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: ****.*@****.**
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):
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