APPLICATION FORM

YERMAKOV OLEKSANDR / Third Engineer

Personal Data Date of Readiness: 01.01.2017
rd
Position Apply 3 . Eng Last Wage 3200USD
DateAvailable 01.01.2017 Expected Wage Is discussed>
Surname Yermakov EnglishLevel Average
Computer
Name Oleksandr User
Knowledge
Fathers Name Victorovich Religion Orthodox
Citizenship Ukraine NearestAirport Odessa
Date of Birth 13.05.1975 Height / Weight 175/80
PlaceofBirth Russia Shoes / Overall 42/XL
Marital Status married Color of Eyes/ Hair Gray/blond
Contact
Home Phone +380950713936 12-a Pivdenna str.56-ap. Belgorod-
Mobile Phone +380964999157 Dnister city. Odessa reg. 67701
Address
Sashunya-
E-mail
ermakov@mail.ru
Next of Kin
Name / Relation Olga/wife
Home Phone Address Same
Mobile Phone +380978109543
Education
Name of Maritime Education Grade From Till
KyivStateMaritime AcademyAfter HetmanPetro Bachelor of Ship Energy 23.08.2011 17.06.2015
Konashevich -Sahaydachniy
Odessas professionalcollege of maritime Motorman 12.12.2012 29.07.2013
transport
Seafarers Training Centre Seaman 04.05.2010 08.11.2010
Sea Service during last 10 years
Vessel Name From Type Flag Main Engine
Rank
Shipowner Name Till DWT Year KW BHP
Portovik-9 Apprentice 12.08.2010 Tug Ukr. TDME-
-seaman 380Belorussia
Ukrrichflot 15.11.2010 90 1982 2x380
Sea Star 02.08.2012 General- Comoros YuchaiYC6M
O.S. cargo
Merhant Marine Shipping 30.09.2012 2981 2008 1765
Limited
Genoa Apprentice 02.10.2012 Passenger Ukr. CW170ZC
SK PP Solexs -motorman 01.12.2012 82 1987 2x300
Royal Star O.S. 05.12.2012 Ro-Ro St.Vince Sulzer-Skoda
Passenger nt&
Nevis
Everis Capital Holdings 21.06.2013 12586 1980 17400
LTD
Poseidon Express 20.10.2013 Ro-Pax Belize Sulzer
Motorman 2x12ZAV40
White Diamond 20.05.2014 24727 1990 2x720
Shipmanagement Gmbh 0

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Poseidon Express Motorman 21.06.2014 Ro-Pax Belize Sulzer
2x12ZAV40
Agencia Maritima Artiach 25.09.2014 24727 1990 2x720
Zuazaga S.L 0
HH South M/Oiler 12.11.2014 Container St. Wartsila NSD
ship Kitts&N 6L46C
evis
Arka Global Marine 20.05.2015 7171 1995 6300
Services LLC
Poseidon Express 3rd.Eng. 01.10.2015 Ro-Pax Belize Sulzer
2x12ZAV40
White Diamond 26.01.2016 24727 1990 2x720
Shipmanagement Gmbh 0
HH North 3rd.Eng. 08.02.2016 Container St. Wartsila NSD
ship Kitts&N 6L46C
evis
Arka Global Marine 05.09.2016 7171 1998 6300
Services LLC

References
Shipowner/
Shipmanager Contact person Address Contact Phone e-mail
name
A.S.A.P Olga(Crew Odessa +380674843933 asap@te.net.ua
rewing manager)
Agency
Arka Global Ayyagari Dubai +971506529303 ram@arkamarine.com
Marine Ramamurty(Owner)
Services
LLC

Passports, Seamans Books, Visas

Name of Document Number DateIssued PlaceIssued ValidUntil
Travel Passport FA865835 06.10.2015 5118 06.10.2025
Ukrainian Seamans Book AB556557 29.09.2015 Ilyichevsk 29.09.2020
USA Visa C1/D No
St.Kitts&NevisInternational Ship CDC109613 25.02.2016 SKN 25.02.2021
Registry
Endorsement 090069453 25.02.2016 26.10.2020

Certificates of Competency
Name of Document Grade Number DateIssued PlaceIssued ValidUntil
Third-class 12516/2015/01 24.09.2015 Izmail
Ukrainian License
engineer
Third-class 12516/2015/01 24.09.2015 Izmail 24.09.2020
Ukrainian Endorsement
engineer
Ukrainian License Motorman 00445/2013/08 11.10.2013 Odessa
Ukrainian Endorsement Motorman 00445/2013/08 11.10.2013 Odessa 26.10.2017
Ukrainian License Seaman 00637/2010/01 30.12.2010 Izmail
Ukrainian Endorsement Seaman 00637/2010/01 14.11.2012 Odessa 23.09.2015
IMO STCW95 Certificates
Name of Document Number DateIssued PlaceIssued ValidUntil

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GMDSS Endorsement
ARPA (A-I/12, A-II/1, A-II/2, B-I/12)
Personal safety(A-VI/1) 21748 02.09.2015 Odessa 02.09.2020
Advanced fire fighting (A-VI/3) 14392 07.09.2015 Odessa 07.09.2020
Prof. in survival craft (A-VI/2 p. 1-4) 20492 04.09.2015 Odessa 04.09.2020
Medical first aid (A-VI/4-1) 08635 09.09.2015 Odessa 09.09.2020
Medical care (A-VI/4-2)
Hazardous cargoes (B-V/4, B-V/5)
Safety officer (ISM code)
Crowd management (A-V/3)
Bridge Team Management
Ro-Ro passenger ships 02722 26.10.2012 Odessa 26.10.2017
Other Then Ro-Ro passenger ships 04379 26.10.2012 Odessa 26.10.2017
Electronican Electrical Maintenance
Ship security officer
Security Awareness Training(A- 02061 23.01.2014 Odessa 23.01.2019
VI/6-1)
Security Awareness Training(A- 02913 23.01.2014 Odessa 23.01.2019
VI/6-2)
Engine Room Resource 00297 31.08.2015 Odessa 31.08.2020
Management(operational level)
Tankers Certificates
Name of Document Number DateIssued PlaceIssued ValidUntil
Tanker Familiarization 00958 01.07.2013 Odessa 01.07.2018
Oil Tanker Specialized Training
Chemical Tankers Specialized Training
Liquefied Gas Tankers SpecializedTraining
Crude oil wash (C.O.W)/ Inert Gas System

Other Certificates
Name of Document Number DateIssued PlaceIssued ValidUntil
DP System Maintenance
Helicopter Underwater Escape Training
Medical
Name of Document Number DateIssued PlaceIssued ValidUntil
Medical Certificate 2734 05.02.2016 Odessa 05.02.2017
Drug & Alcohol Test Report 2734 05.02.2016 Odessa 05.02.2017
Yellow Fever Vaccination Card 131 09.07.2012 Odessa 09.07.2022

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