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Medical Engineer

Location:
Rostov-on-Don, Rostov Oblast, Russian Federation
Salary:
1500
Posted:
September 14, 2015

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Resume:

Application Form

Section *

Position

Position Applied for

Able seaman

Lowest Position Acceptable

Ordinary seaman

Date of Availability

** / ** / **** **/**/yyyy

Section 2

Personal Details

Family name / Surname

Kalinin

First Name / Given Name

Ilya

Date & Place of Birth

Date - 09.09.1993 Place- Tolyatty, Samara region

Nationality

Russian

Permanent Address

Russia.Rostov-on-Don, Sholokhova pr. 140/2, 40

Present Address

PPE information

SAFETY SHOES SIZE

45

COVERALL SIZE

57

Blood Group Information

Present Contact Number

Mobile Number

+796********

SKYPE ADDRESS

Kalinin90909

Email Address

acrokc@r.postjobfree.com

Nearest Airport (and Distance)

Rostov-on-Don (5km)

Section 3

Passport and VISA details

Country of Issue

Russia

USA Visa - Type

B1/OCS

Date Issued

08.06.2010

USA VISA Expires

Place Issued

ФМС 23006

USA Visa - Type

C1/D

Passport Number

71 1111245

USA VISA Expires

Passport –Expires

08.06.2020

Other Country Visa

Secondary passport or Dual nationality

Visa Expiry

Section 4 ( hi-light as required )

Seaman book / Discharge book / Seaman Record Book / CDC

Issuing Country & Place

Russia

Date Issued

04.05.2011

Number

RUS 0017474

Expiry Date (if any)

03.05.2016

Section 5

Next of Kin – this is important information we require- Don’t ignore it

Full Name / Relationship

Kalinina Irina. Mother

Any dependents / Children (incl age )

Address

Russia,Krasnodar region,Yeisk, Yasenskaya str. 23,88

Contact Numbers

Page 1 of 7

Section 6 STCW95 Highest Certificate of Competency / Licence Held ( also list Flag State Endorsements)

Class / Grade/Capacity

Issuing Country

Certificate No.

Date Issued

Expiry

Details of Limitations

Training of seafarers with designated security duties

ALSO ENTER ABOVE DETAILS OF ANY OTHER FLAG STATE CERTIFICATES HELD

Section 7 STCW95 Dangerous Cargo Endorsements

Petroleum

Liquefied Gas

Liquid Chemicals…….

Certificate No.

Date Issued

Expires

Details of Limitations/ Grade

Section 8 STCW95 related Courses Attended and Certificates Obtained

Name of Course / Certificate

STCW Code

Place

Issue Date

Cert No

Expiry Date

Basic Safety Training

A-VI/1

Russia

31.07.2015

0179884

31.07.2020

Basic Sea Survival / Personal Survival Techniques

A- VI/1-1

Fire Prevention & Fire Fighting

A-VI/1-2

Elementary First Aid

A-VI/1-3

Personal Safety & Social Responsibility

A-VI/ 1-4

Proficiency in Survival Craft & Rescue Boats

A-VI/ 2-1

Russia

29.07.2015

0258904

29.07.2020

Proficiency in RESCUE CRAFTS

Proficiency in FAST RESCUE BOATS

A-VI/ 2

Advanced Fire Fighting

A-VI/ 3

Medical & First Aid

A-VI/ 4-1

Medical Care

( Ship Captains Medical Course )

A-VI/4-2

Radar & ARPA Simulator Trg- Management level

A-II/ 1-2

Electronic chart Display and Information System course (ECDIS)

A-II / 1

GMDSS + ENDORSEMENT

A-IV/ 2

SAFETY OFFICERS COURSE (SO)

Ship Security Officers Course (SSO)

Issued under STCW95

A-VI/ 5

Proficiency in Security Awareness

A-VI/6

Proficiency in Designated Security Duties

A-VI

Russia

28.07.2015

0023017

28.07.2020

Medical Certificate / HEALTH Certificate

MLC Compliant

Drug and Alcohol test certificate

YELLOW FEVER

Russia

31.08.2013

31.08.2023

Bridge Team Management

A-II/2

Bridge Resources Management

B-VIII/2

ISM Code

A.1441 (18)

TANKERS FAMILIARISATION

A-V/1

Advanced Tanker Operations (Chem.)

A-V/1-2

Advanced Tanker Operations (Oil)

A-V/1

Advanced Tanker Operations (LPG)

A-V/1

REFRESHER & UPDATING

I/II & III/2

Page 2 of 7

Section 9 OFFSHORE INDUSTRY COURSES

Please enter below any other certificates held or courses done, ie offshore, DP certs etc or Any other not already mentioned

Name of Course / Certificate

APPROVALS

Place

Issue Date

Cert No

Expiry

BOSIET

HUET

FOET

OFFSHORE MEDICALS

( UK, NORWAY or NETHERLAND )

Re-Breather training

Initial Standby vessel crews training ( ITSO )

CAA (Civil Aviation Authorities – Helicopter)

Advanced Medical Aider ( AMA )

HLO

HLA

MARLIN’s English Test

Score: %

IELTS-English TEST

http://www.ielts.org/test_centre_search/search_results.aspx

SCORE

PMS maintenance system – Confirm that you are Familiar with its use ( YES / NO )

DEEP WATER ANCHOR HANDLING EXPERIENCE

ENTER DEPTH IN METERS

DP Maintenance Courses

DP Maintenance Courses

HIGH VOLTAGE COURSE

Dynamic Positioning Induction Course

Dynamic Positioning Simulator Course

Dynamic Positioning Operators CERTIFICATE

Full or Limited

Dynamic Positioning Log book Details

Section 10 Hours done with various DP system

SYSTEM DETAILS

Approx Hours as SDPO / Approx Days in case of Senior ETO / Senior Engineer

Approx Hours as DPO / Approx Days in case of Junior ETO / Junior Engineer

APPROXIMATE Total DP Hours in Various Operations

SAT DIVING

CABLE LAYING

AIR DIVING

SURVEY

ROV

PIPE LAYING

WELL STIMULATION / INTERVENTION / ACTIVATION

DRILL SHIP / SEMI SUB

AHTS

PSV

FPSO

SHUTTLE TANKER

CONSTRUCTION

ROCK DUMPING / MATTRESSING

CORING

TRENCHING

HEAVY LIFT

ACCOMMODATION / GANGWAY

Page 3 of 7

Section 11 Medical History

YES

NO

Have you ever signed off a ship due medical reason ?

x

Have you undergone any medical operations in past ?

x

Have you consulted a doctor during the past 12 months for an illness / Accident

x

Do you have any health or disability problem now ?

x

If answer to any of above is YES then give further details below or on a separate sheet

Section 12 General

Yes

No

Have you ever been involved in a maritime accident, ie grounding, fire, Explosion, Collision, etc

x

Have you ever been the subject of a court of enquiry or involved in a maritime accident

x

Have you ever had a professional licence suspended or revoked

x

Have you ever been convicted of any criminal offence?

x

Have you ever been dismissed

x

If yes to any of above then please full details below or on separate sheet of paper

Section 13 References (Last Two Recent Employers)

Name of company

Briese schihffart

Name Person to be contacted

Timonov Sergey

Address

344002 Rostov-on-Don Baumana str. 64

Tel No

+7-863-***-**-**

Fax

Email

acrokc@r.postjobfree.com

Section 16 Record of Sea Service (All Dates to be entered as dd/mm/yy)

Please give full record of sea service STARTING FROM LAST VESSEL FIRST

VESSEL

COMPANY

Type of Vessel

And Type of operation in case of DP vessels

DWT or GRT

(please delete as reqd)

Type of Engines

Or DP System

BHP

RANK

Sign on DATE

Sign off DATE

dd / mm / yy dd / mm / yy

BBC Hudson

Briese schihffart

Hevy lift

12478

Deck cadet

16.09.2013

05.03.2014

Nikolay Konarev

Aship service

Ro-ro

14795

Able seaman

03.07.2012

12.11.2012

ADDITIONAL INFORMATION SHEET

VESSEL TYPE YOU ARE INTERESTED IN (please list in order of priority)

1.

2.

3.

4.

5.

MAXIMUM ACCEPTABLE CONTRACT PERIOD (Please indicate below)

Please Quote –Consolidated MINIMUM MONTHLY SALARY ( no leave pay ) payable for time onboard only or Working DAY RATE EXPECTATION ( no leave pay) ( please quote below in US$ -preferred or Euro or GBP£ )

Languages Spoken / Written / Understood (1-poor 5-Fluent)

Spoken

Written

Understood

ENGLISH

5

4

4



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