1. APPLICATION FORM
Position Applied for: Chief engineer
Lowest Position Acceptable:
Date of Availability 10/30/2015
PERSONAL DETAILS
Family Name/Surname Kalashnikov
First Name / Given Name Gennady
Date & Place of Birth 11 July 1972, Klintsy town,Bryansk region, Russia
Nationality Russian
Permanent Address Chapaeva 11/4-62,St.Petersburg,197046,Russia
Present Address Chapaeva 11/4-62,St.Petersburg,197046,Russia
Present Contact Number (+7812) 498-19-13
Fax Number
Mobile Number (+7) 921-363-97-83
E-mail address gennady-kalashnikov@yandex.ru
Nearest international airport St.Petersburg (LED)
Marital status MarriedMarried
Colour of hair Blonde Colour of eyes Blue
Height (cm) 185cm Weight (kg) 83
Shoes size 43 Overall size 50
Next of Kin
Full Name / Relationship Kalashnikova Olga Wife
Address: Chapaeva 11/4-62,St.Petersburg,197046,Russia
Contact phone: (+7) 9216393519
E-mail: impos_child@mail.ru
Children
Name of child Date of birth Sex
Sergey Kalashnikov 16 June 1992 Male
Alexandra Kalashnikova 07 December 2012 Female
1
2. Travel documents
Passport
Number Date of issue Date of expire Authority Place of issue
72N8227298 03042014 03042024 St.Petersburg, Russia
Seaman's book
Number Date of issue Date of expire Authority Place of issue
MK 0133678 16012013 15012018 Port Captain St.Petersburg, Russia
Seaman's book(Cyprus)
Number Date of issue Date of expire Authority Place of issue
CY113317 17092007 16092017 Merchant shipping dept. Limassol, Cyprus
Sea service book book(Norway)
Number Date of issue Date of expire Authority Place of issue
13122004 Royal Norwegian Embassy Tallinn, Estonia
Seaman's book(Liberia)
Number Date of issue Date of expire Authority Place of issue
1157848 21052014 03042019 Office of deputy comissioner of maritime affairs Vienna,Virginia,USA
Seaman's book (Netherlands)
Number Date of issue Date of expire Authority Place of issue
.01827019 03112010 10/28/2020 Ministry of transport,public works and water management Rijswijk,The Netherlands
Bank details
Bank name ROSBANK
Bank address Mashi Poryvaevoy str.1 Bank phone number:
City MOSCOW Country RUSSIA
Post index 107078 Account number .40817840593730000025
SWIFT CODE RSBNRUMM
Correspondent bank: The Bank of New York Mellon Corporation
SWIFT CODE IRVTUS3N Account: 890-0372-508
Account owner's name Gennady Kalashnikov
Account owner's address Chapaeva 11/4-62,St.Petersburg,197046,St.Petersburg
Marine education
Name of School/University/Academy Date of graduation Profession
Tallinn Marine College of merchant 12071991 Marine diesel engines class technician
fleet ministry
St.Petersburg Marine Academy 02072001 Marine diesel engines class engineer
Moscow institute of heating engineering 21062006 Marine diesel engines 1class engineer
Professional Qualification/Certificate of Competence (also Flag State Endorsements)
Class/Grade Issuing country Certificate№ Date issued Expired Details of limitations
1 class engineer Russia 1011101701 05052006 24012016, MSO
3. 1 class engineer Hong Kong NS-000306 12082011 24012016 none
1 class engineer Netherland 8500230053/ 11042011 24012016 none
10039367
1 class engineer Liberia 957800 30102013 24012016 none
Vaccinations
Name Issue date Expiry date Issued by/Authority Issued at
Yellow fever 29082014 29082024 Marine Hospital St.Petersburg, Marine State Academy
Cholera 25111999 Marine Hospital Amsterdam, The Netherlands
Typhoid 25111999 Marine Hospital Amsterdam, The Netherlands
Tetanus
Hepatitis A
Polio 09061988 Central Marine Hospital Tallinn, Estonia
2
Name Certificate No. Date of issue Expires Details of Limitations/Grade
Petroleum
Liquified Gas
Liquid Chemicals
Courses Attended and Certificates Obtained
Name of Course/Certificate Certificate number Issue Date Expires Institute/Place
Basic Sea Survival . 293740 11022011 11022016 Training centre "Moscow State Academy of Water Transport",Russia
Proficiency in Survival Craft . 220608 26012011 26012016 Training centre "Moscow State Academy of Water Transport",Russia
Fire fighting
Advanced Fire Fighting . 137673 24012011 24012016 Training centre "Moscow State Academy of Water Transport",Russia
Medical&First Aid . 146202 31012011 31012016 Training centre "Moscow State Academy of Water Transport",Russia
Personal Survival Techniques . 293740 11022011 11022016 Training centre "Moscow State Academy of Water Transport",Russia
Medical certificate/
Health certificate 21102015 21102015 Medical department State University of Maritime and Inland Shipping,Russia
Training of seafarers with
designated security duties
(Section A-VI/6-2,table A-VI/6.2) 208174 18102013 18102018 Training center "MARSTAR",St.Petersburg, Russia
Petroleum Tanker Safety
Course
Liquified Gas Tanker Safety
Course
Chemical Tanker Safety
Course
Proficiency in Fast Rescue
Boats
Hazardous Materials
Initial Standby vessel crews
Training(ITSO)
Re-Breather Training
CAA (Civil Aviations
Authorities)
Offshore Medical
DP Maintenance Courses DPM114/11 08042011 State Marine Academy,St.Petersburg
DP Maintenance Courses
Dynamic positioning
Induction Course
Dynamic positioning
4. Simulator Course
Dynamic positioning
Operator's Certificate
Dynamic positioning
Log Book Details 18505 22042011 IMCA,London, UK
Hour done with various DP system
SYSTEM DETAILS Approx Hours as SDPO / Approx Hours as JDPO / Junior
Senior ETO / Senior Engineer ETO / Junior Engineer
DP2 Rolls-Royce 120
DP2 Converteam 7064
APPROXIMATE Total DP Hours in Various Operations
SAT DIVING CABLE LAYING
AIR DIVING SURVEY
ROV PIPE LAYING
WELL STIMULATION/ DRILL SHIP / SEMI SUB
INTERVENTION
AHTS PSV 7064
FPSO SHUTTLE TANKER
3
Languages (Spoken/Written/Understood) (1-poor 5-fluent)
ENGLISH 4 5 5
SPANISH 3 3 4
GERMAN 3 3 3
RUSSIAN 5 5
MARLIN'S TEST/ Institute: Baltic Group International Date:24052011 Place: Tallinn, Estonia
LEVEL 83%
Prefered regions of work: Asia, Africa, TBA
Minimum day rate 550-600 USD
Medical History
YES NO If Yes, then give further details
Have you ever signed off a ship due medical reason? X
Have you undergone any medical operations in past? X
Have you consulted a doctor during the past 12 X
months for an illness?/ Accident
Do you have any health or disability problem now ?? X
General
YES NO If Yes, then give further details
Have you ever been the subject of a court of enquiry X
or involved in a maritime accident?
Have you ever had a professional licence suspended X
or revoked?
References (Two last Employers)
Name of company Wagenborg Offshore Kazakhstan B.V.
Name Person to be contacted Hermanus van Petersen
Address Office 8/13,”Dostyk” Bautino village, Tupkaragan region, Mangistau
Oblast, the Republic of Kazakhstan
Tel No (+7)7293824940 Fax (+7)7293824941
E-mail wagkaz.hrkz@wagenborg.com
5. Name of company Tanska AS (All-Transport A/S)
Name Person to be contacted John Arvid Skaar
Address Strandgaten 3, 1724, Sarpsborg, Norway
Tel No (+47)91360061 Fax (+47) 69148411
E-mail all-transport@all-transport.no
Additional skills: gas and el.welding, lathe machines, computer and various electronic systems.
Declaration
I hereby declare that the above particulars are true and I authorize you to contact the referees listed above
And confirm that All my certificates / Licences are Authentic
Signed ………………………… Date: 13092015
