Seafarer's Application Form

Chief mate on ships of 3,000 gross tonnage or more / Chief Officer / Second Officer

Мамонов Михаил Валерьевич
Location
Vladivostok
Date of birth
**.**.****
Minimum salary
4 500 USD
Level of English
*****
River diploma
*****

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
General operator’s certificate for the GMDSS********************
Advanced training for oil tanker cargo operations in accordance with paragraph 2 Section A-V/1-1 of STCW Code (paragraph 4.3 Regulation V/1-1, STCW Convention)********************
Operational use of electronic chart display and information systems (ECDIS) (Table A-II/1, STCW Code)********************
Radar observation and plotting (Table A-II/1, STCW Code)********************
Security training for seafarers with designated security duties in accordance with the paragraphs 6-8 of Section А-VI/6, STCW Code (paragraph 4 Regulation VI/6, STCW Convention))********************
Advanced fire fighting in accordance with the paragraphs 1-4 Section А-VI/3 of STCW Code (paragraph 1 Regulation VI/3, STCW Convention)********************
Medical first Aid (STCW Convention, Section A-VI/2; table A-VI/4-1)********************
Chief mate on ships of 3,000 gross tonnage or more********************
Advanced training for chemical cargo operations (V/1-1,A-V/1-3)********************
Basic training on oil, and chemical tanker cargo operation (V/1-1,A-V/1-1.1)********************
Operational use of automatic radar plotting aids (ARPA) (Table A-II/1, STCW Code)********************
Basic safety training (paragraph 4 of Section А-VI/1 of the STCW Code, STCW Regulation VI/1)********************
Proficiency in survival craft and rescue boats other than fast rescue boats in accordance with the paragraphs 1-4 Section А-VI/2 of STCW Code (paragraph 1.3 Regulation VI/2, STCW Convention)********************
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]**************************************************
Third Officer [Третий помощник]**************************************************
Second Officer [Второй помощник]**************************************************
Second Officer [Второй помощник]**************************************************
Chief mate on ships of 3,000 gross tonnage or more [Старший помощник капитана морского судна валовой вместимостью 3000 и более]**************************************************
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