This document is a personal data and application form submitted by Sergiy Matvyeyev for the position of Chief Engineer. It includes his personal details such as date of birth, address, contact information, education and certifications. It also lists his extensive sea-going experience over the past 20 years serving as Chief Engineer on various oil tankers and offshore support vessels registered in countries such as Ukraine, Cyprus, Luxembourg and Singapore. His most recent position was as Chief Engineer on the Bourbon Liberty 104 since October 2016.

1. PERSONAL DATA / APPLICATION FORM
Position applied for: (1st
choice / 2nd
choice)_Cief Engineer DP_
Family Name: MATVYEYEV Name: SERGIY Father's name: VASILYEVICH
Date of birth: 10.02.71 Place of birth: UKRAINE Nationality: UKRAINE Marital status: MARRIED
Address: 15, HERTZENA str, PAVLOGRAD, DNIPROPETROVSK reg,
UKRAINE
Tel (including city code):+380563200734 Mobile: +380503632511
UAE Mobile: +971 0508831458
Email: Matvyeyev_Sergiy@mail.ru
matvyeyev.sergiy@gmail.com
English Language (Excellent, Good, Satisfactory) : GOOD Last Salary, USD:
Next of kin and relationship: MATVYEYEVA INNA (wife) Children (name & DOB):Danila 25.10.02,Mihail 27.12.06,Yuliya 09.09.15
Next of kin’s address: SAME Next of kin tel: +380503337133
Inter. P’port No: EA 067471 Issued: 24.07.07 Valid: 24.07.17 Place of issue: DNIPROPETROVSK,UKRAINE
Seaman's book No: AB 417163 Issued: 26.12.11 Valid: 26.12.16 Place of issue: PORT ILYICHEVSK,UKRAINE
Civil P’port No: KE 589998 Place of issue: ODESSA, UKRAINE Date of issue: 03.04.97
UAE Visa: 123200327 Issued:23.03.16 Valid:22.03.19 Place of issue: UAE, Abu Dhabi
SEA GOING EXPERIENCE FOR THE LAST 5 YEARS
( MOST RECENT VESSEL LAST )
Name of vessel Year of
built
Company Owner/
Ship Manager
Flag Type of
vessel
DWT Type of main
engine
BHP Rank From
Day,mont,year
To
Day,month,year
Bourbon Liberty 104 2008 Bourbon Offshore MMI SVG PSV DP2 1517 Cummins/Diesel-
Electric
3x1130 C/E 26.10.16 Till now
Bourbon Liberty 306 2012 Bourbon Offshore MMI LUX AHTS DP2 1900 Caterpillar/Diesel-
Electric
3x2217 C/E 10.03.16 15.05.16
Bourbon Liberty 306 2012 Bourbon Offshore MMI LUX AHTS DP2 1900 Caterpillar/Diesel-
Electric
3x2217 C/E 02.11.15 07.01.16
Bourbon Liberty 306 2012 Bourbon Offshore MMI LUX AHTS DP2 1900 Caterpillar/Diesel-
Electric
3x2217 C/E 03.07.15 31.09.15
Bourbon Liberty 306 2012 Bourbon Offshore MMI LUX AHTS DP2 1900 Caterpillar/Diesel-
Electric
3x2217 C/E 23.02.15 30.04.15
Bourbon Liberty 306 2012 Bourbon Offshore MMI LUX AHTS DP2 1900 Caterpillar/Diesel-
Electric
3x2217 C/E 14.10.14 19.12.14
Bourbon Liberty 306 2012 Bourbon Offshore MMI LUX AHTS DP2 1900 Caterpillar/Diesel-
Electric
3x2217 C/E 08.06.14 11.08.14
Bourbon Liberty 306 2012 Bourbon Offshore MMI LUX AHTS DP2 1900 Caterpillar/Diesel-
Electric
3x2217 C/E 25.01.14 04.04.14

2. Bourbon Liberty 306 2012 Bourbon Offshore MMI LUX AHTS DP2 1900 Caterpillar/Diesel-
Electric
3x2217 C/E 25.09.13 28.11.13
Bourbon Liberty 306 2012 Bourbon Offshore MMI LUX AHTS DP2 1900 Caterpillar/Diesel-
Electric
3x2217 C/E 10.04.13 18.07.13
Bourbon Liberty 238 2010 Bourbon Offshore MMI CYP AHTS DP2 1700 Cummins/Diesel-
Electric
3x2217 C/E 01.12.12 30.01.13
HAKO ENDEAVOUR 2009 Hakko Offshore / Otto
Marine LTD
SIN AHTS DP1 1373 Caterpillar 2x2610 C/E 11.07.12 26.07.12
HAKO ESTEEM 2009 Hakko Offshore / Otto
Marine LTD
SIN AHTS DP1 1373 Caterpillar 2x2610 C/E 11.06.12 11.07.12
Fyodor Yryupin 2010 Chernomorneftegaz UKR AHTS DP1 2921 MAK 9M32C 2x6118 C/E 11.08.11 16.11.11
Fyudor Yryupin 2010 Chernomorneftegaz UKR AHTS DP1 2921 MAK 9M32C 2x6118 C/E 12.02.11 24.04.11
MAERSK DRURY 2006 Reederei Stefan Patjens
GmbH & Co.KG
LIB CONT 53481 MAN B&W
8K98ME-C
61367 C/E 13.12.10 02.02.11
HEIKE P 2000 Reederei Stefan Patjens
GmbH & Co.KG
LIB CONT 32322 MAN B&W
7S70MC-C
29148 C/E 02.04.10 15.08.10
HEIKE P 2000 Reederei Stefan Patjens
GmbH & Co.KG
LIB CONT 32322 MAN B&W
7S70MC-C
29148 C/E 07.07.09 06.11.09
OOCL BAKGKOK 2000 Reederei Stefan Patjens
GmbH & Co.KG
LIB CONT 32322 MAN B&W
7S70MC-C
29148 C/E 01.12.08 24.03.09
STCW Certificates Number Issued Valid Place of
issue
STCW Certificates Number Issued Valid Place of issue
Certificate of competency 00553/2008/
11
17.09.08 unlimited NIKOLAEV GMDSS Endorsement
Endorsement 00553/2008/
11
18.09.13 23.07.18 NIKOLAEV Radar observer
Personal safety 9402/2013-A 24.07.13 24.07.18 NIKOLAEV ARPA
Advanced fire fighting 179/2013-A 24.07.13 24.07.18 NIKOLAEV AIS course
Prof. in survival craft 7942/2013-A 24.07.13 24.07.18 NIKOLAEV BTM course
Medical first aid 2595/2013-A 24.07.13 24.07.18 NIKOLAEV Security officer (ISPS) 5811 08.05.14 08.05.19 Illichivsk
Medical care Safety officer (ISM)
Hazardous cargoes 135/2013-A 24.07.13 24.07.18 NIKOLAEV Engine Room Resource
Management
2514 08.05.14
08.05.19
Illichivsk
08.05.19 Illichivsk
ADMA Induction NA 28.04.13 NA Abu Dhabi H2S 52519014070
316201016
07.03.16 07.03.18 Abu Dhabi
Advanced First Aid 200913 06.03.16 05.03.19 Abu Dhabi TBOSIET 00585501180 18.04.13 18.04.17 Abu Dhabi

3. 41316019
Advanced Fire Fighting 45404/2016 09.03.16
23.04.16
08.03.19 Abu Dhabi ADMA OPCO
Approval
NA 01.05.13 NA Abu Dhabi
Welding Safety 201051 07.03.16 06.03.19 Abu Dhabi Advance Offshore
Safety
210105 04.03.16 03.03.19 Abu Dhabi
Medical examination Issued: 16.06.16 Valid: 16.06.17 Weight, kg: 78 Height:186
Drug & alcohol test Issued: 16.06.16 Valid: 16.06.17 Eyes: Broun Hair:
Yellow fever Issued: 04.09.07 Valid: 04.09.17 Overall size: 50 Safety shoes: 44
Another States
Seamen’s Books
Rank Document No Issued Valid Another States
Certificates of
competency
Rank Document
No
Issued Valid
Cyprus CE CY201555 19.12.12 18.12.22 DP System Maintenance C/E 0136/2012 08.06.12 unlimited
Luxembourg CE 32247/13 16.04.13 15.04.18 Electrical, electronic and
control engineering at the
management level
C/E 00975/2008/4
2/45
03.09.08 03.09.13
Please complete addresses of your previous employers for references
Company Bourbon Offshore MMI Tel: +97143307981 Alpha Crew LTD. Tel: +380 482371957
Address
Company Lighthaus Pte Ltd Tel: +65-6546 0300 Company Marlow Navigation Co., LTD. Tel: +357-25-882588
Address Address
Signature__ _________________ Date ______06.07.16._______