APPLICATION FORM
POSITION
*rd Engineer
DATE AVAILABLE
Anytime
NAME:
Decatoria, Nelson Nahoman
SEX:
Male
CIVIL STATUS:
Married
HEIGHT:
5'6"
WEIGHT:
75Kg
NATIONALITY:
Pilipino
DATE OF BIRTH:
24 Jan. 1979
AGE:
42
CITY ADDRESS:
Purok Thunder, Babag 1, Lapu – Lapu City 6015
TEL. NO.:
PLACE OF BIRTH:
Lapu-Lapu City
PROVINCIAL ADDRESS: Bacong, Salug, Zamboanga del Norte
TEL.NO.: +639*********
NO. OF : 2
RELIGION:
Catholic
PASSPORT NO.:
P4401736B
DATE ISSUED:
16 Jan. 2020
EXPIRY DATE:
15 Jan. 2030
SEAMANS BOOK
C1579675
DATE ISSUED:
31 Jan 2020
EXPIRY DATE:
31 Jan 2030
ISSUED AT : DFA Manila
ISSUED AT:
Manila
HIGHEST EDUCATIONAL ATTAINMENT:
BS-MAR-E
SCHOOL : U.S VISA : R C1/D
University of Cebu H2011365
EXPIRE : 04 FEB 2018
COURSE:
BS-MAR -E
YEAR GRADUATED
2001
SRC NO.:
CB22071-99
PROFESSIONAL LICENSE/GRADE/COC:
OIC-E3EW
CERT NO.:
39-18880
DATE ISSUED:
13 May 2016
EXPIRY DATE:
13 May 2021
ISSUED AUTHORITY:
Marina Manila
PERSON TO BE CONTACTED IN CASE OF EMERGENCY:
Merelyn Decatoria
ADDRESS:
Purok Thunder, Lapu –Lapu City 6015
TEL.NO.:
NAME OF ALLOTTEE(S):
Nelson N Decatoria
RELATION:
Self
ADDRESS:
TEL NO:
BANK/BRANCH:
BPI
ACCOUNT NO:
SSS:
06-1778521-3
TIN:
217-631-503
OVERALL:
Large
SAFETY SHOES: 8/ 42
YELLOW CARD:
2018
TRAININGS AND CERTIFICATES
NO
TRAININGS
CERTIFICATE NUMBER
TRAINING CENTER
DATE OF ISSUE
PLACE OF ISSUE
1
BOSIET
97645700100914003
TSI
10Sept. 2014
Manila
2
HSA
14H2S-0071-004
TSI
07 Sept. 2014
Manila
3
MEFA
MEFA-AM/392C/01-03
ADMERAL
18 Dec. 2001
Manila
4
ATFF
AFF-2927-00
Admeral
29 June 2000
Manila
5
PSCRB
PSC-10443-00
Admeral
28 July 2000
Manila
6
Basic Training
BT-14-0900854
PNTC
05 Sept. 2014
Manila
7
MARPOL 73/78
MPOLC-CEBU/1211-215
NEWSIM
16 November 2012
Cebu
8
ISM CODE
ISM(O)090-********-AM
Far east maritime
11 October 2003
Manila
9
ERM with ENGINE RESOURCE MANAGEMENT
ERS 050*-***-*****
Protect Marine
19 May 2005
Manila
10
HAZMAT
26-0705-0165
FAR EAST
07 July 2005
Cebu
11
ENGINE WATCH
EW-0758-99
ADMIRAL
21 MAY 1999
Manila
12
Ship Security Officer
SS1203042
Maritas
14 March 2012
Manila
13
AUXILIARY MACHINERY SYSTEM
AMS0505-43-511PM
Pentagon
27 May 2005
Manila
14
CONROL ENGINEERING
CE0505-41-512AM
Pentagon
27 May 2005
Manila
15
SDSD
27-262113
COMPASS
15 SEPT. 2014
Manila
EMPLOYMENT HISTORY
NAME OF VESSEL
FLAG
TYPE
GRT
ENGINE TYPE/BHP
RANK
FROM
M D Y
TO
M D Y
NO. OF MONTHS
AGENCY
REMARKS
M.V Siem Day
NIS
Cons.Vessel
8,592
Wartzilla
3Engr.
03
14
20
07
22
20
4
OSM
F.C
M.V Siem Day
NIS
Cons.Vessel
8,592
Wartzilla
3Engr.
11
20
19
01
03
20
3
OSM
F.C
M.V Siem Day
NIS
Cons.Vessel
8,592
Wartzilla
3Engr.
08
20
19
10
16
19
3
OSM
F.C
M.V Siem Day
NIS
Cons.Vessel
8,592
Wartzilla
3Engr.
03
08
19
07
09
19
4
OSM
F.C
M.V Siem Day
NIS
Cons.Vessel
8,592
Wartzilla
3Engr.
10
28
18
02
05
19
3
OSM
F.C
M.V Siem Daya 1
Singapore
Cons.Vessel
8,592
Wartzilla
3Engr.
06
29
18
09
19
18
3
OSM
F.C
M.V Siem Daya 1
Singapore
Cons.Vessel
8,592
Wartzilla
3Engr.
02
22
18
05
19
18
3
OSM
F.C
M.V Siem Daya 1
Singapore
Cons.Vessel
8,592
Wartzilla
3Engr.
10
06
17
01
17
18
3
OSM
F.C
M.V Siem Daya 1
Singapore
Cons.Vessel
8,592
Wartzilla
3Engr.
05
27
17
08
23
17
3
OSM
F.C
M.V Fugro Equator
Bahamas
Seismic
1,642
Cummins 1641kw2x
3Engr.
12
12
16
04
02
17
4
Scanmar
F.C
M.V Fugro Equinox
Bahamas
DSV/Multi Purpose
1,900
Cummins 1641kw2x
3Engr.
05
29
16
10
19
16
4
Scanmar
F.C
M.V Fugro Searcher
Panama
Seismic
1,642
Mitsubishi 1045kw3x
3Engr
11
15
15
03
29
16
4
Scanmar
F.C
Rock Water 2
Bahamas
DSV/Multi Purpose
5,900
Brons Man
1641kw 2x
3Engr
07
20
15
10
06
15
2
Anglo Eastern
F.C
M.V Fugro Equinox
Bahamas
Seismic
1,900
Cummins 1641kw2x
3Engr.
02
22
15
06
22
15
4
Scanmar
F.C
M.V Fugro Searcher
Panama
Seismic
1,642
Mitsubishi 1045kw3x
3Engr
09
15
14
01
14
15
4
Scanmar
F.C
MV. Catamarca
Monrovia
Bulk
34,855
Man B&W
11,060kw
3Engr.
12
03
13
05
16
13
5
Trans-Global
F.C
MV. Salta
Monrovia
Bulk
34,855
Man B&W
11,060kw
3Engr.
09
12
13
10
22
12
6
Trans - Global
F.C
MV. Santa Fe
Monrovia
Bulk
34,855
Man B&W
11,060kw
3Engr.
04
12
12
05
15
12
6
Trans-Global
F.C
MV. Anthea
Monrovia
Bulk
34,855
Sulzer RTA
10,920kw
3Engr.
05
15
11
11
19
12
6
Trans -Global
F.C
Apl Denmark
Monrovia
Container
65,792
Man B&W
54,840kw
3Engr.
05
06
10
01
22
11
8
BSM
F.C
Cosco Napoli
Monrovia
Container
91,649
Man B&W
69,647kw
3Engr.
06
20
09
02
04
10
8
BSM
F.C
CMA CGM NILGAE
Monrovia
Container
39,941
Man B&W
37,061kw
3Engr.
07
26
08
03
26
07
8
BSM
F.C
OOCL NEW YORK
Monrovia
Container
65,900
Man B&W
55,701kw
3Engr.
09
06
07
05
21
08
8
BSM
F.C
OOCL LOS ANGELES
Monrovia
Container
65,900
Man B&W
55,701kw
3Engr.
09
23
06
06
06
07
8
BSM
F.C