Quality Assurance M F
Resume:
Personnel Form
Quality Assurance into the
**st Century and beyond
Form No.
Date of Application: 29TH DECEMBER
Picture
Application
Nomination
2022
Position Applied: CHIEF MATE /
SDPO
Promotion
Readiness to Join:
IMMEDIATE
Amendment
s
• Personal
Family Name Given Name Middle Name Gender
OKORO CHRISTIAN OGHENEOCHUKO M F
Birth Date
(DDMMYY)
Place of
Birth
Nationality National Reg. No.
Social Security / Tax Ref
Number
25TH DEC.
1978
WARRI NIGERIAN NA NA
Address Contact Email
FLAT#2 BLOCK#2 ALICE OBAHOR ESTATE WATER
RESOURCES EFFURUN/WARRI - DELTA STATE
Home:080********
ad2a93@r.postjobfree.com
Cell:080********
Passport No. Place of Issue Issued Date Expiry Date Civil Status A 11000239 WARRI 04/11/2019 03/11/2024 Civilian
US Visa No. Place of Issue Issued Date Expiry Date Religion NA
Schengen Visa
No.
Place of Issue Issued Date Expiry Date Nearest Int’l Airport
• Next of Kin
Family Name Given Name Middle Name Relationship
OKOROH TRISTAN OGHENEOCHUKO SON
Address Contact Details
FLAT#2 BLOCK#2 ALICE OBAHOR ESTATE
WATER RESOURCES EFFURUN/WARRI -
Home: 080********
Cell: 080********
DELTA STATE
• National Certification
Graduated From Highest Qualification Year of Graduation FCFMT COXSWAIN 2004
Discharge Book No. Issued Date Expiry Date
NIG- 047150 21/11/2013 N/A
National Certificate No. Issued Date Expiry Date Issuing Country GOC (GMDSS)
(IV/2)CM310219150208
15/02/2019 15/02/2024 NIGERIA
• Bio Data
Height (cm) Weight (kg) Color of Eyes Color of Hair 1.73m 92KG NA NA
Boiler Suit Size Safety Shoe Size
MEDIUM 44
• Certificates and Qualifications
Documents Held
STCW’95
Flag
State
Number
Issued
(DDMMYY)
Expiry
(DDMMYY)
Foreign Certificate of
Competency (s)
STCW II –
Deck
NIGERIA 004302 30/04/2021 29/04/2026
STCW
Engine
III -
STCW
Radio
IV –
Ratings Watch keeping Cert -
Deck
STCW A-II/4
Ratings Watch keeping Cert -
Engine
STCW A-II/4
Basic Safety Training
• Personal Survival
Technique
• Fire Prevention and
Fire Fighting
• Elementary First Aid
• Personal Safety and
Social Responsibility
STCW A-VI /
1
JINSR/
STCW//1-4
/32648/20
20
14/01/2020 13/01/2025
Proficiency in Survival Craft
and Rescue Boats
STCW A-VI /
2
NIGERIA 1278 01/07/2016 RENEWED -
AWAITING
Proficiency in Fast Rescue STCW A-VI /
Boats 2-2
Ship Handling &Manoeuvring STCW A-II /
2
Bridge Team Management or
Bridge Resource Management
STCW A-II /
1 (IMO
Model 1.22)
NIGERIA 00169 07/02/2015 N/A
Generic ECDIS STCW A-II /
1 (IMO
Model 1.27)
Engine Room Simulator or
Engine Room Resource
STCW A-III /
1&2 (IMO
Model 2.07)
STSDSD or SSO STCW A-VI /
6 or 5
NIGERIA 645 08/09/2016 N/A
Tanker Specific Requirements
Basic Tanker Training
(Oil/Chem/Gas)
STCW A-V/1-
1.1 & 2.1
Advanced Tanker Training
(Oil)
STCW A-V/1-
1.2
Advanced Tanker Training
(Chem)
STCW A-V/1-
1.2
Advanced Tanker Training
(Gas)
STCW A-V/1-
2.2
FRAMO experience Yes No Centrifugal Pumps
with Pump Room
Yes No
Wartsila-Sulzer RT-flex
experience
Yes No Man B&W ME-B/C
experience
(electronic)
Yes No
• Other Qualifications / STCW’95 Courses
Certificate Name Certificate No. Date of Issue Date of Expiry Medical Care 0000871 07/07/2016 N/A
Advanced Fire Fighting 0001351 16/11/2021 15/112026 HELM 0147/2017 23/07/2017 N/A
DP License 13391 16/03/ 2016 RENEWED AWAITING
Radar & ARPA 0000144 01/02/2019 01/02/2024
ISM 387 08/09/2016 N/A
HUET WPSNHUET/2018/0083 03/11/2018 02/11/2022
• Sea Service Record (Note: Sea service should be listed in chronological order with most recent assignment first and should include details for the past 5 years as a minimum)
Rank
Vessel
Name
Vesse
l Type
DW
T /
TEU
Engine
Type / KW
(indicate
full engine
make/typ
e for
engineers)
Period
(DD/MM/YY)
Length
of Time
Onboar
d
Ship
Owner /
Manage
r
From
To
MATE /
S.DPO
BOURBON
ATLANTIDE
AHTS
2152
-
29.10.08 27.11.08 1 MONTH
MATE /
S.DPO
BOURBON
AJAX
AHTS
1379
- 05.12.08 07.02.09 2
MONTHS
MATE /
S.DPO
BOURBON
AJAX
AHTS
1379
- 17.03.09 25.05.09 2
MONTHS
/ 2
WEEKS
MATE /
S.DPO
BOURBON
RHODE
AHTS
1379
- 02.06.09 15.07.09 1 MONTH
/ 2
WEEKS
MATE /
S.DPO
BOURBON
RUBY
PSV
4295
- 23.07.09 28.11.09 4
MONTHS
/ 1 WEEK
MATE /
S.DPO
BOURBON
OX
AHT
1379
- 21.12.09 08.05.10 4
MONTHS
/ 3
WEEKS
MATE /
S.DPO
BOURBON
ANTENOR
PSV
2152
- 25.05.10 19.06.10 1 MONTH
MATE /
S.DPO
BOURB
O N
HORUS
PSV
253
7
GRT
-
22.06.10 22.07.10 1 MONTH
MATE /
S.DPO
BOURBON
LIBERTY
111
AHTS
1570
- 02.08.10 09.09.10 1 MONTH
/ 2
WEEKS
MATE /
S.DPO
BOURBON
LIBERTY
111
AHTS
1570
- 29.09.10 06.12.10 2
MONTHS
/ 1 WEEK
MATE /
S.DPO
BOURBON
LIBERTY
111
AHTS
1570
- 03.01.11 21.03.11 2
MONTHS
/ 3
WEEKS
MATE /
S.DPO
BOURBON
ATLANTIDE
PSV
2152
- 04.05.11 22.08.11 3
MONTHS
/ 3
WEEKS
MATE /
S.DPO
BOURBON
LIBERTY
202
AHTS
1570
- 10.09.11 19.10.11 1 MONTH
/ 2
WEEKS
MATE /
S.DPO
BOURBON
LIBERTY
202
AHTS
1570
- 24.11.11 28.12.11 1 MONTH
/ 1 WEEK
MATE /
S.DPO
BOURBON
LIBERTY
229
AHTS
1570
- 05.01.12 16.01.12 2 WEEKS
MATE /
S.DPO
BOURBON
LIBERTY
202
AHTS
1570
- 23.01.12 25.02.12 1 MONTH
MATE /
S.DPO
BOURBON
RHESOS
AHTS
1385
- 15.03.12 20.05.12 2
MONTHS
/ 2
WEEKS
MATE /
S.DPO
BOURBON
OX
AHT
804
- 23.06.12 13.08.12 1 MONTH
/ 3
WEEKS
MATE /
S.DPO
BOURBON
RHESOS
AHTS
1385
- 24.09.12 23.11.12 1 MONTH
MATE /
S.DPO
BOURBON
RHESOS
AHTS
1385
- 18.01.13 21.03.13 1 MONTH
/ 1 WEEK
MATE /
S.DPO
BOURBON
RHESOS
AHTS
1385
- 20.05.13 05.08.15 2
MONTHS
/ 2
WEEKS
MATE /
S.DPO
BOURBON
RHESOS
AHTS
1385
- 09.09.15 23.11.13 1 MONTH
/ 2
WEEKS
MATE
/
S.DPO
BOURB
O N
HORUS
PSV
253
7
GRT
-
04.01.14 21.02.14 1 MONTH
/ 3
WEEKS
MATE
/
S.DPO
BOURB
O N
HORUS
PSV
253
7
GRT
-
03.03.14 13.03.14 10 DAYS
MATE
/
S.DPO
BOURB
O N
HORUS
PSV
253
7
GRT
-
19.04.14 23.05.14 1 MONTH
/ 1 WEEK
MATE
/
S.DPO
BOURB
O N
HORUS
PSV
253
7
GRT
-
24.06.14 11.08.14 I MONTH
3 WEEKS
MATE
/
S.DPO
BOURB
O N
HORUS
PSV
253
7
GRT
-
25.08.14 09.09.14 2 WEEKS
MATE
/
S.DPO
BOURB
O N
HORUS
PSV
253
7
GRT
-
13.10.14
02.12.14 I MONTH
3 WEEKS
MATE
/
S.DPO
BOURB
O N
HORUS
PSV
253
7
GRT
-
20.01.1
4
01.02.15 2 WEEKS
MATE
/
S.DPO
BOURB
O N
HORUS
PSV
253
7
GRT
-
09.02.1
5
03.03.1
5
1
MONTH
C/MAT
E /
S.DPO
BOURB
O N
THOR
AHTS
196
6
GRT
-
03.04.15 25.05.15 1 MONTH
C/MAT
E /
S.DPO
SMAIT
LUMB
A
AHTS 1751
-
13.11.15 02.12.15 2 MONTH
C/MAT
E /
S.DPO
SMIT
LINGG
A
AHTS 1727
-
18.12.15 19.05.16 2 MONTH
C/MAT
E /
S.DPO
SMIT
LINGG
A
AHTS 1727
-
29.02.16 19.05.16 2 MONTH
C/MAT
E /
S.DPO
LAM.
MACA
W
AHTS 1290
-
12.07.16 11.08.16 2 MONTH
C/MAT
E /
S.DPO
LAM.
MALKOH
A
AHTS 1290
-
23.09.16 13.11.16 2 MONTH
C/MAT
E /
S.DPO
LAM.
MERLI
N
AHTS 1290
-
12.12.16 26.01.17 2 MONTH
C/MAT
E /
S.DPO
LAM.
MACA
W
AHTS 1290
-
16.02.17 30.03.17 2 MONTH
C/MAT
E /
S.DPO
LAM.
MALKOH
A
AHTS 1290
-
03.04.17 28.08.17 2 MONTH
C/MAT
E /
S.DPO
LAM.
MALKOH
A
AHTS 1290 - 07.08.17 17.10.17 2 MONTH
C/MAT
E /
S.DPO
LAM.
MALKOH
A
AHTS 1290 - 07.03.17 02.02.18 2 MONTH
C/MAT
E /
S.DPO
LAM.
MAGPI
E
AHTS 1290 - 07.03.18 24.04.18 2 MONTH
C/MAT
E /
S.DPO
ARK
CHAR
LY
AHTS
1290 - 08.06.18 20.08.18
2
MONTH
C/MAT
E /
S.DPO
ARK
CHAR
LY
AHTS
1290 - 26.10.18 15.01.19
2
MONTH
C/MAT
E /
S.DPO
ARK
CHAR
LY
AHTS
1290 - 30.03.19 10.06.19
2
MONTH
C/MATE
/ S.DPO
MV LIAM
J. McCall
FSIV
-
- 19.06.19 05.07.19 1
MONTH
C/MATE
/ S.DPO
AFRIMARIN
E 5
AHTS
224
3
GRT
- 20.08.19 05.10.19
2
MONTH
C/MATE
/ S.DPO
AFRIMARIN
E 3
AHTS
1678
- 02.12.19 14.12.19 2 WEEKS
C/MATE
/ S.DPO
OSHE
REWO
AHTS
1678
- 14.12.19 30.06.20 6 MONTHS / 2
WEEKS
C/MATE
/ S.DPO
OSHE
REWO
AHTS
1678
- 12.10.20 19.02.21 4 MONTHS / 2
WEEKS
C/MATE/
SDPO
OSHE 3 AHT
1072
- 09.03.21 20.10.21 7 MONTHS / 3
WEEKS
C/MATE/
SDPO
OSHE 3 AHT
1072
- 03.12.21 10.10.21 9 MONTHS / 2
WEEKS
C/MATE/
SDPO
OSHE 3 AHT
1072
- 08.07.22 20.09.22 3 MONTHS / 3
WEEKS
C/MATE/
SDPO
OSHE AHT
1072
- 20.11.22 - TILL DATE
For Offshore applicants only:
Anchor Handling operations during contract? Yes (If yes, how many hours / days 120 / 5 ) No
What depth? 50M Anchor type? FLUKED Location & name of rig? MOBILE / ORION
Towing during contract? Yes No. If yes, name of barge towed AD 1 RIG
From where to where? FORCADOS TO BAYELSA Tow Length? 250M Charterer? E&P
Boat handling experience? 9
• Reference(s) from Previous Employment
No. Company Name of Contact Person Contact Details BOURBON INTER-OIL CHRISTY KOKO 080********
LAMNALCO NIG. LTD TIMI GBEKI 080********
OMAK NIG. LTD MR. VITUS O. 070********
TELFORD OFFSHORE NIG. MR. DENIS HANNAH 090******** I would like to apply for a position on below ship types based on my personal preference and relevant experience (tick as applicable):
TANKERS
Ship type
Ship size
(DWT)
Tick if
Applicable
Ship type
Ship
size
(DWT)
Tick if
Applicable
Very Large Crude
Carrier
160K+
Asphalt & Bitumen
Carrier
ALL
AFRAMAX / SUEZMAX 80-160K Very Large Gas Carrier ALL Chemical Tanker
(Hard Core Chemicals)
ALL LPG ALL
Chemical Tanker
(Soft / Easy Chemicals)
ALL LNG ALL
Product Tanker ALL Ethylene Carrier ALL
DRY BULK
Ship type
Ship size
(DWT)
Tick if
Applicable
Ship type
Ship
size
(DWT)
Tick if
Applicable
Very Large Ore Carrier >210 K
Handysize +
Handymax
40-
50K
Cape Size 130-200K Log Carrier ALL
Panamax 80-130K Ice Class ALL
Kamsamax +
Supramax
50-80K Container Vessels ALL
OFFSHORE
Ship type DP Class
Propulsion Type
(CPP / Azimuths)
Any Other
Limiting Factors
Tick if
Applicable
Anchor Handling Tug
Supply
2 CPP NIL
Platform Supply Vessel 2 AZIMUTH NIL
Offshore Construction
Vessel
• Cargo Experience Information Sheet
• For Tanker Vessels – refer to Annex 1
• For Dry Bulk Vessels – refer to Annex 2
YRS.
Seismic (Mother Vessel)
Seismic (Chaser Vessel)
Offshore Support Vessel
Accommodation Vessel
Dive Support Vessel
Other (Specify):
• Declaration and Signature
• I hereby certify that the information given above are true and correct to the best of my knowledge and belief and that I have not withheld any information that would affect my application unfavourably.
• Any false declaration I supplied herein may constitute ground for disqualification and non- acceptance to the company and can be further subjected to applicable penalties in accordance to existing laws governing the recruitment and employment of overseas seafarers.
• I give consent to the Company for holding and processing all my personal data as disclosed in this Form for the purposes of (i) To keep me informed about any upcoming vacancy (Note: you can unsubscribe from any time), (ii) To process my application, (iii) To use my data for processing my Payment, as applicable, and (iv)To share my data with such third party who act for and on behalf of the Company or in connection with the business of the Company for further processing in accordance with the purposes for which the data was originally collected.
[IMPORTANT NOTE: Please do note that you have the right to withhold your consent. You can find out more about how we use your data from our “Public Privacy Policy” which is available from our website at <https://www.thome.com.sg/wp- content/uploads/2018/11/Thome-Group-Public-Privacy-Policy.pdf> or from the Company representative. You can also withdraw or change your consent at any time by contacting the local manning office / agent or Company representative.] Please note that all processing of your personal data will cease once you have withdrawn consent, other than where this is required by law, but this will not affect any personal data that has already been processed prior to this point.] Signature of Applicant:
Date:
07TH FEBRUARY, 2022
Annex 1:
Cargo experience information sheet – Tankers
Instruction to applicant: Please tick appropriate box for cargoes that you have been carried before. Oil / DPP
(Note: experience with any 1 of the listed cargoes is required for oil tanker assignment)
No
Yes
As
rating
As
Junior
Officer
As Senior
Officer
Crude oil
Fuel oil
Carbon black
Asphalt
(Note: experience with any 1 of the listed cargoes is required for asphalt tanker assignment)
No
Yes
As
rating
As
Junior
Officer
As Senior
Officer
Asphalt
Bitumen
Coal tar
Residual oil
Clean Petroleum Products (CPP)
(Note: experience with any 2 of the listed cargoes is required for product (CPP) tanker assignment)
No
Yes
As
rating
As
Junior
Officer
As Senior
Officer
Kerosene GML
Condensates
Gasoline
Gasoil
Jet a-1
Avgas
Diesel oil
Lub oil
Aviation Alkylates
Distillates
Soft chemicals
(Note: experience with any 2 of the listed cargoes is required for soft chemical tanker assignment)
No
Yes
As
Rating
As
Junior
Officer
As Senior
Officer
Vegetable oil
Soya bean oil
Fame
Tallow
Ethylene Dichloride (EDC)
Styrene Monomer
Benzene
Xylene
Toluene
Acids
Sodium hydroxide solution
Urea Ammonium Nitrate (UAN)
Hard chemicals
(Note: experience with any 1 of the listed cargoes is required for hard chem tanker assignment)
No
Yes
As
Rating
As
Junior
Officer
As Senior
Officer
MDI
TDI
Phenol
Propylene oxide / isoprene
Acrylates
Hexamethylene diamine (HMD)
Cumene
Latex
Acrylonitrile (ACN)
Methyl ethylene glycol (MEG) fibre grade (0.5 ppm
chlorides)
Gas
(Note: experience with any 2 of the listed
cargoes is required for gas tanker
assignment)
No
Yes
As Rating
As Junior
Officer
As Senior
Officer
Ammonia, Anhydrous
Butadiene
Butane
Butane - propane mixtures
Butylenes
Ethane
Ethylene
Mixed c4
Pentanes
Pentene
Propane
Propylene
Propylene Oxide
Vinyl Chloride
Other information / Areas of knowledge No Yes Comments Crude oil washing
Deep well pump experience
Specialisedframo course
Tank coating – phenolic epoxy
Tank coating – epoxy
Tank coating – zinc paint
Tank coating – stainless steel
Tank coating – marineline
Any other relevant information that you would like to inform us about: Annex 2:
Cargo experience information sheet – Dry bulk
Instruction to applicant: Please tick appropriate box for cargoes that you have been carried before. Dry bulk
No
Yes
As rating
As Junior
Officer
As Senior
Officer
Grain & agricultural products
Coal
Ore
Steel & steel products
Timber
Logs
Reefers (container vessels only)
IMDG (container vessels only)
Others (please specify below):
Other information / Areas of knowledge No Yes Comments Geared vessel experience
(if yes, please specify what kind of cranes)
Types of hatch covers (please specify)
Any other relevant information that you would like to inform us about:
Contact this candidate