APPLICATION FORM.

Postion applied for: 3 RD/ENG.
Name, First name. GORBENKO IGOR
Date and place of birth. 19.10.67 KRIVOY ROG.
Home phone: 8 0552 299300 mob. 8 050 17776226

TITLE OF THE DOCUMENT. No. DATE. PLACE OF ISSUE. VALID UP

Seaman’s book AB 120829 30.04.1998 ODESSA 29.01.2008
Foreign passport AC 556525 10.03.1998 KRIVOY ROG 10.03.2008
National passport
Professional licence 00037/2003/07 21.01.2003 NIKOLAEV
Rank 3 RD/CLACES ENG.
Endorsement 00037/2003/07 21.01.2003 NIKOLAEV 21.01.2008
Rank 3 RD/CLACES ENG.
Personal Survival 55921 19.07.2001 ODESSA 19.07.2006
Fire Fight 20358 31.05.2001 ODESSA 31.05.2006
Medical first 16305 30.05.2001 ODESSA 30.05.2006
Survival craft 23008 29.05.2001 ODESSA 29.05.2006

SEA SERVICE (last five years)
POSITION NAME OF THE TYPE OF THE D W T TYPE ENG FROM TILL COMPANY
VESSEL VESSEL
OILER ALTAIR D/CARGO 19628 mt SULZER 05.2000 04.2001 FRANSER SHIPPING
OILER TINA 1 BULK 40 268 mt B + W 01.2002 10.2002 MARITAME ENTERPRISES
4 TH/ENG SOUTH GLORY BULK 40 268 mt B + W 10.2002 12.2002 SEA STAR
4 TH/ENG LADY STEEL D/CARGO 16 554 mt MAN 03.2003 01.2004 IRIKA SHIPPING Comp.

TOTAL SEA SERVICE : 8 YEARS.

EDUCATION: KHERSON MARINE COLEGE 1983-1987
NIKOLAEV TECHNICAL UNIVER. in progress

LAST MEDICAL EXAMINATION: YELLOW FEVER VALID : 05.2008

EXPERIENCE WITH FOREIGN OFFICERS / CREW :GREEKS, BULGARIAN.

READY FOR JOB NOW. GORBENKO IGOR