Sergey Yunusov, a Russian chief engineer, has applied for the position. He provides details of his personal and contact information, education, certifications, language skills, safety training, medical certifications, and extensive work experience as chief engineer on oil and chemical tankers from 2003 to the present. References are provided from his recent employers DS Tankers, V-Ships UK, and Sanko Kisen.

1. APPLICATION FOR POSITION AS Chief Engineer OTHER POSITION (IF ANY) No
1. PERSONAL DETAILS
TITLE MR/MRS/MISS Mr SEX MALE FEMALE
SURNAME Yunusov
FIRST NAME Sergey OTHERS NAMES Minzakiyevich
DATE OF BIRTH 24.10.1972 PLACE OF BIRTH Russia
NATIONALITY Russia MARITAL STATUS Married
COLOUR OF EYES Hazel COLOUR OF HAIR Brown
MOTHER’S NAME Liudmila Yunusova FATHER’S NAME Minzaki Yunusov
MOTHER’S MAIDEN NAME Liudmila Alyabina
HEIGHT (CM) 180 WEIGHT (KG) 88
NEARST INTERNATIONAL AIRPORT: CVG international airport
2. ADDRESS ADDRESS (TEMP.) FROM/TO:
NO & STREET 7481 Placid Lake Dr, apt 208 NO & STREET
CITY Mason, Ohio CITY
POST CODE 45040 POST CODE
COUNTRY USA COUNTRY
TEL. NO. TEL. NO.
MOBILE +1 513 5159263 MOBILE
E-MAIL Sergeyyunusov72@gmail.com E-MAIL Yunusov-s@mail.ru
FAX FAX
3. NEXT OF KIN
FULL NAME Olga Anikina RELATIONSHIP Wife
ADDRESS 7481 Placid Lake Dr, apt 208
CITY Mason, Ohio COUNTRY USA
TEL. NO. +7 812 6828372 MOBILE +1 513 7608068 FAX NO.
4. CHILDREN
NAME OF CHILD DATE OF BIRTH SEX
Anastasiia Anikina 25.05.2001 M F
M F
M F
5. TRAVEL DOCUMENTS
TYPE DOCUMENT NO. ISS.DATE EXP.
DATE
ISS. BY (AUTHORITY) PLACE OF ISSUE
PASSPORT 720946358 30.08.2012 30.08.2022 Russia St Ptersburg, Russia
SEAMAN BOOK MK0133072 02.11.2012 NA Harbour Master StPetersburg St Petersburg, Russia
OTHER SEAMAN BOOK
USA Visa Green Card J2131492 11.06.2014 11.06.2024 US Embassy Moscow Moscow, Russia
1
APPLICATION FORM

2. US C1/D VISA N/A
OTHER VISAS
7. EDUCATION
SCHOOL NAME Far East State Marine Academy FROM 1989 TO 1994
SCHOOL NAME FROM TO
8. PROFESSIONAL QUALIFICATION / CERTIFICATE OF COMPETENCY
CERTIFICATE NAME NUMBER ISSUE DATE
EXPIRY
DATE
ISSUED BY
(AUTHORITY)
ISSUED AT
Chief Engineer Officer 1015500648 30.07.2014 04.07.2019 Harbour Master St Petersburg
DANGEROUS CARGO ENDORSEMENT NUMBER ISSUE DATE EXPIRY DATE
PETROLEUM 1015520205 30.07.2014 24.06.2019
CHEMICAL
GAS
9. LANGUAGES
ENGLISH FLUENT GOOD FAIR POOR
GERMAN FLUENT GOOD FAIR POOR
FRANCH FLUENT GOOD FAIR POOR
SPANISH FLUENT GOOD FAIR POOR
ITALIAN FLUENT GOOD FAIR POOR
RUSSIAN FLUENT GOOD FAIR POOR
MARLIN’S TEST / LEVEL ISSUED DATE RESULT % ISSUED BY (AUTHORITY) ISSUED AT
10. VACCINATIONS
NAME ISSUE DATE EXPIRY DATE ISSUED BY (AUTHORITY) ISSUED AT
YELLOW FEVER 03.08.2006 03.08.2016 Russia St Petersburg
CHOLERA
TYPHOID
TETANUS 04.06.2014 Russia St Petersburg
HEPATITIS A
POLIO
11. SAFETY CLOTHING
BOILERSUIT SIZE 52 BOOTS SIZE 42.5
12. MARINE COURSES
COURSE NAME NUMBER
ISSUE
DATE
EXPIRY
DATE
ISSUED BY
(AUTHORITY)
ISSUED AT
PERSONAL SURVIVAL AA0198520 16.07.2014 16.07.2019 Russia St. Petersburg
BASIC FIRE FIGHTING AA0198520 16.07.2014 16.07.2019 Russia St. Petersburg
ADV. FIRE FIGHTING AA0355438 11.07.2014 11.07.2019 Russia St. Petersburg
ELEMENTARY FIRST AID AA0198520 16.07.2014 16.07.2019 Russia St. Petersburg
MEDICAL FIRST AID AA0199147 09.07.2014 09.07.2019 Russia St. Petersburg
2

3. MEDICAL CARE
PERS. SAFETY & SOC. RESP. AA0198520 16.07.2014 16.07.2019 Russia St. Petersburg
PROF. IN SURVIVAL CRAFT &
RESCUE BOATS
AA0355646 14.07.2014 14.07.2019 Russia St. Petersburg
FAST RESCUE CRAFT
G.M.D.S.S.
A.R.P.A.
RADAR OBSERVATION
HAZMAT
OIL TANKER
ADVANCED OIL TANKER AA0156109 24.06.2014 24.06.2019 Russia St. Petersburg
CHEMICAL TANKER AA0156188 27.06.2014 27.06.2019 Russia St. Petersburg
ADVANCED CHEM. TANKER
GAS TANKER
ADVANCED GAS TANKER
CRUDE OIL WASHING
INERT GAS PLANT
ISM CODE
SHIP SECURITY OFFICER
COP IN SECURITY
AWARENESS
COP IN DESIGNATED
SECURITY DUTIES
AA0362525 18.07.2014 18.07.2019 Russia St. Petersburg
BRIDGE TEAM MANAGEMENT
DP INDUCTION
DP SIMULATOR
DP LIMITED
DP UNLIMITED
DP LOG BOOK
MANNED MODEL
13. HEALTH CERTIFICATE
FLAGE STATE NUMBER
ISSUE
DATE
EXPIRY
DATE
ISSUED BY
(AUTHORITY)
ISSUED AT
INTERNATIONAL 14.05.2015 14.05.2016 Russia St. Petersburg
LIBERIAN
NORWEGIAN
PANAMANIAN 14.05.2015 14.05.2016 Russia St. Petersburg
3

4. SEA – SERVICE DETAILS
NAME: Sergey Yunusov RANK: Chief Engineer
AVALIABILITY
DATE:
20.02.2016
COMPANY NAME RANK VESSEL NAME
SIGNED
ON
SIGNED
OFF
VESSEL TYPE G.R.T. D.W.T. ENGINE TYPE BHP KW
DS Tankers CE DS Venture 18.03.2016 01.10.2016 VLCC 157039 297228
MAN
B&W7S80MC
34650 25480
DS Tankers CE DS Vector 07.07.2015 23.10.2015 VLCC 157831 298911 Sulzer7RTA84T-B 36960 27561
DS Tankers CE DS Vidonia 14.06.2015 03.07.2015 VLCC 157844 306507 Sulzer7RTA84T-D 40005 29400
DS Tankers CE DS Vidonia 21.09.2014 06.02.2015 VLCC 157844 306507 Sulzer7RTA84T-D 40005 29400
DS Tankers CE Pluto Glory 16.04.2014 25.05.2014 VLCC 157831 298911 Sulzer7RTA84T-B 36960 27561
GMMD CE Pluto Glory 26.02.2014 16.04.2014 VLCC 157831 298911 Sulzer7RTA84T-B 36960 27561
GMMD CE Pluto Glory 03.08.2013 18.11.2013 VLCC 157831 298911 Sulzer7RTA84T-B 36960 27561
GMMD CE Saturn Glory 11.01.2013 07.05.2013 VLCC 156397 298911 Sulzer7RTA84T-B 36960 27561
V-Ships UK CE Melita 18.04.2012 12.08.2012 Oil 81384 158659
MAN
B&W6S70MC-C
25320 18660
V-Ships UK CE Melita 10.06.2011 22.11.2011 Oil 81384 158659
MAN B&W
6S70MC-C
25320 18660
Sanko SM CE Sanko Breeze 17.06.2010 17.10.2010 Oil/Product 56172 105712 Sulzer 6RTA58 16315 12000
Sanko SM CE Sanko Amity 05.10.2009 12.02.2010 Oil/Product 50199 84999
MAN B&W
6S60MC
15595 11470
Sanko SM CE Sanko Amity 13.01.2009 18.06.2009 Oil/Product 50199 84999
MAN B&W
6S60MC
15595 11470
V-Ships UK CE Omega Theodore
16.03.2008 27.08.2008
Oil/Product 42531 73672
MAN B&W
6S60ME-C
18420 13735
V-Ships UK CE Omega Theodore
13.04.2007 23.09.2007
Oil/Product 42531 73672
MAN B&W
6S60ME-C
18420 13735
V-Ships UK CE Faultless 01.11.2006 25.12.2006 Oil 81083 154970
MAN B&W
6S70MC
20000 14700
V-Ships UK CE Priceless 10.02.2006 03.06.2006 Oil 81083 154970
MAN B&W
6S70MC
20000 14700
V-Ships UK 2E Priceless 17.11.2005 09.02.2006 Oil 81083 154970
MAN B&W
6S70MC
20000 14700

5. V-Ships UK 2E Priceless 04.02.2005 04.07.2005 Oil 81083 154970
MAN B&W
6S70MC
20000 14700
PRISCO 2E Sakhalin Island 25.02.2004 12.09.2004 Oil 58918 108078
MAN B&W
7S60MC
18935 14130
PRISCO 2E Monneron 02.06.2003 19.11.2003 Oil/Chemical 28322 46269
MAN B&W
6S50MC
10152 7647
REFERENCE CONTACT DETAILS
COMPANY NAME DS Tankers V-Ships UK Sanko Kisen (Europe) bv
ADDRESS Domstrasse17 - 20095 Hamburg/Germany The Skypark, 8 Elliot place, Glasgow, G3 8EP, UK Kipstraat 3d-5d 3011RR Rotterdam, The Netherland
PHONE NO. +49 40 767961238 +44 1412432435 +31 (0) 10 433 21 33
FAX/E-MAIL
CONTACT PERSON Gotje Ostermann Kenneth Lim, Tech SI Luc Zeelenberg, Matthew Wire
I declare that the information I have given is, to the best of my knowledge, true and complete. I also declare that the documents submitted are genuine and signed by the
persons whose names appear on them.
DATE SIGNATURE

6. V-Ships UK 2E Priceless 04.02.2005 04.07.2005 Oil 81083 154970
MAN B&W
6S70MC
20000 14700
PRISCO 2E Sakhalin Island 25.02.2004 12.09.2004 Oil 58918 108078
MAN B&W
7S60MC
18935 14130
PRISCO 2E Monneron 02.06.2003 19.11.2003 Oil/Chemical 28322 46269
MAN B&W
6S50MC
10152 7647
REFERENCE CONTACT DETAILS
COMPANY NAME DS Tankers V-Ships UK Sanko Kisen (Europe) bv
ADDRESS Domstrasse17 - 20095 Hamburg/Germany The Skypark, 8 Elliot place, Glasgow, G3 8EP, UK Kipstraat 3d-5d 3011RR Rotterdam, The Netherland
PHONE NO. +49 40 767961238 +44 1412432435 +31 (0) 10 433 21 33
FAX/E-MAIL
CONTACT PERSON Gotje Ostermann Kenneth Lim, Tech SI Luc Zeelenberg, Matthew Wire
I declare that the information I have given is, to the best of my knowledge, true and complete. I also declare that the documents submitted are genuine and signed by the
persons whose names appear on them.
DATE SIGNATURE