Republic of the Marshall Islands

OFFICE OF THE MARITIME ADMINISTRATOR

Acknowledgement of Application

In accordance with the provisions of Regulation I/10 of the Standards of Training, Certification and
Watchkeeping for Seafarers, 1978, as amended, the Government of the Republic of the Marshall
Islands certifies that on 24-MAY-22 an application for the below listed seafarer documents was
received for RUSLAN DERKACHENKO, date of birth 10-APR-93 and is valid for 90 days.

Seafarer's Identification and Record Book

Basic Training
Ordinary Seafarer

Captain Robert Fay

Deputy Commissioner of Maritime Affairs

VSO_ODESSA_029_KJA

NOTE: This document must be kept available in accordance with Regulation I/2, paragraph 11 and Regulation I/10, paragraph 5 of
the STCW Convention while the above listed seafarer is serving on a Republic of the Marshall Islands flagged vessel.

Republic of the Marshall Islands seafarer certificates can be verified at www.register-iri.com or by contacting the Office of the
Maritime Administrator at seafarers@register-iri.com or +1-703-620-4880.
Rev. 6/14 MI-273OR