address: 4-D Shevchenko Avenue, office 43, Odessa, Ukraine tel/fax: +38 048 776 0004 +38 048 776 0005 +38 048 776 0006 +38 048 776 0007 email: office@lowland.com.ua

Position Master Chief Officer Second Officer Third Officer Chief Engineer Second Engineer Third Engineer DPO JDPO SDPO Able Seaman Boatswain (Bosun) Motorman/Oiler Ship's Doctor Cook AB/Cook Cadet Electrician Engineer Electrician Second Position Master Chief Officer Second Officer Third Officer Chief Engineer Second Engineer Third Engineer DPO JDPO SDPO Able Seaman Boatswain (Bosun) Motorman/Oiler Ship's Doctor Cook AB/Cook Cadet Electrician Engineer Electrician Last name First name Father's name Birth date: Birth place (city, country): Photo:

Home address building No street apt. No city country Telephone: home mobile Email

Next of kin Relation Name Address Mobile Children (0-18) Marital status Single Married Divorced Widower

Education English Fluent Very Good Good Fair Poor Other language

Documents Passport (travel) # issued valid Seaman's book # issued valid Certificate of Competency # capacity issued valid Endorsement # issued valid GMDSS # issued valid GMDSS Endorsement # issued valid

Certificates Basic Safety Training & Instruction # issued valid Medical Care # issued valid Medical First Aid # issued valid Advanced FFT # issued valid Survival Craft # issued valid Fast Rescue Boats # issued valid Radar Navigation - operational level # issued valid Radar Navigation - management level # issued valid Tanker Familiarization # issued valid Oil Tankers Specialized Training # issued valid Chemical Tankers Specialized Training # issued valid Liquefied Gas Tankers Specialized Training # issued valid Ships Security Officer # issued valid Ships Safety Officer # issued valid Ship Handling Arrangements # issued valid ECDIS # issued valid USA Visa # issued valid Schengen Visa # issued valid

Flag state documents Flag Seaman's book Endorsement Capacity issued valid

Vessel Flag Vessel type main engine type/BHP DWT Signed on Signed off Rank Shipowner Master C/O 2/O 3/O C/E 2/E 3/E DPO JDPO SDPO AB Boatswain Motorman Ship's Doctor Cook AB/Cook Cadet El/Eng Electrician Master C/O 2/O 3/O C/E 2/E 3/E DPO JDPO SDPO AB Boatswain Motorman Ship's Doctor Cook AB/Cook Cadet El/Eng Electrician Master C/O 2/O 3/O C/E 2/E 3/E DPO JDPO SDPO AB Boatswain Motorman Ship's Doctor Cook AB/Cook Cadet El/Eng Electrician Master C/O 2/O 3/O C/E 2/E 3/E DPO JDPO SDPO AB Boatswain Motorman Ship's Doctor Cook AB/Cook Cadet El/Eng Electrician Master C/O 2/O 3/O C/E 2/E 3/E DPO JDPO SDPO AB Boatswain Motorman Ship's Doctor Cook AB/Cook Cadet El/Eng Electrician

Working Gear: Safety shoes Overalls Winter jacket Height

Remarks