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:

acypxl@r.postjobfree.com

/acypxl@r.postjobfree.com

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

+912*********

MedicalCertificate

issued:

14/11/2015 Expired: 13/11/2017

Anyvisaissued: Expired: Tel:

+912*********

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

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