Sergiy Yeremeyev is applying for the position of Chief Engineer. He is 38 years old, married with 2 children, and has over 15 years of experience as a Chief Engineer on chemical tankers. His most recent positions were as Chief Engineer on MTM Westport from February 2014 to August 2014 and from October 2013 to May 2013. He provides links that can provide information about an online test he passed and his profile on a crew member website.

1. SERGIY YEREMEYEV
CHIEF ENGINEER
RUSSIAN FEDERATION
CRIMEA REGION
KERCH
KIEVSKAYA STR 38
EMAIL:YEREMEYEVS@MAIL.RU
MOB:+7 978 721 93 14
Crewell page
Marlin test
My resume
SEAFARER'S APPLICATION FORM - Page 1 of 3 - PERSONAL DATA
PERSONAL INFORMATION
Family Name Sergiy First Name (s) Yeremeyev
Birth Date 03/01/1980 Birth Place Kerch
Nationality Russian Religion Cristian
Marital Status Maried No. of Children 2
Height (cm) 188 Weight (kg) 100
Nearest Airport Simferopol Alternative Airport Simferopol,Anapa,krasnodar
ADDRESS (include telephone country & area codes, advise also secondary or contact addresses if any)
Street & Nr. Kievskaya str38 Email Address yeremeyevs@mail.ru
Location Mobile Phone +7 978 721 93 14
City Kerch Residence Phone
State, Country Russian federation Fax
Postal (ZIP) Code 298318 P.O. Box (if any)
NEXT OF KIN INFORMATION (person to contact in case of emergency & insurance beneficiary)
Family Name Eremeeva First Name(s) Nataliya
Nationality Russian Relationship Cristian
Street & Nr. Same Email Address natalya-norenko@yandex.ru
Location Mobile Phone +7 978 721 93 11
City Kerch Residence Phone
State, Country Russian federation Fax
Postal (ZIP) Code 298318 P.O. Box (if any)
REMARKS
Requested Rank Ch.Engineer Availability Date Beginning of Feb 2015
Prefer. Vessel Type Looking to start in offshore Minimum Salary Negotiable
English Language Skills Spoken: fluent / good / average / poor - Written: fluent / good / average / poor
Other Foreign Languages
Professional School / Academy
- Name & Period (From - To)
Kerch Marine Technological Institute/Masterlevel
1996-2001
Foreign Crew Experience
(specify nationalities)
Burmese,Philippine,British,Croatian,Italian,e.t.c
Other Skills PC as user/Welding/Cutting/Familiar with most of all equipment
Further Remarks
Please advise how you heard
about Vroon Shipping:
(underline appropriate option)
Internet
I herebyaffirm that all the information provided by me in this application is true and correct tothe bestof my knowledge.
Date: Signature:

2. Note: This form canbe returnedper email without signature - please ensure however to senda signedprintout for our records afterwards per
mail (e.g. with the passport photos and photo copies required). Please sign all 3 pages of the application form separately.
SEAFARER'S APPLICATION FORM - Page 2 of 3 - LIST OF DOCUMENTS
Please note that due to legal requirements employment is only possible once we are in possession of
electronic copies of your documents and licenses (please refer to the Cover Letter for further instructions).
Family
Name
First
Name(s)
Rank
A. TRAVEL DOCUMENTS AND MEDICAL CERTIFICATES
Document Name (Description) Document Number Country Issue Place Issue Date Exp. Date
Passport EK798176 Ukraine Ukraine 24/02/2009 24/02/2020
Seaman's Book (national) AB374947 Ukraine Ukraine 30/06/2009 30/06/2014
Seaman's Book (flag state)
Seaman's Book (flag state)
Visa - United States (type C1/D) 20112846500001 Ukraine Kiev 12/10/2011 10/10/2016
Visa - Others (Work/Reside. Permits)
Medical Examination Report On demand
Drug & Alcohol Test On demand
Vaccination against Yellow Fever
Vaccination against Cholera
Passport Photos please email a high quality copy of a recent passport photo.
B. CERTIFICATES OF COMPETENCY & ENDORSEMENTS, COURSE CERTIFICATES
- Deck & engine certificates &
endorsements (officers / ratings)
- electrical & reefer certificates
- cook & steward certificates
- radio certificates & endorsements
- safety training (surv., fire, medical)
- tanker courses (oil, chem., gas)
- passengervsl,roro, hazmat courses
- nav., deck, technical & management
courses (radar/ARPA, ISM, Marpol,
Simulators, computer, welding etc.)
- any flag state certificates
Document Name (Description) Document Number Country Issue Place Issue Date Exp. Date
Basic safety training and Instriction 10767 Ukraine Sevastopol 19/12/2013 18/12/2018
Advanced fire fighting 55991 Ukraine Sevastopol 19/12/2013 18/12/2018
Medical first aid 2271 Ukraine Sevastopol 19/12/2013 18/12/2018
Proficiency in Survival Craft and RB 9636 Ukraine Sevastopol 19/12/2013 18/12/2018
Ship carrying Dandr/hazrd Cargo 262 Ukraine Sevastopol 19/12/2013 18/12/2018
Oil tanker specialized training 20736 Ukraine Sevastopol 19/12/2013 18/12/2018
Chemical tanker specialized training 71 Ukraine Sevastopol 19/12/2013 18/12/2018
LGtank tank specialized training 82 Ukraine Sevastopol 19/12/2013 18/12/2018
Diplomas 01889/2006/01 Ukraine Kerch 2006 Unlimited
Endorsement 01/889/2006/01 Ukraine Kerch 2009 12/06/2018
Date: Signature:

3. SEAFARER'S APPLICATION FORM - Page 3 of 3 - SEA SERVICE (LAST 10 YEARS)
Please indicate your sea service in the last 10 years as exactly as possible - required are the actual sign-on and sign-off dates according to the service certificates resp. seaman's book entries. To speed
up processing kindly indicate phone and/or fax numbers of your previous employers. Ship sizes are to be indicated in gross tons, tota l engine output in kilo Watt (1 kW = 1.34 bhp) to go along with
STCW limitations. Please attach evidence for the listed sea service (copies of seaman's book entries, service certificates etc.). The information provided may be passed on to our clients and to flag
state administrations to allow for verification of rank experience. Please use the European date format (DD.MM.YY).
Family Name: First Name(s): Date of Birth:
Vessel's Name IMO No. Flag GT kW Ship Type Eng.Make Rank S/On Date S/Off Date Employer (company to contact for reference)
MTM Westport 9185920 HK 11951 6178 Chem tanker Kobe diesel Ch.Enginee
r 28.02.14 08.08.14
MTM Ship Management LLC/Eugene
Cheremisinov/Sptnd/ +(1) 20399348/
eugene@mtmsm.comMTM Westport HK 11951 6178 Chem tanker Kobe diesel Ch.Enginee
r 12.10.13 20.05.13
www.mtmshipmanagement.com
MTM Westport HK 11951 6178 Chem tanker Kobe diesel Ch.Enginee
r
12.09.12 12.01.13
MTM Ship Management pte ltd/Saran
Anand/Manager,Manning & Training/(65) 9633
1441/crew.singapore@mtmsm.com
MTM Hamburg 9379844 SG 11585 6230 Chem tanker Akasaka-
Mitsubishi
Ch.Enginee
r
02.12.11 20.05.12
MTM Ship Management LLC/Eugene
Cheremisinov/Sptnd/ +(1) 20399348/
eugene@mtmsm.com
MTM Hamburg SG 11585 6230 Chem tanker Akasaka-
Mitsubishi
Ch.Enginee
r 19.03.11 01.08.11
www.mtmshipmanagement.com
MTM Westport HK 11951 6178 Chem tanker Kobe diesel Ch.Enginee
r
16.04.10 25.09.10
MTM Ship Management pte ltd/Saran
Anand/Manager,Manning & Training/(65) 9633
1441/crew.singapore@mtmsm.com
Chemroad Rose 9317846 SG 18734 7980 Chem tanker Alaska
diesel ltd
Ch.Enginee
r
17.02.10 23.09.09
MTM Ship Management LLC/Eugene
Cheremisinov/Sptnd/ +(1) 20399348/
eugene@mtmsm.com
Chembulk Honking 9278650 SG 20058 8498 Chem tanker B&W Ch.Enginee
r 14.12.08 20.05.09
www.mtmshipmanagement.com
Chembulk Gibraltar 9236054 SG 11515 7060 Chem tanker Akasaka-
Mitsubishi
Ch.Enginee
r
28.032008 20.08.08
MTM Ship Management pte ltd/Saran
Anand/Manager,Manning & Training/(65) 9633
1441/crew.singapore@mtmsm.com
Chembulk Shanghai 9223916 SG 11515 7060 Chem tanker Akasaka-
Mitsubishi
Ch.Enginee
r
20.08.07 24.12.07
MTM Ship Management LLC/Eugene
Cheremisinov/Sptnd/ +(1) 20399348/
eugene@mtmsm.com
www.mtmshipmanagement.com
MTM Ship Management pte ltd/Saran
Anand/Manager, Manning & Training/(65) 9633
1441/crew.singapore@mtmsm.com
Date: Signature:
Bellow links can provide information regarding Marlin online test passed
Also links for crewel site http://crewdata.com/directlink.php?lang=eng&showPage=ad1fdn8p97321d0aa5e07snsd&rand=35b