Security Officer Safety Training

APPLICATION FORM

Last name Pagsuguiron First name Bobby

Middle name Silva Gender M

Date of birth 02/May/1968 Nationality Filipino

Place of birth Sta. Cruz Manila

Country of Residence Philippines City of Residence Imus Phone 046-******* Mobile 094*-****-***

Zip code 1403 E-mail *************@*****.***

Address B13 L25 Manila St. Golden City, Anubu 2F, Imus Cavite Identity Documents

Passport number P9961328A Seaman book

number

C1205164

Passport issue date 17/Dec/2018 Seaman book issue

date

28/Jan/2017

Passport expiry date 16/Dec/2028 Seaman book expiry date

25/Jan/2027

Passport issue

country

Philippines Seaman book issue

country

Philippines

Education

Type Name From year To year Qualification attained College PMMS 1984 1987 BSMT

Country Number Type Issued Expiry Place of issue

United States of America T4251499 US C1D Visa 18/Aug/2023 09/Aug/2033 MANILA Vaccinations

Number Type Issued Expires Place of issue

LOT#H202102005 Covid 19 Vaccination 1 dose 09/Apr/2021 IMUS CAVITE LOT#J202103011 Covid 19 Vaccination 2nd Dose 07/May/2021 IMUS CAVITE XE399 Covid 19 Vaccination Booster Dose 15/Oct/2021 DENMARK PFIZER3430080 Covid 19 Vaccination Booster Dose 2 07/Jul/2022 IMUS CAVITE LOT#R3H23 Yellow Fever 16/Sep/2020 MANILA

Special Skills

No record found

Sea Services

Rank Joined Signed off Period Vessel Type Engine GRT DWT HP KW Owner / Manager

2/O 08/Sep/2023 09/Dec/2023 0Y 3M

1D Seapeak Arwa LNG

Tanker 104,169 17,769 13,250 SEAPEAK

SHIPPING

2/O 18/Feb/2023 25/Jun/2023 0Y 4M

6D LNG/C AL KHUWAIR LNG

Tanker 135,848 SEAPEAK

SHIPPING

2/O 09/Aug/2022 14/Dec/2022 0Y 4M

6D PAN EUROPE LNG

Tanker 114,996 15,690 11,700 SEAPEAK

SHIPPING

2/O 13/Jan/2022 09/Jun/2022 0Y 4M

26D PAN AFRICA LNG

Tanker 114,996 15,690 11,700 SEAPEAK

SHIPPING

2/O 14/Jun/2021 09/Nov/2021 0Y 4M

27D

LNG/C AL

KHARSAAH

LNG

Tanker 135,848 60,748 45,300 TEEKAY

SHIPPING

2/O 27/Sep/2020 24/Jan/2021 0Y 3M

28D PAN ASIA LNG

Tanker 114,996 15,958 11,900 TEEKAY

SHIPPING

2/O 22/Feb/2020 21/Jul/2020 0Y 4M

29D

WOODSIDE

DONALDSON

LNG

Tanker 104,169 17,769 13,250 TEEKAY

SHIPPING

2/O 11/Aug/2019 02/Jan/2020 0Y 4M

23D PAN AFRICA LNG

Tanker 114,996 15,690 11,700 TEEKAY

SHIPPING

2/O 19/Feb/2019 29/Jun/2019 0Y 4M

9D LNG/C SEAN SPIRIT LNG

Tanker 117,162 37,034 27,616 TEEKAY

SHIPPING

2/O 05/Aug/2018 13/Dec/2018 0Y 4M

9D

LNG/C METHANE

SPIRIT

LNG

Tanker 104,169 35,537 26,500 TEEKAY

SHIPPING

2/O 04/Feb/2018 31/May/2018 0Y 3M

25D LNG/C AL DAAYEN LNG

Tanker 99,106 49,350 36,800 TEEKAY

SHIPPING

2/O 08/Aug/2017 04/Dec/2017 0Y 3M

27D

LNG/C CREOLE

SPIRIT

LNG

Tanker 113,263 33,579 25,040 TEEKAY

SHIPPING

2/O 16/Jan/2017 10/Jun/2017 0Y 4M

24D MARIB SPIRIT LNG

Tanker 104,169 35,135 26,200 TEEKAY

SHIPPING

2/O 06/Jun/2016 20/Oct/2016 0Y 4M

15D ARWA SPIRIT LNG

Tanker 104,169 17,769 13,250 TEEKAY

SHIPPING

2/O 02/Nov/2015 22/Mar/2016 0Y 4M

20D

LNG/C METHANE

SPIRIT

LNG

Tanker 104,169 35,537 26,500 TEEKAY

SHIPPING

2/O 09/Mar/2015 03/Aug/2015 0Y 4M

26D

LNG/C METHANE

SPIRIT

LNG

Tanker 104,169 35,537 26,500 TEEKAY

SHIPPING

2/O 05/Aug/2014 18/Dec/2014 0Y 4M

14D LNG/C POLAR SPIRIT LNG

Tanker 66,174 28,161 21,000 TEEKAY

SHIPPING

2/O 12/Nov/2013 06/May/2014 0Y 5M

23D LNG/C AL DAAYEN LNG

Tanker 99,106 49,350 36,800 TEEKAY

SHIPPING

Pre-Employment Checks

No record found

Experience

Vessel Type Period Voyages

EXPERIENCE BY VESSEL

Liquefied Gas 6Y 8M 9D 18

Subtotal: 6Y 8M 9D 18

Total: 6Y 8M 9D 18

Rank Period Voyages

EXPERIENCE BY RANK

2/O 6Y 8M 9D 18

Subtotal: 6Y 8M 9D 18

Total: 6Y 8M 9D 18

Motivation

Please state briefly what

prompted you to make this

application

What are your strengths and

weakness?

Website

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Employment Agency

Referred by friends

Career Events

Others

Declaration

Signature: Date:

SECOND OFFICER Pagsuguiron, Bobby

25/Jan/2024

Contact this candidate