Bulletin Board

APPLICATION FOR EMPLOYMENT

1. Personal Data

Surname Name Father's Name Permanent Address

Sapozhnikov Sergey Vasil’evich Russia,primorskiy reg. Nakhodka,B.Entuziastov 6 flat 41

Citizenship Date of Birth Place of Birth Phone

Russia,Nakhodka 20.01.1957 Nakhodka Mobile Phone 8-914-674-87-37

e-mail sap7591@mail.ru

Height (cm) Weight (kg) Eyes Color Hair Color Size of Shoes Size of Working Clothes

175 186 grey brown 43 45

Document Series and No. Date of Issue Place of Issue Valid Until

Seafarer’s Identity Document RUS 0051438 01.07.11 Vladivostok 30.06.16

Seaman’s book MK 0007922 31.05.11 Vladivostok

Passport 64№0975790 19.0710 Nakhodka 19.07.15

2. Next of Kin

Surname Name Father's Name Permanent Address

Sapozhnikova Antonina Ivanovna Nakhodka Michurina 24 flat 184

Citizenship Date of Birth Place of Birth Phone

Nakhodka 28.09.1958 Nakhodka Mobile Phone 8-914- 794-75-85

Relation Degree

3. Marine Education

Full Name of School From (year) Till (year)

Marine College Vladivostok 2001 2003



4. Certificates/Courses

Highest Competency Certificate Held:

Issuing Authority Grade No. Date Issued Place Issued Valid Until

National Certificate of Competency c/o 3010205270 17.09.08 Vladivostok 17.09.13

Panama Endorsement First Deck officer CTB252555 10.09.09 24.07.13

Panama Endorsement GMDSS operator general CTB252551 10.09.09 08.09.13

Dangerous cargo certification:

A. Endorsement on National Certificate No. Date Issued Place Issued Valid Until Level

Petroleum (V/1)

Liquid Chemical (V/1)

Liquefied Gas (V/1)

B. Courses Training Center Name No. Date Issued Place Issued Valid Until

Oil Tankers Familiarization V/1 PRISCO training center 183180 11.11.11 Nakhodka 11.11.16

Oil Tankers Specialized V/1-2 PRISCO training center 163367 18.11.11 Nakhodka 18.11.11

Chem Tankers Familiarization V/1 PRISCO training center 183323 11.11.11 Nakhodka 11.11.16

Chem Tankers Specialized V/1-2 PRISCO training center 163567 18.11.11 Nakhodka 18.11.11

Gas Tankers Familiarization V/1

Gas Tankers Specialized V/1-2

Crude Oil Washing

Inert Gas System

Hazardous Cargoes B-V/4; 5

Crowd Mgmt Familiarization V/2-2

Crowd Mgmt Specialized V/2-3

Other Certificates Held and Courses Attended:

Courses / Certificate No. Date Issued Place Issued Valid Until

Basic Safety Training VI/I 148541 25.07.08 Vladivostok 25.07.13

Proficiency in Survival Craft and Rescue Boats VI/2-1 126061 25.07.08 Vladivostok 25.07.13

Proficiency in Fast Rescue Boats VI/2-2

Advanced Fire Fighting VI/3 035547 25.07.08 Vladivostok 25.07.13

Medical First Aid VI/4-1 076982 08.08.08 Vladivostok 08.08.13

Medical Care VI/4-2 148541 25.07.08 Vladivostok 25.07.13

Radar B/I-12 0121814 14.08.08 Vladivostok 14.08.13

ARPA B/I-12 0121814 14.08.08 Vladivostok 14.08.13

GMDSS Restricted IV/2

GMDSS Generall IV/2 0054490 17.09.08 Vladivostok 17.09.13

GMDSS Endorsement IV/2 0054490 17.09.08 Vladivostok 17.09.13

Ship Security Officer 90306 13.08.08 Nakhodka 13.08.13

Bridge Team Management

Ship Handling and Maneuvering

ISM Code

ECDIS

Vaccination Against Yellow Fever 17.08.07 Nakhodka 17.08.17

5. Visas

Country No. Date Issued Place Issued Valid Until Visa Type/Class

USA

Shengen

6. Sea Experience (Last 5 years - Most recent experience on top line)

Company Vessel’s Name / IMO Number Flag Vessel’s Type GRT KW Engine’s Type Rank Date

(dd/mm/yy)

From To

F/C “ INYA” Limanskiy Russia Reefer 2399 790 8NVD 48A C/O 19.04.11 30.08.11

F/C “ INYA” Buzanskiy Russia Reefer 2399 790 8NVD 48A C/O 02.09.10 07.01.11

Sea Shelter Maritime DD Vogue Panama Bulk 17136 6480 MAN B and W 2 OFF. 08.10.10 03.03.10

Primorskie Lesopromyshlenniki Arkadiy Dudenkov Russia Gen.Cargo 2875 1691 DM38AK C/O 15.10.08 19.04.09

Pamela Corp. Southern Arrow Cambodia Gen.Cargo 3951 3900 6UEC374 2 OFF. 03.09.07 18.04.08

Tsar Shipping Co. Evra Cambodia Gen.Cargo 3736 3250 h.p. 2 OFF. 30.05.07 16.06.07

Marino Trading Nobel Cambodia Gen.Cargo 3940 3300 2 OFF. 26.10.06 22.01.07

7. General

(A) Have you ever been denied a foreign visa? If Yes, state which country and reason (Yes / No) NO

(B) Have you been the subject of a court of inquiry or involved in a marine accident? (Yes / No) NO

(C) Nearest Airport Vladivostok (D) Last Salary ($US) 2200

(E) Date Availability for Service now (F) Waiting Salary ($US) 2500

(G) Knowledge of Language

Language Spoken (0-10) Written (0-10) Understanding (0-10)

English 6 8 6

Spanish

French

German

Italian

Attestation List:

1. Cargoes handling experience (for Chief Officer)

2. Experience of work with SATCOM

3. Computer users knowledge ok

4. Previous seagoing references availability

5. Any other useful info