULTI
5000	B&W	DUTCH	WIJNNE&BARENDS	2 MATE
04-02	10-02	VALENTINA	PASS/CAR FERRY 5000	PIL	GREEK	BRIGHT ECLIPCE NAVIGATION	CH. OFF
05-03	09-03	ATALANTE	PASS 11 000
PAX 700	B&W	CYPRUS	PARADISE CRUISE	CH OFF
12-03	12-04	KRYMSKAYA STRELA	PASS/FERRY
PAX 300	Westamarin	UKRAINE	YALTA SEA TRADE PORT	CH OFF
05-05	12-05	RADISSON 
DIAMOND	PASS/CRUISE/
CASINO
PAX 500	MAN	BAHAMAS	CELTIC PACIFIC UK
TEASURE LTD. HK	SAFETY
OFF
05-06	10-06	Malta Express	Pass/Car Ferry
PAX 100	BW	BAHAMAS	ISP USA	CH OFF
03-07	06-07	Ocean Odyssey	Cruise
PAX 150	Pil	Panama	Indian Ocean Cruises	CH.OFF
06-07	08-07	City of Sunderland	Ferry	BW	UK	Anglo-Eastern Ship.Co	CH.OFF