APPLICATION FORM

Rank:

Fourth -class engineer, Third-class engineer +welder

Name:

Yevhen

Surname:

Kutalov

Father’s name:

Sergeevich

Date of birth:

27.12.1980

Nationality:

Ukrainian

Citizenship:

Ukrainian

Place of birth:

Kherson, Ukraine

Near Airport:

Borispol

Present Address:

App.48, 200 years of Kherson- str., Kherson, Ukraine

Phone, Viber: +38-050-***-**-**, Phone: +38-050-***-**-**

E-mail: aczduj@r.postjobfree.com

Skype: evgenkut1

Names and age of children:

Timofey, 7 years

Marital Status:

Married

Next of kin:

Ludmila Prudskaya (wife) Phone: +38-050-*******

Present Address:

App. 48, 200 years of Kherson- str., Kherson, Ukraine

English Ability:

Good, but enough for work

Personal civil code (ID):

295-***-****

Knowledge Personal Computer:

Excellent

Minimal salary:

2000 $

Overall size:

XL

Height (cm):

178

Color of eyes:

green

Boots size:

43

Weight (kg):

85

Color of hair:

light brown

DOCUMENTS

Name of document

Number

Issued

Expired

Place of issue

Civil (National) Passport

MO677088

16.02.1999

---

Kherson

Travel (International) Passport

ES 192627

03.09.2014

04.09.2024

Kherson

Seaman’s Book

AB 563816

23.09.2015

23.09.2020

Kherson

Seaman’s seagoing service Record Book

010050

10.06.2010

---

Kherson

Certificate of competency Third-class engineer

00241/2017/11

16.01.2017

10.01.2022

Kherson

Endorsement Third-class engineer

00241/2017/11

16.01.2017

10.01.2022

Kherson

Designated security duties of shipboard personnel

5241

20.01.2017

20.01.2022

Kherson

Security awareness training for all seafarers

21041

09.12.2016

09.12.2021

Odessa

Training in medical first aid

24829

09.12.2016

09.12.2021

Odessa

Proficiency in survival craft and rescue boats

36921

09.12.2016

09.12.2021

Odessa

Training in advanced fire fighting

31435

09.12.2016

09.12.2021

Odessa

Basic safety training and instruction

44363

09.12.2016

09.12.2021

Odessa

Carriage of dangerous and hazardous substances

19600

09.12.2016

09.12.2021

Odessa

Engine room resource management (operational level)

04623

09.12.16

09.12.21

Odessa

Seaman's medical certificate

018332

26.12.2016

26.12.2017

Kherson

International certificate of vaccination or revaccination against yellow fewer

02.02.2012

02.02.2022

Kherson

SCHOOL/ACADEMY ATTENDED

Name of School / Course

Location of School

From:

To:

Type of diploma, certificate

Kherson secondary marine school of fishing industry

Kherson

01.09.2010

03.09.2013

(Third-class engineer)Officer in charge of an engineering watch in a manned engine-room or designated duty engineers in a periodically unmanned engine-room

PREVIOUS SEA SERVICE (LAST 5 YEARS)

Vessel’s name

Type /

Dwt / Year

M.E. Type / BPH / KWT

Rank

From

To

Flag

Owner

FAVORITE

IMO:8844074

Gen. Cargo / 5100 / 1980

2xRD Г-70

/ 1835 / 1350

Third-class engineer

04.04.2016

26.11.2016

Panama

US Deepblue Shipping Inc. Gunes Shipping (Turkey)

FAVORITE

IMO:8844074

Gen. Cargo / 5100 / 1980

2xRD Г-70

/ 1835 / 1350

Third-class engineer

13.10.14

31.07.15

Panama

US Deepblue Shipping Inc. Gunes Shipping (Turkey)

GEROI ARSENALA

IMO:8727604

Gen. Cargo / 2 850 / 1980

2xSHKODA 6-27 5A2L / 1400 / 1064

Third-class engineer

11.01.14

27.08.14

Sierra Leone

US Deepblue Shipping Inc. Gunes Shipping (Turkey)

CAFER REIS IMO:8720967

Gen. Cargo / 4 643 / 1987

2xRD Г-74

/ 2950 / 2200

Motorman-Welder

23.12.12

10.07.13

St Vincent

Cafer Reis Shipping

Gunes shipping (Turkey)

CAFER REIS IMO:8720967

Gen. Cargo / 4 643 / 1987

2xRD Г-74

/ 2950 / 2200

Motorman- Welder

22.03.12

22.09.12

St Vincent

Cafer Reis Shipping (Turkey)

Amur 2505

IMO 8872980

Gen. Cargo / 3100 / 1986

2xSHKODA 6-27 5A2L / 1400 / 1064

Motorman- Welder

12.03.11

19.10.11

Moldova

Transoptimal Rostov

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