Механик на морской буксир

Описание

[pic] APPLICATION FORM PERSONAL INFORMATION 1. Surname : Meshcherin 2. Name & Father’s Name: Anton Valerievich 3. Date & Place of birth: 16.10.1982 4. Citizenship: Russian 5. Passport (international) № 75 1627013 issued :15.06.2015 valid: 15.06.2025 6. Citizenship pasport № 03 14 563864 issued: 25.03.2014 7. National Seaman Book: №_RUS 0509514 issued: 03.06.2020 valid : 02.06.2025 8. Permanent Address: Russian Federation Krasnodar Area Belorechensky Region Stanitsa Ryazanskaya 56 Tolstogo Street 9. Phone(s) : + 79780770748 10. Marital status: do not married 11. Children under 16: Nil 12. Next of Kin & relationship: Meshcherina Antonina Antonovna Mother 13. Address of Next of Kin: Russian Federation Crimea Kerch 16 Marat str, app 6 RANK & CERTIFICATES 1. Rank: 2nd Engineer_ 2. License Second Engineer Officer number: NVS203541729 issued: 13/06/2019 valid: 04/03/2024 3. Certificates STCW-95 Courses attended Number Date issue Date valid PERSONAL SURVIVAL COURSE AB 1286046 04/03/2019 04/03/2024 MEDICAL FIRST AID AB 1253962 12/03/2019 12/03/2024 ADVANCED FIRE FIGHTING AB 1253593 06/03/2019 06/03/2024 SURVIVAL CRAFT AND RESCUE BOATS AB 1325233 05/03/2019 05/03/2024 DANGEROUS CARGO 49/2019 08/04/2019 ENGINE ROOM RESOURCE MANAGEMENT AND TEAMWORKING 19235 25/03/2019 25/03/2024 ABC’s of H2S and SCBA TRAINING DESIGNATED SECURITY DUTIES AB 1286854 13/03/2019 13/03/2024 BASICAL TRAINING FOR OIL AND CHEMICAL TANKERS AB 1254062 20/03/2019 20/03/2024 DP MAINTENANCE DPM 795/18 02/11/2018 LIQUIFIED GAS TANKERS ) CRUDE OIL WASHING INERT GAS SYSTEM YELLOW FEVER 13/05/2013 13/05/2023 FOREIGN LANGUAGES Language Knowledge Independent test results (FOR OFFICE USE ONLY) ENGLISH GOOD PHYSYCAL DECLARATION 1. Height: 177 cms Date of last medical examination: 27.02.2023 2. Weight: 85 kgs Drugs & Alcohol test date: 27.02.2023 PREVIOUS SEA SERVICE (The most recent first) Vessel’s name Company/Flag Crewing agency Type of vessel DWT Type of Engine B.H.P. Rank From To Yana V Evolution A Lidiya V Vladimir Alisa V Yekaterina PORT OLUA 2 PORT OLUA 1 PORT OLUA 2 SHKVAL VEERSEBORG Arena DULACA TIDE Azov/Don Sh.Co SPSC LTD Traveller Shipping Azov/Don Sh.Co Traveller Shipping Traveler Shipping Russia TRANSMORFLOT TRANSMORFLOT TRANSMORFLOT NEVA CHARTER ULLUS MARINE BALTIC DREDGING COMPANY TIDEWATER VANUATU Azov/Don.Sh.Co SPSC LTD Traveller Shipping Azov/Don Sh.Co Traveller Ship. Traveller Ship. TRNSMRFL TRNSMRFL TRNSMRFL NEVA CHARTER ALBROS SHIPPING Stella Maris TSM Gen/Cargo Gen/Cargo Gen/Cargo Gen/Cargo Gen/Cargo Gen/Cargo Gen/Cargo Gen/Cargo Gen/Cargo Tug General Cargo Dredger Vessel AHTS 6786 6786 2753 6418 6418 6418 4878 4878 4878 153 6130 1200 1678 Yanmar Yanmar Scoda Yanmar Yanmar Yanmar MAN MAN MAN Pervomayec WARTSILA 38 6 NVD.48U CAT3516 2800 2800 1030 2800 2800 2800 3046 3046 3046 1350 5018 1081 5149 2ND Eng 2ND Eng 2ND Eng 2ND Eng 2ND Eng 2nd ENG 2nd ENG 2nd ENG 2nd ENG CHIEF ENG 2nd ENG CHIEF ENG 2ND ENG 26.11.2022 19.08.2022 02.07.2022 24.11.2021 12.02.2021 10.07.2020 11.02.2020 05.01.2020 04.12.2019 03/04/2018 26.07.16 29\12\15 28/12/14 03.01.2023 25.11.2022 15.07.2022 24.03.2022 05.06.2021 14.11.2020 16.032020 25.01.2020 04.01.2020 03/06/2018 29.11.16 29\02\16 05/15 CHAYARY TIDE TIDEWATER VANUATU TSM AHTS 1476 CAT 3516 5149 3RD ENG 01/12/2013 25/04/14 CHAYARY TIDE TIDEWATER VANUATU TSM AHTS 1476 CAT 3516 5149 3RD ENG 20/07/13 16/11/13 TAURUS HARMS OFFSHORE ANT&BARBUDA MARLOW NAVIGATION AHT 1767 MAN/BW 19180 3RD ENG 07/11/12 12/03/13 TAURUS HARMS OFFSHORE ANT&BARBUDA MARLOW NAVIGATION AHT 1767 MAN/BW 19180 3RD ENG 26/0512 13/09/12 ORCUS HARMS OFFSHORE ANT&BARBUDA MARLOW NAVIGATION AHTS 3727 MAK 24660 3RD ENG 03/12/11 26/01/12 TAURUS HARMS OFFSHORE ANT&BARBUDA MARLOW NAVIGATION AHT 1767 MAN/BW 19180 3RD ENG 05/05/11 31/07/11 JANUS HARMS OFFSHORE ANT&BARBUDA MARLOW NAVIGATION AHT 2789 MAK 19180 4TH ENG 04/01/11 18/02/11 MAGNUS HARMS OFFSHORE ANT&BARBUDA MARLOW NAVIGATION AHT 1767 MAN/BW 19180 WIPER 05/09/10 14/11/10 JANUS BLUE GIANT URSUS PRIMUS KASUGA BAY HARMS OFFSHORE ANT&BARBUDA HARREN&PARTNER HARMS OFFSHORE ANT&BARBUDA HARMS OFFSHORE ROSSWELL NAVIGATION MARLOW NAVIGATION MARLOW NAVIGATION MARLOW NAVIGATION MARLOW NAVIGATION MMS UKRAINE AHT SPECIAL PURPOSE & DIVING SUPPORT AHT AHT REEFER 2789 18189 2789 1262 9274 MAK MAN/BW MAK MAK MAN/BW 19180 12330 19180 8100 12300 WIPER WIPER ENG/ CADET ENG/ CADET ENG/ CADET 22/06/10 27/11/09 02/06/09 13/01/09 01/04/08 04/08/10 03/03/10 31/07/09 19/03/09 05/10/08 DATE OF REGISTRATION _____________________________ I, ___Meshcherin Anton ___________________________________________________________, WITH BELOW MENTIONED MY SIGNATURE ASSURE YOU THAT ALL THE ABOVE-MENTIONED INFORMATION IS CORRECT AND I WILL BEAR RESPONSIBILITY FOR ANY MISTAKES MADE BY ME BY ANY REASONS. SIGNATURE OF APPLICAN _Meshcherin ----------------------- FOR OFFICE USE ONLY ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ OFFICER IN CHARGE__________________________________