APPLICATION FORM

RANK APPLIED DATE OF

Chief engineer 19.04.2024
FOR: AVAILABILITY:

1. PERSONAL INFORMATION

FIRST NAME(S): FUAD SURNAME: MAMMADOV

DATE OF BIRTH: 18.10.1975 PLACE: Azerbaijan, BAKU NATIONALITY: Azerbaijan

PLACE OF
PASSPORT NO: C00971517 DATE OF EXP: 24.12.2025 Azerbaijan
ISSUE:

SEAMAN’S PLACE OF
DQK019751 DATE OF EXP: 15.04.2027 Azerbaijan
BOOK NO: ISSUE:

RESIDENTIAL
Baku, Nizami region, Matlab Agayev Str.40/1
ADDRESS:

TELEPHONE No
+994516488025 MOBILE: +905364552674
- HOME:

EMAIL
moryak1975@bk.ru fuadatam@gmail.com
ADDRESS:

2. TRAINING COURSES
COURSES NUMBER / DETAILS DATE OF ISSUE DATE OF EXPIRY PLACE OF ISSUE

Proficiency in fast rescue boats SL-0573-22 14.03.2022 14.03.2027 Azerbaijan

International safety management SP-0713-22 30.03.2022 30.03.2027 Azerbaijan

Training in advanced fire- fighting SJ-0278-22 17.03.2022 17.03.2027 Azerbaijan

Ship security-related familiarization

SI-0499-22 16.03.2022 16.03.2027 Azerbaijan
security awareness training

Training for seafarers with designated

SH-0354-22 18.03.2022 18.03.2027 Azerbaijan
security duties

Profiency in survival craft and boats

SL-0573-22 14.03.2022 14.03.2027 Azerbaijan
other than fast rescue boats

Medical first aid SN-0262-22 31.03.2022 31.03.2027 Azerbaijan

-Safety familiarization training

-Personal survival techniques.
-Fire prevention and fire fighting.
SO-1080-22 15.03.2022 15.03.2027 Azerbaijan
-Elementary first aid.
ST
C -Personal safety and social
W responsibilities

Engine-Room Resource Management

ER-0181-22 29.03.2022 29.03.2027 Azerbaijan
and Team working

ENDORSMENT OF CERTIFICATE
Chief engineer, 3000 kW propulsion 000400/22 07.04.2022 07.04.2027 Azerbaijan
power or more

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APPLICATION FORM

3. PREVIOUS SEA EXPERIENCE Must cover last 5 years, start with your most recent voyage:

VESSEL ENGINE PROPULSION VESSEL AREA OF

RANK GRT WESSEL TYPE kW FROM TO
NAME TYPE TYPE OWNER OPERATION

Sena 1300
Man B&W Chief eng. Camewa Container 10500 TURKON 05.05.2009 Continue Black Sea
Kalkavan 0

1300
Erkan K Man B&W Chief eng. Camewa Container 10500 TURKON Continue Continue Atlantic
0

1300
Furth Man B&W Chief eng. Camewa Container 10500 TURKON Continue Continue Mediterranean
0

1300
Berra K Man B&W Chief eng. Camewa Container 10500 TURKON Continue Continue Caribbean
0

Ecem 1300
Man B&W Chief eng. Camewa Container 10500 TURKON Continue Continue Mediterranean
Kalkavan 0

Mukaddes
Man B&W Chief eng. Camewa 22000 Container 13500 TURKON Continue 22.11.2016 Atlantic
Kalkavan

Selin M Mitsubishi Chief eng. 35000 Bulker 6619 Iskenderun 02.12.2016 19.05.2017 Pacific

Boden
Man B&W Chief eng. 38000 Container 17956 Boden 18.06.2017 20.01.2020 Pacific
radiant

Quebec Caterpillar Chief eng. Fish ship Canada 16.02.2020 01.03.2022 Caribbean

Bomar
Man B&W Chief eng. 50000 Container 28800 Boden 09.05.2022 18.09.2022 Pacific
Radiance

LINA MITSUBISHi Chief eng. 33000 Bulker 6619 GAMMA 16.02.2023 17.10.2023 Mediterranean

Lady Zehra Mitsubishi Chief eng. 33000 Bulker 6619 GN Group 28.10.2023 04.03.2024 Mediterranean

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