Management System Medical
Resume:
Safety Management System Manual
Seaport International Shipping Co. LLC Form 02: Application Form Of
Seafarers
Revision: 04 Page: 1 of 3 Date: 10 - September - 2014
Prepared By: DPA Approved By: MD
FORM #: 02
APPLICATION FORM OF SEAFARERS
Position Applied Captain - Master none limitation [pic]
License STCW Code II/2-102******* valid 12.03.2018
Issued Harbour master port of ARKHANGELSK
Surname Zinkin
Name Dmitry
Date of Birth 02.09. 1955
PASSPORT DETAILS
PP #Travel Date of Issue Date of Expiry
passport
64N5577509 30.03. 2012 30.03. 2017
SEAMAN PASSPORT ( BOOK) DETAILS
Seaman Identity Date of Issue Date of Expiry
Document
RUS 01536672 02.09. 2013 02.09.2018
Please provide details of if holding any other Seaman Books (i.e. Panama,
Liberian, etc..) No, Issue, Expiry
1. Seaman Book - Antigua&Barbuda,MASTER Certif-s - Antigua&Barbuda issued
in Hamburg- Expiry
2.
3.
OTHER RELEVANT DETAILS
Marital Status Marride Coverall size 54-56
Contact # mob 07-915-***-**-** Safety shoe size 42-43
phone
Fax / Email ********@*****.** Waist size 90
Address: 8/4-103 2-ay Pugachevskaya str. Moscow mob. phone
Sister E-mail: *****@****.** mob. Phone 07-910-***-**-**
Next of Kin name, Address & Contact #: Elfert Nelly - sister 26/2-99
Bolshayay Cherkizovskaya str. Moscow home phone Sister
E-mail: *****@****.** mob. phone 07-910-***-**-**
Details of children: Name / Age
1) Maria Zinkina / dauther / three year.
2)
3)
4)
LICENSE DETAILS
LICENSE DATE DATE PLACE STCW 95 CODE REMARKS
ISSUE EXPIRE ISSUE
Master 102******* 19.08.1 12.03.1 Arkhangels II/2 None limitation
4 8 k
Tanker 10.04.1 10.04.1 Moscow A -V/ 1 N199644
familiarisation 3 8
Advanced tanker 10.04.1 10.04.1 Moscow A -V/ 1 N199644
operation 3 8
?rude oil washing 10.04.1 10.04.1 Moscow A -V/ 1 N199644
3 3
Tanker safety 10.04.1 10.04.1 Moscow A -V/ 1 N199644
3 3
All information contained in this document is property of Seaport
International Shipping., and should not be divulged in whole or part to any
Company or person, without the prior written permission of Seaport
International Shipping.
Safety Management System Manual
Seaport International Shipping Co. LLC Form 02: Application Form Of Seafarers
Revision: 04 Page: 2 of 3 Date: 10 - September -2014
Prepared By: DPA Approved By: MD
NAME: RANK:
CERTIFICATE STATUS
Certificate Cert. # Date issued Date Expire Place Issue STCW Code Remarks
Medical First Aid 404707 29.03.13 29.03.18 Moscow A-VI/ 4-1
Medical Care - Officer 161598 20.03.13 20.03.18 Moscow A-VI/ 4-2
Fire Fighting & Prevention 404707 29.03.13 29.03.18 Moscow A-VI / 1-2
Advanced fire fighting 183045 12.03.13 12.03.18 Moscow A-VI / 3
Survival at Sea 404707 29.03.13 29.03.18 Moscow A-VI / 1-1
Personal Safety and Social 404707 29.03.13 29.03.18 Moscow A-VI / 1
Respns.
Prof. In Survival Craft 324588 14.03.13 14.03.18 Moscow A-VI / 2-1
Personal Survival Techniques 404707 14.03.13 14.03.18 Moscow A-VI / 1-1
GMDSS 101******* 31.07.13 12.03.18 S-Petersburg A-IV / 2
Endorsment G.O.C. 101******* 31.07.13 12.03.18 S-Petersburg A-IV / 2
Ship Security Officer AA 0099320 17.05.13 17.05.18 Moscow A-VI/ 5
Radar Plotting 0165661 26.04.13 26.04.18 Moscow A - II / 1-2
Radar Simulator 0165661 26.04.13 26.04.18 Moscow A - II / 1-2
ARPA 0165661 26.04.13 26.04.18 Moscow A - II / 1-2
ISM Code Management 28.11.11 Vungtau-Vietnam A.1441 (18)
Helicopter (take- on/off) Safety book 28.11.11 Vungtau-Vietnam
ECDIS AA 0099955 08.05.13 08.05.18 Moscow B-I/12
A-II/1,A-II/2,A-II/3
All information contained in this document is property of Seaport
International Shipping., and should not be divulged in whole or part to any
Company or person, without the prior written permission of Seaport
International Shipping.
Safety Management System Manual
Seaport International Shipping Co. LLC Form 02: Application Form Of Seafarers
Revision: 04 Page: 3 of 3 Date: 10 - September - 2014
Prepared By: DPA Approved By: MD
SEA SERVICE RECORD (Last 5 employment record)
Company Name Rank Vessel Particulars Period
Name / Flag Type GRT Main Engines Generators From To Ship Co.
"Re-Mo" Master Altair/Antares-RF Tug-boat 1200 SCL 2500
07.1994 12.98 Connex Shipping Chief Off-Master Linaco/Malanga
Antigua&Barbuda Tanker 8000 B&W 5400 03.99 05.2000 Intertrade
Lines Master Lady Astrid
Panama Tanker 40000 B&W 23300 11.2000 07.2001 Vietsovpetro
Vietsovpetro RigMaster
Master MSP - 11
Chi Linh-Vietnam Seaplatform
Tanker --
88692 Drill. equipment
Turbine 27500 10.2001
08.2005 07.2005
08.2008 Vietsovpetro Master Shaomay-01/ 02 Vietnam Tug-boat 1800
SCL 4200 09.2008 01.2012 Samara Shipping
B.S.B.S.Shipp.Ltd. Master
Chief Off. Volgoneft-122
Orel - 04 Tanker
General-dry cargo-bulk 3518
3104 8NDV48AU
6NVD-48AU 05.2012
10.2013 12.2012
03.2014
ADDITIONAL INFORMATION: 10 years worked in JV Vietsovpetro at the
OIL&GAS industry in oil fields White Tiger as the Master. All Master-
Captain`s Certif-s renewing. Travel passport are valid. LAST Medical
examination at July 2014-valid one year. Finished DP base course and
training Certificate N IDP-1140/13 at S-Petersburg marine state
academy at August 2013.
Religion : Khiristian
Name of Mother : Tatiyana
Name of Father : Andrey
Blood Group : O + O - B + B -
A + A - AB + AB -
AGENT DETAILS:
SIGNATURE OF APPLICANT: _Dm . Zinkin DATE: _10
September 2014
All information contained in this document is property of Seaport
International Shipping., and should not be divulged in whole or part to any
Company or person, without the prior written permission of Seaport
International Shipping.
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