Seafarer's Application Form

Second Officer / Third Officer

Агабаев Алимурад Низамиевич
Location
Derbent
Date of birth
**.**.****
Minimum salary
3 100 USD
Level of English
*****
River diploma
*****
About
*****

Contact information

Phone number
*****
E-mail
*****
Next of Kin's name
*****
Next of Kin's phone number
*****

General documents

Type of document
Number
Issued
Country
Issue date
Expiry date
Seaman Book*************************
Seaman ID*************************
Travel passport*************************

Certificates

Name of document
Number of document
Country
Issue date
Expiry date
Oil tankers - Management level********************
Radar observation and plotting (Table A-II/1, STCW Code)********************
Basic training on oil, and chemical tanker cargo operation (V/1-1,A-V/1-1.1)********************
Medical first Aid (STCW Convention, Section A-VI/2; table A-VI/4-1)********************
Advanced fire fighting (VI/3)********************
Officer in charge of a navigational watch on ships of 500 gross tonnage or more********************
General operator’s certificate for the GMDSS********************
ARPA********************
Operational use of electronic chart display and information systems (ECDIS) (Table A-II/1, STCW Code)********************
Security-related training for all seafarers (Section A-VI/6, table A-VI/6-2)********************
Survival craft and rescue boats (VI/2)********************
Basic safety (VI/1)********************

Work experience

Position
Name of vessel
Type of vessel
IMO
Flag of vessel
Type of engine
Power of engine
DWT
GRT
Company
Date
Third Officer [Третий помощник]**************************************************
Second Officer [Второй помощник]**************************************************
Third Officer [Третий помощник]**************************************************
Second Officer [Второй помощник]**************************************************
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