BourbonOffshoreGreenmar
APPLICATIONFOREMPLOYMENT
RECORDOFPERSONALINFORMATIONANDPASTEXPERIENCE
ApplicationForm Page1of1
Rank:
2NDMATE
DPO
FirstName: DHARMENDRA LastName: SINGH Nationality: INDIAN Date&Placeof
Birth:
01/02/1969 MaritalStatus: MARRIED
PresentAddress:
NALANDACOTTAGES,COTTAGENO.B6
MEMCOMORE,NAGNAGAR,DHANBAD,
JHARKHAND,INDIA826004
NextofKin: WIFE
Homephone: 0091 983-***-**** Name/Relationship: RUBYSINGH/WIFE cellphone: 009***********
Address:
NALANDACOTTAGES,COTTAGENO.B6
MEMCOMORE,NAGNAGAR,DHANBAD,
JHARKHAND,INDIA826004
Fax:
Email:
*****************@*****.***
/**************@*****.**.**
NextofkinCellPhone: 009***********
Father’sname SHUKDEOPRASADSINGH Mother’sname: LATESURAJDEVI NearestAirport: KOLKATA KmfromAirport: 280
Present/Last
Employer:
BOURBONSURF(BIBBYSHIPMANGEMENT
www.bibbyshipmanagement.com
Languages: ENGLISH/HINDI
Address:
1STFLOORP&GPLAZACARDINALGRACLAS
ROADOPPCHAKALAANDHERIEAST
MUMBAI400099
MedicalCertificate
issued:
14/11/2015 Expired: 13/11/2017
Anyvisaissued: Expired: Tel:
Weight(kg): 74 Height(cm): 169 CoverallSize: M ShoesSize: 8 Hair
:
BLACK Eyes: BLACK
Licence
LicenceCountry GradeofLicence Number Place&DateIssued DateExpired INDIA SECONDMATE IF-12770 INDIA29/01/02 29/01/2021 Luxembourg
Passports
Number Place&DateIssued DateExpired
Z3121532 RANCHIINDIA,03/02/2015 02/02/2025
Seaman’sBook
Country Place&DateIssued Number DateExpired
INDIA 09.12.2011MUMBAIINDIA MUM-79267 08.12.2021
Luxembourg
DPLogBook
Country Place&DateIssued Number DateExpired
UNITEDKINGDAM LONDON 6754
DPCertificates
Certificates Place&DateIssued Number DateExpired
DPBasic(induction) SINGAPORE 03/10/2005 1572
DPAdvanced SINGAPORE 15/06/2006 2015
DPunlimited LONDON 11/06/2008 6754
BourbonOffshoreGreenmar
APPLICATIONFOREMPLOYMENT
RECORDOFPERSONALINFORMATIONANDPASTEXPERIENCE
ApplicationForm Page2of2
Certificate
CertificatesSTCW DateIssued PlaceIssued Expirationdate LicenseNumber YellowFevercertificate 07/10/2009
MUMBAI
INDIA
06/10/2019 2045
BOSIET 27/04/2016 MUM,INDIA 26/04/2021 BOSIET/107/04/2016 MEDICALIIIorII 14/11/2015
KOLKATA
INDIA
13/11/2017 18703
ARPA 18/06/1999
MUMBAI,
INDIA
unlimited ARPA/990676
GMDSS 24/05/2015
NEWDELHI
INDIA
23/05/2020 GOC-4689
FPFF/AFF 19/11/2015
KOLKATA
INDIA
18/11/2020 01754
RMFA 19/11/2015
KOLKATA
INDIA
18/11/2020 031*******
PSCRB(BAERS) 08/01/2016
CHENAI
INDIA
07/01/2021 PSCRB-8257/07
PersonalSecurityandSocialResponsibilities 06/08/2014 PATNAINDIA unlimited PSSR/18/147/14 FirstAidatsea 19/11/2015
MUMBAI
INDIA
18/11/2020 RMFA0311501040
RADAROBSERVATION&PLOTING 14/12/1998
MUMBAI
INDIA
unlimited ROP/990097
SHIPSECURITYOFFICER 07/03/2014
MUMBAI
INDIA
unlimited 03149
ECDIS 04/12/2015
INDIA
KOLKATA
unlimited C/127/02
MARLINSTEST 27/02/2014 INDIA unlimited 0907F82D81C1327 GMDSS(GOC) 24/05/2015
INDIANEW
DELHI
23/05/2020 GOC4689
GMDSSENDORSEMENT 18/11/2015
KOLKATA
INDIA
23/05/2020 GOC/KOL/01111544
PST 09/08/2014 PATNAINDIA unlimited PST/17/14014
BRM 21/08/2015
KOLKATA
INDIA
unlimited KOL/BRM/01-15/01
BourbonOffshoreGreenmar
APPLICATIONFOREMPLOYMENT
RECORDOFPERSONALINFORMATIONANDPASTEXPERIENCE
ApplicationForm Page3of3
PreviousSeaExperience(ForLastFiveYearsorLast10ShipsServed) Vessel’sName Flag GRT VesselType EngineType+KW CompanyName Rank Period:From Period:To BOURBONEVOLUTION
807
FRENCH 6146 MPSV BOURBONSURF SECONDMATE 04/05/2016 24/05/2016 BourbonTrieste Luxembourg 3210 MPSV 4x1424 BourbonOffshoreGreenmar SecondMate 02.10.2015 10.11.2015 Supporter Cyprus 3112 MPSV 2x1300 BourbonOffshoreGreenmar SecondMate 05.03.2015 22.05.2015 Supporter Cyprus 3112 MPSV 2x1300 BourbonOffshoreGreenmar SecondMate 08.09.2014 30.11.2014 BourbonTrieste Luxembourg 3210 MPSV 4x1424 BourbonOffshoreGreenmar SecondMate 30.10.2013 05.01.2014 BourbonTrieste Luxembourg 3210 MPSV 4x1424 BourbonOffshoreGreenmar SecondMate 15.07.2013 08.09.2013 BourbonTrieste Luxembourg 3210 MPSV 4x1424 BourbonOffshoreGreenmar SecondMate 13.02.2013 06.04.2013 BourbonTrieste Luxembourg 3210 MPSV 4x1424 BourbonOffshoreGreenmar SecondMate 19.10.2012 25.11.2012 BourbonDiamond Luxembourg 4699 PSV 4x1825 BourbonOffshoreGreenmar SecondMate 11.09.2012 18.10.2012 BourbonGulfStar StVincent 2141 PSV 3x1900 BourbonOffshoreGreenmar SecondMate 16.04.2012 26.06.2012 BourbonGulfStar StVincent 2141 PSV 3x1900 BourbonOffshoreGreenmar SecondMate 18.12.2011 22.02.2012 BOURBONHEMERA FRENCH 2321 PSV
BOURBONOFFSHORE
GREENMARSA
SWITZERLAND
2NDMATEDPO 29/08/2011 19/10/2011
BOURBONHEMERA FRENCH 2321 PSV
BOURBONOFFSHORE
GREENMARSA
SWITZERLAND
2NDMATEDPO 03/05/2011 13/07/2011
BOURBONHEMERA FRENCH 2321 PSV
BOURBONOFFSHORE
GREENMARSA
SWITZERLAND
2NDMATEDPO 04/01/2011 10/03/2011
BOURBONRUBY LUXEMBURG 4200 PSV
BOURBONOFFSHORE
GREENMARSA
SWITZERLAND
2NDMATEDPO 26/09/2010 18/11/2011
MALAVIYASEVEN INDIAN 3001 PSV
GREATOFFSHORELTD
INDIA
2NDMATEDPO 16/06/2010 20/08/2010
DSVGERIMAL KINGSTOWN 2208 DSV
HALANISHIPPINGLTD
INDIA
2NDMATEDPO 10/11/2009 15/01/2010
BOURBONHIMALYA FRENCH 2371 PSV
BIBBYSHIPMANAGEMENT
INDIAPVT.LTD.
2NDMATEDPO 28/03/2009 04/06/2009
BourbonOffshoreGreenmar
APPLICATIONFOREMPLOYMENT
RECORDOFPERSONALINFORMATIONANDPASTEXPERIENCE
ApplicationForm Page4of4
BOURBONHERMES FRENCH 2321 PSV
BIBBYSHIPMANAGEMENT
INDIAPVT.LTD.
2NDMATEDPO 26/11/2008 27/01/2009
CABLEINNOVATOR
UNITED
KINGDOM
14277 CABLELAYING
GLOBALMARINESYSTEMSLTD.
NEWSAXONHOUSE
1WINSFORDWAY
BOREHAMINTEROHANGE
CHELMSFORDCM25PD
UNITEDKINGDOM
3RDMATEDPO 06/12/2007 10/05/2008
CABLEINNOVATOR
UNITED
KINGDOM
14277 CABLELAYING
GLOBALMARINESYSTEMSLTD.
NEWSAXONHOUSE
1WINSFORDWAY
BOREHAMINTEROHANGE
CHELMSFORDCM25PD
UNITEDKINGDOM
3RDMATE 28/05/2007 29/09/2007
CABLERETRIEVER
UNITED
KINGDOM
10105 CABLELAYING
GLOBALMARINESYSTEMSLTD.
NEWSAXONHOUSE
1WINSFORDWAY
BOREHAMINTEROHANGE
CHELMSFORDCM25PD
UNITEDKINGDOM
3RD MATE 19/07/2006 30/12/2006
ANYADDITIONNALINFORMATIONSORJOBDESCRIPTIONS/EXPERIENCESYOUWANTTODETAILINPARTICULAR.WRITEHERE: Detailtheworkyouhavedoneonboardpreviousvessels
IWORKEDINCAPESIZEBULKCARRIEROFP&OCOMPANYANDBULKCARRIEROFSHIPPINGCORPORATIONOFINDIA. IWORKEDEIGHTYEARSINVARIOUSVESSELOFCABLELAYINGANDMAINTENANCE, MOSTOFTHEVESSELSWEREDPCLASS2.
VESSELSWEREFITTEDWITHROVANDPLOUGH,
VESSELSWEREENGAGEDINSEABEDSURVEYFOROPTICALFIBERCABLELAY,WINDFARMINSTALLATION,LAYINGCABLEINDEEPWATERAND SHALOWWATER.MOSTOFTHESHIP’SHADMULTINATIONALOFFICERSANDCREW. IWORKEDONDIVESUPPORTVESSELDPCLASS2OFFIRANFORFIXINGGASANDOILPIPELINEONSEABED. IWORKEDONPSVVESSELWHICHWASENGAGEDINSUPPLYPIPESFOROILANDGASPIPELINELAYINGVESSELWHILELAYINGPIPE,PLACEWASOFF TRINIDADANDTOBAGO.
IHAVEEXPERIENCEINDIFRENTTYPEOFOPERATIONINMPSVVESSELLIKEOILANDGASPIPELINESURVEY,MAINTAINANCE,X-MASTREE INSTALATIONETC